Scalp Reduction

Scalp reduction surgery involves removal of bald scalp and bringing the hair-bearing scalp closer to it to fill in the bald area on the scalp. In this operation the surgeon reduces the baldness by cutting out a segment of the bald scalp skin.

Duration of the procedure:
Scalp reductions require about 3-4 hours for each step of the operation.

Post-Operative Care:
You will wear a compression garment over the head to provide support, which should not be removed for the next few days following surgery. It is important to take the medication prescribed to you by your surgeon to manage discomfort from swelling and bruising. Someone will need to drive you home. Patients normally experience swelling and some numbness for the first few days following the procedure. Because the skin needs time to soften, tightness in the scalp is also common for several months after the operation. Scabbing is also common

Recovery Period:
. Most patients will be able to return to work within 3-5 days following the procedure.

Possible Risks and Complications

There might be some minor complications and side effects of scalp reduction surgery. Some possible complications during and after the surgery include scarring at the suture lines, scalp skin “stretch back” at the excised bald area and central midline scar called slot deformity. Side effects of this hair restoration surgery include temporary discomfort, swelling and numbness in the operated area.

Anesthesia use:
General or local anesthesia with sedation

Hospital admission:
Scalp reduction surgery can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.

Preparation before Surgery:

• Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.

• Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
• You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
• Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.