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Hair Restoration | Miami, FL & New York, NY

Jeffrey Epstein, MD, FACS
Anthony Bared, MD, FACS
Miami | New York

Foundhair.com en español
Miami Office 305-666-1774
New York Office 212-759-3484
4.59 stars from 837 reviews
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    • Dr. Gary Linkov
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Bald Scalp Reduction and Scalp Flap Surgery: A Historical Perspective

These two procedures are no longer performed by Dr. Epstein due to the superiority of follicular unit micrografting and follicular unit extraction. 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 do not treat hair loss in the front of the scalp, and follicular micrografting or follicular unit extraction 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 his partner 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 Reduction and Scalp Flap Surgery in NYC
Bald scalp within the dotted lines is excised, and the scalp edges are stitched in place.
Bald Scalp Reduction and Scalp Flap Surgery in Miami
Potential results after one or two scalp reductions. Further reductions may be done.
Bald Scalp Reduction and Scalp Flap Surgery in NY
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 hair transplantation techniques. 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.

Bald Scalp Reduction and Scalp Flap Surgery in New York

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.

Bald Scalp Reduction and Scalp Flap Surgery in New York City

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.

Bald Scalp Reduction and Scalp Flap Surgery - New York City

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

Bald Scalp Reduction and Scalp Flap Surgery - New York

After

Bald Scalp Reduction and Scalp Flap Surgery - NY

Before

Bald Scalp Reduction and Scalp Flap Surgery - NYC

After

Bald Scalp Reduction and Scalp Flap Surgery - Miami

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

Bald Scalp Reduction and Scalp Flap Surgery | Miami

After

Bald Scalp Reduction and Scalp Flap Surgery | NYC

Before

Bald Scalp Reduction and Scalp Flap Surgery | NY

After

Bald Scalp Reduction and Scalp Flap Surgery | New York

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

Bald Scalp Reduction and Scalp Flap Surgery | New York City

After

Bald Scalp Reduction and Scalp Flap Surgery > New York City

Before

Bald Scalp Reduction and Scalp Flap Surgery > New York

After

Bald Scalp Reduction and Scalp Flap Surgery > NYC

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 reparative procedures, or about hair transplants, follicular unit grafts, or anything else, please don’t hesitate to contact our office.

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Jeffrey S. Epstein, M.D., FACS

Jeffrey S. Epstein, M.D., FACS

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