Scalp Surgery

    September 2001 in “ Dermatologic Surgery ”
    Gerard Seery
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    TLDR Scalp surgery guidelines ensure best cosmetic results and fewer complications.
    This 21-year-old document discusses the technical aspects of scalp surgery, including vascular and neurologic considerations, biomechanical considerations, and scalp scars and hair direction orientation. The document establishes technical guidelines for scalp surgery compatible with maximal functional/cosmetic benefit and complication-free results. The guidelines include sparing neurovascular structures, not transecting collagen or elastin, modest and discriminate undermining, using deep plane fixation, and preserving hair directional orientation (drape). The article also recommends hair transplantation grafts placed in the newly sutured wound for repair of moderate to large scalp wounds.
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