Scalp reduction surgery is performed on the crown or vertex area of the head and never the frontal area. As the name implies, a portion of the bald scalp area is removed, followed by pulling together the parts of the scalp, which still has new hair growing on it then sutured. This procedure may be recommended at the same time as hair grafting in order to leave a smaller bald area, which then needs fewer hair grafts afterwards to cover it.
The best candidates are men with a clear bald spot on the vertex or crown but with excellent hair on the sides and back of the scalp that can be stretched upward to cover the bald scalp that is to be cut. In addition, the patient must have thick hair to be grafted as this hair will be stretched and so it needs to be strong too.
Read more on An Overview of Scalp Reduction
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