Anchor scalp reduction.

Abstract

Unsightly scars, stretch-back, and stretch atrophy are common complications of scalp reduction. To remove as much bald scalp as possible while preserving normal tissue integrity (e.g., thickness, vascularity) and cosmesis. Surgical innovations anchor scalp reduction I & II, use pericranial flaps as aids to facilitate maximal reduction while limiting postoperative distraction vector forces responsible for stretch-back, stretch-atrophy, and wide scars. Anchor scalp reduction I consistently results in fine barely perceptible scars. Anchor scalp reduction II enables maximal bald area reduction while minimizing the incidence of stretch-back and wide scars. Anchor scalp reduction I is a simple innovation recommended for suturing scalp incisions where the primary objective is a fine barely discernible scar, e.g., in plastic surgery or neurosurgery. Anchor scalp reduction II is preferred for hair restoration procedures where the primary objective is maximizing reduction while minimizing stretch-back and stretch atrophy.