Anchor Scalp Reduction: ASR I and ASR II Techniques for Improved Outcomes

    December 1996 in “ Dermatologic Surgery ”
    Gerard Seery
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    TLDR Both ASR I and ASR II are effective scalp reduction techniques, with ASR I creating finer scars and ASR II removing more bald area and reducing stretch-back.
    The document discusses two surgical techniques, ASR I and ASR II, designed to improve scalp reduction surgery outcomes. ASR I, which was tested in 100 operations, uses a pericranial flap for deep wound closure to create fine scars and limit stretch-back to an average of 12%. ASR II, evaluated in over 200 operations with the first 50 showing an average bald area removal of 3.5 cm and 12% stretch-back, employs medially based, offset pericranial flaps to anchor the scalp and reduce stretch-back and scars. Both methods are simple, safe, and do not significantly increase surgery time. ASR I is recommended for achieving fine scars, while ASR II is better for maximizing bald area reduction and minimizing stretch-back and atrophy.
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