Complication-free scalp surgery is most likely to occur when incisions spare neurovascular structures; do not transect collagen or elastin; undermining is modest and discriminate; deep plane fixation is used; and hair directional orientation (drape) is preserved.
Notably improved postharvesting donor sites are most likely to result when measures are taken to ensure minimal trauma by taking definitive steps to combat tension in the tissues. Modest undermining combined with deep plane fixation facilitates channeling of tension vector forces from at-risk superficial tissues into nonundermined tissues and deep tissues, each of which is optimally equipped to withstand the adverse consequences of tension.
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.
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