TLDR Scalp reduction surgery is safe and effective for certain patients with hair loss, leading to dense hair coverage and high satisfaction.
The document by Samuel M. Lam, M.D., and Edwin F. Williams III, M.D., from 2002, reports on a 10-year experience with scalp reduction surgery for treating vertex alopecia. The authors found the procedure to be safe and reliable, particularly for mature, motivated patients with stable or limited progressive crown recession. They emphasized the importance of patient selection, preoperative planning, and the use of a scalp extender to prevent stretch-back and reduce the time between sessions. The surgery resulted in dense, natural-looking hair coverage for defects up to 12 cm with high patient satisfaction, complete closure rates, minimal morbidity, and no need for revisions. However, the paper does not specify the number of patients involved in the study.
11 citations,
January 1999 in “Dermatologic Surgery” Scalp extenders improve the results of scalp reduction for baldness but can cause severe headaches.
5 citations,
September 1994 in “The Journal of Dermatologic Surgery and Oncology” Scalp lifting surgery can safely and effectively reduce baldness if done with careful planning and proper technique.
10 citations,
January 2011 in “Journal of Cutaneous and Aesthetic Surgery” Surgical methods for hair loss are less common than hair transplants but still useful, especially for scarring hair loss.
January 2016 in “Springer eBooks” The document concludes that there are various causes and treatments for hair loss, with hair transplantation being a notable option.
November 2002 in “Dermatologic Surgery” Scalp reduction gives the most natural result for significant crown baldness, despite potential complications, and a systematic approach to surgical hair restoration results in few complications and high graft survival.
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.