hi dr Rassman, am considering having a megasession but am worried about the linear scar if I want to keep my hair short at the back. how long do you need to keep the hair at the back to hide the scar if I have 2500 grafts. is there anywhere on your website with pictures of the scar etc…
I always tell people that there is always a scar present, the key is to keep the scar as small as possible. 95% of people will have a scar smaller than 1/8th of an inch wide. Assuming that there is a 1/8th of an inch scar, any reasonable length hair will cover it (even hair 1/4 inch in length). With the newer trichophytic incisions (shown here), hair can be forced to grow out of the scar so that in 95% of people, unless you shave the head, the scar will barely be visible. Using special scar reducing techniques, scars are now far smaller than they ever have been and if you are the unlucky 5%, there are ways to solve almost any scarring problem you might develop.
Today we use a deep fascia closure to reduce skin tension (the number one cause of stretching of a scar). Megasessions in the hands of experienced surgeons who practice with these techniques to control scarring is an important consideration when selecting a doctor. I have always assumed that any scarring problem in my patient is my problem and I will often fix the scar at no cost to the patient, if there is such an issue.