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Scalp Reductions - The Not-so-good, The Bad, And The Very Ugly

The goal of scalp reduction surgery is to minimize the balding area by surgically reducing the bare scalp.

Portions of the bald scalp on the top of the head are removed and the hair-bearing areas at the side of the head are pulled together at the crown.

This is an older method of hair restoration and the vast majority of surgeons no longer perform this procedure since new technological advances have made hair restoration easier and less painful.

Below is an overview of the scalp reduction procedure:

- The patient is given a local anesthetic.

- A segment of the bald scalp is removed. It is usually cut into an inverted Y-shape, a U-shape, or a pointed oval pattern.

- The skin surrounding the scalp area that has been removed is loosened and pulled upwards.

This allows the hair-bearing parts of the scalp to be sutured together towards the crown of the head.

This part of the procedure is reported as being uncomfortable and painful.

Candidacy for a scalp reduction depends on the flexibility of the scalp, the amount of hair loss and the patient’s age.

Below are some of the major reasons why scalp reduction surgery has decreased in popularity since the introduction of more advanced methods of hair restoration:

There is a risk that the skin might stretch back to 50% of its original positioning

A visible scar is left on the exposed areas of the bald scalp

An indentation surrounding the scar line may be noticeable

The hair may acquire an unusual parting that cannot be grafted

If the scalp is reduced in an elliptical pattern, it will result in an esthetically unpleasant elongation of the bald area

Maggie Kay is a freelance writer from Montreal and is the head researcher and content manager of Hair Transplant Costs - a resourceful site about hair transplant doctors. http://www.hairtransplantcosts.com/

Expanding on Scalp Extensions - A Step-by-step Look into the Procedure

A scalp extension is a method of scalp reduction that has two purposes in the field of hair restoration:

1) To stretch the hair-bearing areas of the scalp and allow them to cover the reduced bald section of the scalp.

2) To act as a damage control technique by loosening a scalp that has been pulled too tight during the scalp reduction procedure.

A scalp extension makes use of a surgical device called the Frechet Extender that consists of two rows of hooks connected by broad-based elastic bands. The tool is placed just beneath the surface of the scalp and forces the skin to loosen and stretch over the scalp. This operation facilitates the process of scalp reduction...
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