How to treat scar hair loss? Will scar hyperplasia heal on its own

Scar hair loss usually requires medical intervention treatment, while scar hyperplasia generally does not heal on its own. The main treatment methods for scar hair loss include drug therapy, laser therapy, hair transplantation, local injection therapy, and surgical treatment. The treatment of scar hyperplasia and hair loss should be carried out simultaneously, mainly through pressure therapy, silicone preparations, corticosteroid injections, cryotherapy, surgical resection, and other methods to improve.

1. Drug treatment

Early scar alopecia can be externally applied with minoxidil tincture to promote hair follicle recovery, and the scar tissue can be softened with compound heparin sodium allantoin gel. Oral medications such as snow glycoside tablets can help inhibit fibrosis and should be used in combination under the guidance of a doctor. The medication treatment cycle is relatively long, and continuous observation of scalp tolerance is required.

2. Laser therapy

Dot matrix laser can stimulate collagen remodeling in scar areas and promote microvascular regeneration. 595nm pulsed dye laser can improve erythematous hypertrophic scars, and it is more effective when used in conjunction with low-energy laser hair generating helmets. The treatment needs to be carried out in multiple stages, with intervals adjusted according to the thickness of the scar.

3. Hair transplantation

For stable scars, follicular unit extraction surgery can be chosen to transplant healthy hair follicles from the posterior occipital region to the hair loss area. Preoperative evaluation of scar blood supply is necessary, and high-density implantation techniques should be used to improve survival rates. After transplantation, it is necessary to cooperate with red light treatment to care for newly grown hair.

4. Local injection therapy

Local injection of triamcinolone acetonide suspension can effectively smooth out protruding scars, once a month for 3-5 consecutive times. Combined injection of 5-fluorouracil can inhibit excessive proliferation of fibroblasts. After injection, side effects such as skin atrophy may occur, and the dosage should be strictly controlled.

5. Surgical treatment

For stubborn scar hyperplasia, scar resection and suturing surgery combined with postoperative radiotherapy can be used. Extensive hair loss can be treated with scalp expander implantation, which increases the hair coverage area through skin expansion. After surgery, it is necessary to wear an elastic headgear to prevent scar recurrence. Patients with scar hair loss should avoid scratching the affected area in daily life and choose silicone free shampoo products to reduce irritation. Strict sun protection is required during the scar hyperplasia period, and medical silicone dressings should be used for continuous compression. Pay attention to supplementing high-quality protein and vitamin E in diet, and limit the intake of spicy foods. It is recommended to review scar changes every 3 months, as early intervention can significantly improve prognosis. If scars, redness, swelling, pain, or hair loss expand, it is necessary to seek medical attention promptly at a dermatology or plastic surgery department.