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Hair transplant: bald scalp reduction
and scalp flap surgery
Hair
Restoration Procedures
Bald
Scalp Reduction and Scalp Flap Surgery
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Hair
Transplant
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Bald
Scalp Reduction
and Scalp Flap Surgery
These two procedures are no longer performed by Dr. Epstein due to the
superiority of follicular unit micrografting. Dr. Epstein does have extensive
experience in repairing the scarring from these procedures.
B A L D S
C A L P R E D U C T I O N :
A H
I S T O R I C A L P
E R S P E C T I V E
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 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.
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Bald
scalp within the dotted lines is excised,
and the scalp edges are stitched in place. |
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Potential
results after one or two scalp reductions.
Further reductions may be done. |
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Hair
grafts fill in the remaining bald area,
creating a natural appearance. |
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Though once quite popular, scalp reductions are rarely performed anymore.
Dr. Epstein continues to see patients who have had these procedures,
and repairs the scarring and hairline distortion that frequently are
seen with these procedures.
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S C A L P F
L A P S U R G E R Y
Like bald scalp reductions, scalp flap surgery is rarely performed today,
due to the superiority of follicular unit grafting. In scalp flap surgery,
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.
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First
Stage: The flap is designed
and cuts are made along the sides and the cuts are
sewn.
Second Stage: One week a cut is made. The 1st and 2nd stages are
performed to reroute the blood supply so that the
flap is nourished only by the blood vessels at its
front. |
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Third
Stage: Two weeks after
the 1st stage, the flap is elevated and a hairline
incision is made.The flap is rotated towards the
front, and the donor area is closed. |
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Fourth
Stage (completed): The
flap is sewn in place. Note the bulge at right side
of the flap which is corrected in 4-6 weeks. The
blue line shows position of a second flap, if used. |
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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.
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procedure
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