Can Botox Prevent Hair Transplant Scar Stretching?

This question comes from a member of our Hair Loss Social Community and Discussion Forums: 

I recently underwent follicular unit transplantation (FUT) and I’m worried about post-operative scar stretching. I’m curious, could Botox injections help prevent the potential hair transplant scar stretching?

In my opinion, this wouldn’t work. Botox is a purified form of Botulinum toxin, which is a well studied muscle paralytic. Botox, when used for cosmetic purposes in the face, “relaxes” facial muscles and decreases the wrinkled, furrowed, aged appearance associated with excessive muscle contraction.

During follicular unit transplanation (FUT) the depth of the “strip” removed from the donor region goes to the dermis and (likely) slightly into the deeper subcutaneous fatty tissue, but stays superficial to any muscle tissue (which in that region of the scalp is likely to only be the occipital region of the occipitofrontalis muscle).

Because scar tissue forms from the more superficial layers and not the muscle tissue, providing an agent that would decrease potential contraction from the muscle, but not necessarily the overlying tissues, really would not prevent excessive stretching. Furthermore, injecting botox into muscles in the back of the scalp would result in unwanted muscle paralysis with no cosmetic or anti-spastic benefit to the patient.
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Blake Bloxham – formerly “Future_HT_Doc”

Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

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