Scar Grafting with Dr Cole

[northeastguy]

Just want to say thanks to NEGuy. I’m getting fue into my fut scar and this thread has given me a lot of hope when i needed it.

Your welcome

[John P. Cole, MD]

Grafting scars

Just be careful. Everyone is offering FUE today. They have to offer it, because the alternative is to be out of business. That honestly is a good option for bad surgeons. Few want a strip. There isn’t a single good surgeon promoting FUE and strips. If they have the artas robot, avoid them entirely. No good FUE surgeon offers strips. No good strip surgeon offers FUE. No good surgeon offers ARTAS robotic surgery. Being an IAHRS surgeon does not mean they are good. It means you might not get butchered. You can still get butchered. The bar to join is low. The top 25 bar to inclusion is low as well. You can start here, but dig deeper. Many on both lists are highly NOT recommended. At times you are better to roll the dice in turkey than trust consumer advocates. This is sad to say but true. You have to do your homework and then dig deeper.

[yankees12345]

Just want to say thanks to NEGuy. I’m getting fue into my fut scar and this thread has given me a lot of hope when i needed it.

[Lauren Rose]

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[Lauren Rose]

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[northeastguy]

First and foremost, get that ink out of your head. If it’s temporary then let it absorb on its own. If it’s permanent… There is laser you can do to remove it and it’s instant. Stick to FUE in the scar only right now.

Your overthinking the process…Whoever is Doing the work, have them add FUE where it is needed evenly throughout the scar. Do the entire scar at the same time. There’s no benefit in doing it in sections. Let them add graphs where they are needed each time. You’re going to need minimum two passes possibly three to achieve your goal. You will get there. Just be patient and don’t overthink it. It takes a couple of years minimum to really see the full effects of multiple passes

….grafts. Sorry i use voice recognition to much.

[northeastguy]

First and foremost, get that ink out of your head. If it’s temporary then let it absorb on its own. If it’s permanent… There is laser you can do to remove it and it’s instant. Stick to FUE in the scar only right now.

Your overthinking the process…Whoever is Doing the work, have them add FUE where it is needed evenly throughout the scar. Do the entire scar at the same time. There’s no benefit in doing it in sections. Let them add graphs where they are needed each time. You’re going to need minimum two passes possibly three to achieve your goal. You will get there. Just be patient and don’t overthink it. It takes a couple of years minimum to really see the full effects of multiple passes

[scarremorse]

Do not do FUT. I’m assuming you have not done anything as of yet? IF the scar is flat start FUE. have them remove some of the grafts from heavy density areas along scar lines and evenly place them. Rest from donor area. Plan on minimum 2 passes. 3 will be best.

My advice, stick to a 1 guard….with the grafting in the scar at that length it hides the best and still a clean look.

Appreciate that. Yes I have already done SMP and then a small (250) FUE into the scar.

SMP helped, but still noticeable.

FUE helped even more, still noticeable but got to a point where I was actually somewhat comfortable.

Next I'd like to focus on a way to break up the long continuous line. My previous two procedures have helped, and I'm even happy with sections of it at certain lengths, but it's still a long straight arbitrary line...

My thought for next time is to attack just a section of it, say, the right third of it. Remove some thru FUE on the right third, use those to fill in the left third, don't touch the middle.

While I want to go for coverage and blending the scar, I also want to focus on something - anything - that will help break up, blur, section off, or in any way disrupt that long straight line.

So my thought is:
Focus on removing hairs from in and around the right third of the scar. the right third would have FUE dots/scars that would help blur the line (while also removing clumpy hairs within the scar).

Use those hairs to better fill in the left third of the scar (could use more in there).

Leave the middle. I can live with it in the middle, just not if it stretches up to my ears.


To me it's worth exploring attacking this scar in sections to help break up the line. Can't seem to find much data or examples of it though.

[northeastguy]

Did you Trico or SMP?

[northeastguy]

Do not do FUT. I’m assuming you have not done anything as of yet? IF the scar is flat start FUE. have them remove some of the grafts from heavy density areas along scar lines and evenly place them. Rest from donor area. Plan on minimum 2 passes. 3 will be best.

My advice, stick to a 1 guard….with the grafting in the scar at that length it hides the best and still a clean look.

[scarremorse]

@northeastguy - just stumbled on this thread, not sure how I missed it previously, but its definitely given me some newfound optimism. Congrats on your progress and thank you for documenting over the years!

For you and anyone else - I’m a little stuck and wanted to throw something out there…

I had 2000 FUT about a dozen years ago, looking (like most on this particular thread) to keep it short.

Here's where I'm at:

Where I started:


After SMP:


After 300 FUE's into scar:
#1 Guard


.5 Guard



At #1 guard, I'm happy with the right third of the scar
At #.5 guard, I'm happy with the left third of the scar

I'm curious about attacking just part of the scar, in an attempt to break up or distort that long linear line.

Couple things that crossed my mind:
1. Do another FUE, but target the hairs directly in, above, and below the scar? There are hairs that have grown back through the original scar (trico closure) thicker and at a different angle. Maybe removing some of those in one section would break up the line.

2. Possibly have a very small (<1") FUT in the center - cut out the most problematic part of the scar. Live with a tiny bare scar (lots of people have small visible scars on their shaved heads). Again, this is an attempt to break up that long scar.

3. Something else?

Thinking maybe attacking just a section would at least help break up that long straight, unnatural line.

Appreciate this thread, and appreciate any thoughts or inputs. Thank you--

[northeastguy]

Northeastguy updated

Its been so long since I've followed up here. Basically i moved on with my life i suppose. At some point enough was enough. These are most recent and Un-doctored. The outside photo is a one guard… Almost a little too short and if you look you can see something. I get away best with a 1.5 guard. If I use temporary micro pigmentation, it blends perfectly… However, I need to repeat it often I’m just not willing to go through it. If there are questions I’ll do my best to respond on a regular basis.

[beansysbro]

Thanks dude

[southeastguy]

Did not consider excision. I would not do that as it could make it worse. I did nothing for the scar other than FUE and smp (which was a waste if time/money).

The doc used acell I think. 100-200 sounds right but u may only get like 60-70% growth. So it usually takes 2 or 3 sessions to get it matching density.

Also, when you graft into a scar it will make your scar healthier by increasing blood supply. This will make it resemble normal skin more than it does in its current state.

I dont know those doctors and can only comment on my experience with dr Joe at Shapiro.

[beansysbro]

Did you consider scar excision such as a trichophytic closure? I started reading though this thread and NE guy mentioned a 50/50 chance for improvement in his. Don't like those odds!

My scar is slightly raised (though I'm sure that is normal for scars ?) Did you get injections or anything to make your scar flat and soft before fue?

Did you use anything supplementary such as things like prp, acell , cortisone shots etc?

My scar is about 4cm long by 1cm wide. Do you reckon it would take more than 1 session ? the grafts required have been in the 100-300 range. I'm in Europe and and have been in touch with bisanga and lorenzo amongst others. Lorenzo has some very good scar repair videos on youtube which gives me confidence!