Below are a couple of scars that were tattooed with colors similar to the color of the patient’s flesh. This method of minimizing the appearance of strip scars is not ideal and disfigures many individuals. It is especially awful when darker colors are used because it is a fact that the color fades into lighter shades of color in time. Tattooing a scar can be extremely difficult to maintain due to the routine touch-ups they usually require. Many individuals will spend more coloring the scar than grafting the scar. Because the color of the tattoo can’t be permanent, many individuals try to even to create the illusion of hair by placing small dots to further minimize the appearance of the scar. Once the scar is tattooed, the color treatment is almost always irreversible.
There are several approaches to improve the appearance of tattooed strip scars. The first approach would be to excise the scar in attempt to remove the coloring in the scar. The other approachs would be to CIT into the scar which may require several sessions to create enough density to be comparable to the patient’s donor density. Dr. Cole’s treatment for this patient was to revise the scar to remove the colored skin and the patient may later graft into it approx. 8 months after the procedure. We excised the scar in hopes of reducing it’s width and remove the tattooed scar tissue.
Patients who desire to camouflage linear scars from strip (FUT) may want to consider grafting into the scars as the first viable option. With CIT, there are more options that include grafting the scar with scalp hair or body hair. Usually scars will require more than one pass or session of treatment due to thickened tissue where blood flow has been decreased.
Example of CIT into scar
Example of BHT into scar