Anchor Scalp Reduction

Seery, Gerard

doi:10.1111/j.1524-4725.1996.tb00653.x

Cited by 17 publications

(15 citation statements)

References 4 publications

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“…Gerald Seery of the USA advocated the attachment of the advanced scalp to the galea by sutures or a small galeal flap. [11] He claimed that this significantly reduced stretch-back without the introduction of any internal foreign body requiring later removal.…”

Section: Alopecia Reduction Surgerymentioning

confidence: 99%

A review of modern surgical hair restoration techniques

Shiell¹

2008

J Cutan Aesthet Surg

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Section: Alopecia Reduction Surgerymentioning

confidence: 99%

A review of modern surgical hair restoration techniques

Shiell¹

2008

J Cutan Aesthet Surg

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“…(12)(13)(14)(15) The former problem, in which the reduced, bald scalp partially stretches back after reduction, was solved by Patrick Frechet in 1993 with the use of an implanted extender. (16) This Silastic device with titanium hooks held the reduced, bald scalp in place and permitted only the air-bearing scalp to stretch out ( Fig.…”

Section: Introductionmentioning

confidence: 99%

Scalp-Reduction Revisited: A 10-Year Experience

Lam¹,

Williams²

2002

International Journal of Cosmetic Surgery and Aesthetic Dermato

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Micro-and minigrafting have become cornerstones of hair-restoration surgery. However, the vertex of the scalp may prove to be a particularly problematic area to address with a follicular-transfer technique. Minigrafting may yield an unnatural "pluggy" appearance, especially when the crown is viewed directly from above. Micrografting may not provide sufficient density for a large area of vertex alopecia. Scalp reduction with extender can close a large defect ( , 12 cm) rapidly over a few sessions and provide density to the crown area that is unachievable with conventional follicular-grafting techniques. This paper reviews the salient preoperative considerations required in selecting the appropriate candidate for scalp reduction. It then discusses the surgical design, implementation of an extender, and transposition z-plasty closure that the authors have used over the past 10 years to achieve a natural, rapid, and dense closure to the exposed vertex. 279

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“…Scar widening is usually the result of flap tension. Several techniques such as the simple galeal suture, tissue expansion, skin relaxation suture, overlapping suture of the galealperiosteal flap, and anchoring of galeal flap to pericranial flaps have been recommended to avoid tension and to prevent scar widening [5]. Many researchers have explored the use of trichophytic techniques and its variations, which rely on beveling the hair follicles after donor elevation for a hair graft and overlapping the edges to improve results.…”

Section: A B Cmentioning

confidence: 99%

Simplified V-Shape Incision Technique for Saving Hair Follicles

Yeo

Shin

Jang

et al. 2014

Arch Aesthetic Plast Surg

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INTRODUCTIONCicatrical alopecia is considered inevitable following scalp operations. The wound area on the scalp appears hairless even with optimal wound conditions. Aesthetic results have not been satisfactory because of scar widening and injury to hair follicles.Many methods have been attempted to improve results. Examples include wedge excision and double relaxation suture, trichophytic closure, and the single scar technique [1,2]. While these methods have achieved good results to effectively minimize scars and camouflage donor scars, they require multiple procedures, longer operation time, and longer learning curves.Herein, we introduce an effective method of a simplified V-shape incision on the scalp and report good results. METHODSThirty-two patients (20 males and 12 females; mean age, 23.4 years; range, 1-63 years) who visited our hospital from September 2011 to March 2013 and were treated to remove a scalp tumor were selected. The size of the mass was measured before each surgical procedure. After removing the tumors, the specimens were sent to the department of pathology for confirmative diagnosis. Clinical photos were taken before and after each operation. Patients were followed-up for 6 months.The procedure was performed with a field block using 1% lidocaine with a 1:100,000 dilution of epinephrine in the subcutane- Background The scalp is the second most visible part of the anatomy next to the face. Thus, aesthetic considerations such as scars and alopecia are important when planning excision of a mass from the scalp. Aesthetic results have not been satisfactory due to scar widening and hair follicle injury. Many methods have been tried to improve these results, however, they require multiple procedures and longer operation time. Methods We evaluated a easy and time-saving V-shape incision for excising a scalp mass. This technique of simplified V-shape incision was performed in 32 patients with benign scalp masses treated from September 2011 to March 2013. The incisions were performed with a blade to make a V-shape margin and preserve deep hair follicles at the flap margins. The defect was closed by approximation of two edges. Results All tumors were benign and superficial. The size of the scalp masses was 0.4-2.0 cm in width and 1.0-5.0 cm in length. Many hairs from the deep hair follicles grew into the scar, making the scar line almost unnoticeable in all 32 patients. Although some scar widening was evident, the number of hairs per unit was high enough to camouflage the scars. Conclusions The simplified V-shape incision was beneficial as a simple, mini-surgical, time-saving procedure. Although the scars were slightly wider, they were covered with penetrating hairs and became unnoticeable.

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Anchor Scalp Reduction

Cited by 17 publications

References 4 publications

A review of modern surgical hair restoration techniques

A review of modern surgical hair restoration techniques

Scalp-Reduction Revisited: A 10-Year Experience

Simplified V-Shape Incision Technique for Saving Hair Follicles

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