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Facial Hair Restoration: Hair Transplantation to Eyebrows, Beard, Sideburns, and Eyelashes
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Bald Scalp Reduction and Scalp Flap Surgery

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Bald Scalp Reduction: A Historical Perspective

These two procedures are no longer performed by Dr. Epstein and the other Foundation doctors due to the superiority of follicular unit micrografting. Dr. Epstein does have extensive experience in repairing the scarring from these procedures.

BALD SCALP REDUCTION: A HISTORICAL PERSPECTIVE

Bald scalp reductions involve the removal of bald scalp from the crown and top of the head. In a single procedure, as much as 5 centimeters (almost 2 inches) in width can be removed, resulting in a rapid reduction in the size of the bald area. Scalp reductions, such as Fleming-Mayer Scalp Flap procedure, do not treat hair loss in the front of the scalp, and follicular micrografting can be performed simultaneously or subsequently to create a hairline, to further fill in the remaining areas of baldness, and sometimes right along the healed scalp reduction incisions.

Though once quite popular, scalp reductions are rarely performed anymore. Dr. Epstein and the Foundation doctors continue to see patients who have had these procedures, and repair the scarring and hairline distortion that frequently are seen with these procedures.

Bald scalp within the dotted lines is excised, and the scalp edges are stitched in place.

Potential results after one or two scalp reductions. Further reductions may be done.

Hair grafts fill in the remaining bald area, creating a natural appearance.

SCALP FLAP SURGERY

Like bald scalp reductions, scalp flap surgery is rarely performed today, due to the superiority of follicular unit grafting. In scalp flap surgery, such as with the Fleming-Mayer flap and Juri flap, as many as 10,000 hairs are transplanted in a single procedure. The scalp flap is unique in its ability to create the densest hairline possible, in the shortest period of time. Unlike with hair grafting, the hair in a scalp flap begins to grow immediately. As with all other transplantation techniques, the hair continues to grow for a lifetime.

The downsides of scalp flap surgery include: an abnormally dense, abrupt hairline; direction of hair growth posterior rather than the ideal anterior; scarring of the donor area along the side of the head; and the small but definite risk of failure of the flap.

First Stage: The flap is designed and cuts are made along the sides and the cuts are sewn.

Second Stage: After one week, a cut is made. The first and second stages are performed to reroute the blood supply so that the flap is nourished only by the blood vessels at its front.

Third Stage: Two weeks after the first stage, the flap is elevated and a hairline incision is made. The flap is rotated towards to front, and the donor area is closed.

Fourth Stage (completed): The flap is sewn in place. Note the bulge at the right side of the flap, which is corrected in four to six weeks. The blue line shows the position of a second flap, if used.

Dr. Epstein is one of a few select doctors trained in this demanding procedure, which requires extensive training and surgical experience. He no longer performs this procedure, because of the risk of scarring and unnatural appearance, and the superiority of follicular unit grafting.

Before
After
Before
After

Procedure: Grafts to Repair Hairline, 300 Grafts.
Surgeon: Dr. Epstein
Location: Miami, FL
Procedure details: Before and after 300 grafts to repair hairline from prior flap surgery
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Before
After
Before
After

Procedure: Grafts to Repair Hairline, 350 Grafts.
Surgeon: Dr. Epstein
Location: Miami, FL
Procedure details:Before and after 350 grafts and scar repair to improve the aesthetic results from a prior performed scalp flap surgery


Before
After
Before
After

Procedure: Reparative.
Surgeon: Dr. Epstein
Location: Miami, FL
Procedure details:Before and after repair of prior Fleming-Mayer Scalp Flap, achieved through additional grafting of 1,650 grafts. The abnormally dense abrupt hairline has been made to appear much more natural.

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If you have any questions about Dr. Epstein’s bald scalp reduction and scalp flap surgery procedures, or about hair transplants, follicular unit grafts, or anything else, please don’t hesitate to contact our office.

Foundation for Hair Restoration patients come from all 50 United States and around the world.

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Trust Your Hair to the Specialist.

Dr. Epstein is unique in the field of hair transplantation, as he is a triple board certified facial plastic surgeon who has specialized in the treatment of hair loss since 1993. Refining his techniques for 20 years, Dr. Epstein's facial plastic surgery background is not only a reflection of his commitment to excellence and obtaining unsurpassed qualifications, but more importantly provides him with the advanced aesthetic skills that can assure his patients of achieving the most natural appearing hair results. Click here to learn more about Dr. Epstein.

Flying in for Surgery

Thousands of patients have traveled to the hair specialist Dr. Jeffrey Epstein for his expertise in hair transplantation. Patients have come from all 50 United States and over 75 countries worldwide. The Foundation for Hair Restoration Miami office is conveniently located near Coral Gables, the University of Miami, Coconut Grove, and quite close to Miami International Airport. So while you are here, you can take advantage of all that Miami, Florida has to offer. The New York City office is located right in the Upper East Side. Learn More »
Jeffrey S. Epstein, M.D., FACS
Founder and Director of the
Foundation for Hair Restoration
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New York
East Side Care Center
60 East 56th Street, 3rd Floor
New York, NY 10022

(212) 759-3484
Miami
Sunset Professional Building
6280 Sunset Drive, Suite 504
Miami, FL 33143

(305) 666-1774
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