Surgical Anatomy of the Scalp

The document "Surgical Anatomy of the Scalp" by Gerard E. Seery, MD, summarizes findings from a review of over 3000 scalp operations. It highlights the importance of understanding the five-layered structure of the scalp, including its vascular and neurologic anatomy, to achieve better functional and cosmetic outcomes in scalp surgery and to minimize complications such as unsightly scars and poor tissue vascularization. The study also notes the reduced blood supply in bald tissues and suggests local hypoxia may play a role in male pattern baldness. The paper emphasizes the need for surgeons to adhere to the detailed parameters of surgical practice related to scalp anatomy, including the orientation of incisions, scalp laxity, and the biomechanics of skin stretching, to perform successful scalp surgeries without complications.