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.

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