Modified S Pattern for Scalp Reduction

December 1992 in “ The American Journal of Cosmetic Surgery ”

Craig S. Schauder, Dowling B. Stough, Thomas P. Chu

scalp reduction modified S pattern vertex alopecia hair transplantation alopecia bald scalp removal hair restoration

TLDR The modified S pattern for scalp reduction is effective for removing more bald scalp and hiding scars in hair restoration.

The document reports on a new incision pattern for scalp reduction, the modified S, which has been used in over 30 cases over the course of approximately one year. This pattern is designed to improve the effectiveness and aesthetics of bald scalp removal. The modified S pattern is characterized by a small tight curve anteriorly and a looser, more sweeping curve posteriorly, which allows for the removal of more bald scalp per procedure, easier undermining, and better scar concealment. The pattern also distributes tension more widely, potentially reducing the tendency toward stretchback. The authors argue that scalp reduction, particularly with this new pattern, should be the procedure of choice for patients with vertex alopecia and, when combined with hair transplantation, offers excellent hair restoration. Results from the cases show marked improvements in patients with extensive alopecia, with the pattern allowing for a greater amount of bald scalp to be removed and the scar to be camouflaged effectively.

View this study on journals.sagepub.com →

Discuss this study in the Community →

Research cited in this study

2 / 2 results

research Adjuncts to Scalp Reduction Surgery: Intraoperative Tissue Expanders and Hyaluronidase

21 citations, August 1991 in “The Journal of Dermatologic Surgery and Oncology”

Using tissue expanders and hyaluronidase in scalp reduction surgery allows for more scalp removal and easier surgery.

research Incisional Slit Grafting: A Superior Hair Transplantation Method

33 citations, January 1991 in “The Journal of Dermatologic Surgery and Oncology”

Incisional slit grafting for hair transplantation gives natural-looking results and has a high success rate.

Related Community Posts Join

6 / 1000+ results

community Diffuse hair loss and scalp biopsies

in Research 692 upvotes 3 months ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

community Finasteride only reduces scalp DHT by ~40%. Why does it work?

in Finasteride/Dutasteride 37 upvotes 1 year ago

How Finasteride and Dutasteride help reduce hair loss by reducing the amount of DHT in scalp areas, as well as discussing factors such as sensitivity to DHT, 5α-reductase expression in different parts of the hair follicle, and scalp tension.

community hmi115 is coming. Prepare yourselves for what's coming

in Technology 111 upvotes 1 year ago

The conversation discusses HMI-115, a potential cure for hair loss. Users share mixed opinions, with some expressing skepticism and others sharing anecdotal evidence of its effectiveness, including photos of significant hair regrowth from a trial participant.

community Does whey protein and creatine aggravate hair loss?

in Research/Science 82 upvotes 11 months ago

The conversation discusses whether whey protein and creatine worsen hair loss. Some users report hair loss with creatine use, while others do not; opinions on whey protein's effects are mixed. Treatments mentioned include PRP, minoxidil, and finasteride.

community Haircafe on why microneedling is bad for hair growth

in Microneedling 154 upvotes 3 months ago

Microneedling combined with minoxidil and finasteride shows significant hair regrowth, though opinions on its effectiveness vary. Some users report substantial benefits, while others highlight the need for more research and consistency in application.

community A Nuanced Look at Microdosing Topical Finasteride

in Finasteride/Dutasteride 86 upvotes 11 months ago

The conversation discusses using a low dose of topical finasteride to achieve hair benefits with minimal systemic exposure. Users share experiences and opinions on dosing, systemic buildup, and side effects of both topical and oral finasteride.

Similar Research

5 / 1000+ results

research Philosophy and Technique in Hair Restoration Surgery

3 citations, July 1997 in “Current problems in dermatology”

Hair restoration surgery has evolved over time, with a focus on natural-looking results and managing patient expectations, while also considering potential complications and the lifelong progression of male pattern baldness.

research Chest Hair Used as Donor Material in Hair Restoration Surgery

6 citations, September 1997 in “Dermatologic Surgery”

Chest hair can be used for scalp hair transplants when there's not enough scalp hair.

research Advances in Hair Restoration Surgery

10 citations, December 1997 in “Plastic and Reconstructive Surgery”

Hair restoration surgery has improved with better techniques for natural looks and managing patient expectations, but it remains labor-intensive and requires careful consideration of potential complications.

research Midline Alopecia Reduction Combined With Hair Transplantation

5 citations, March 1985 in “Head & Neck Surgery”

Combining scalp reduction and hair transplants improves coverage and appearance for male baldness.

research Planning for Maximum Coverage in Surgical Hair Restoration

3 citations, February 1996 in “Dermatologic Surgery”

Walter P. Unger suggests using advanced hair transplant techniques for broader coverage, as they provide natural results and use donor tissue efficiently, while also recommending personalized planning due to the unpredictable progression of baldness.