The Paramedian Scalp Reduction With Posterior Z-Plasty

The study presented an approach to minimize the "slot" defect resulting from scalp reductions by using staged modified paramedian scalp reductions combined with a large posterior Z-plasty during the final reduction. The method involved marking a paramedian crescent-shaped ellipse on the patient's scalp and performing subsequent reductions approximately 2 months apart. The final reduction included mobilization and transposition of large flaps in the posterior Z-plasty. The results showed that this combined approach significantly minimized and adequately camouflaged the undesirable "slot" defect.