Strip Scar repair with another strip procedure?

[Jsuave]

I had 2 transplants done about 15 years ago. They left me with a wide scar on the back of my head. I recently went in for a consult to add new hair to my hairline (to hide some slightly conspicuous work) and to fix my scar from the donor area. The doctor told me the old incision was cut way too low and that if done higher at a certain place the scar would be a lot thinner. he said done at this area on the scalp there is far less tension. So he recommened that he does another strip at the higher location to harvest hair to be placed into the old scar as well as into my hairline.
Does this sound like a good plan?
Has anyone heard of higher vs lower placement of strip incisions and how it plays into the quality of outcome?

[Winston]

That’s a tough call. Some might suggest that you concentrate on repairing the hairline first and then see what you can do about the scar. Others might tell you to go FUE only and see if you can fix the hairline and repair the scar without introducing another scar. You should have several consultations with IAHRS doctors before you decide. Repair work can be tricky and you only have a limited supply of hair to work with so you want to make sure you get it done right.

[gillenator]

You really need to get more opinions. Without seeing the area in person, that would be difficult to determine. And like everything else, there are varations between patients. They real key is that there is adequate laxity in the area to support the width of the strip that is about to be excised.

You need to know what potential you have for a scar revision. It does not sound like the doctor felt that you did. Also, you need answers on what could have caused the wider initial scar. Could you have lacked the laxity in the prior procedure? Could you be more prone to healing with a wider scar? Or could it have been an inferior closing technique?

That's why you need to get several more opinions from those experienced in strip repair before you can decide whether or not another strip or if FUE is the way to go.

I would hate to see you end up with two wide strip scars. If the one you have can be revised and also salvage whatever grafts come out with that revision strip. Then you could take the time to heal and come back later for a follow-op procedure or chose to do straight FUE.

You need a reputable doc in both strip and FUE with experience in repair.

[garageland]

The doctor that has seen you in person will ultimately know best, A good doctor will be able to offer you a better scar that is hopefully thinner than what you have.

What I think he was trying to say is that you old scar was placed in the wrong location,I had the same problem, my scar was below the bump this area is prone to streching and the hair can thin here also in advanced cases, you would be best to leave this scar alone and let him take a new one from the correct placement.