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Scalp Reduction Surgery to Treatment Hair Loss

Scalp Reduction Surgery Procedure with Illustrate     Costs of Scalp Reduction Surgery     Scalp Reduction Surgery Risks or Side Effects
How to prepare for Scalp Reduction Surgery?         
        Are there alternatives to Scalp Reduction Surgery?         Are you a good candidate?

Scalp Reduction Surgery Procedure
Though once quite popular, scalp reductions are rarely performed anymore. Dr. Epstein continues to see patients who have had these procedures, and repairs the scarring and hairline distortion that frequently are seen with these procedures.




1.
Bald scalp within the dotted lines is excised, and the scalp edges are stitched in place.

 

2. Potential results after one or two scalp reductions. Further reductions may be done.

 

 

 

3. Hair grafts fill in the remaining bald area, creating a natural appearance.

Costs of Scalp Reduction Surgery
A scalp reduction can cost anywhere from $1,500 - $3,500 but this varies from surgeon to surgeon and according to where they practice. There may be additional costs such as anesthesia, operating room facility, prescription medicines, etc.

Scalp Reduction Surgery Risks or Side Effects
As with all surgeries, there is always a possibility of complications following scalp surgery including infection, bleeding, a reaction to the anesthesia, hematoma, seroma, nerve damage and the occurrence of asymmetries or irregularities. Scalp reduction patients may develop slot deformity, an unnatural appearing dent in the scalp.

Are you a good candidate?
The best candidates for scalp reductions are men with a clear bald spot, who also have ample hair along the sides and back of their heads for later transplants. Those with a clear bald spot and dense hair along the sides and back will achieve greater visual impact than those with less dense hair. Curly hair will generally appear denser than straight hair.

As with all elective surgery, good health and realistic expectations are prerequisites, but if you want to have fuller looking hair, then scalp reduction surgery may be appropriate, especially if:
Your surgeon is aware of any and all medical conditions and any allergies you may have and whether you are a smoker. Also, tell your surgeon about any medications, herbal supplements or natural supplements you are taking (both prescription and non-prescription).

  • You do not suffer from severe cardiovascular problems

  • You are not prone to scarring problems such as keloids

  • You have a good understanding of the healing process and the limitations of the procedure.

Scalp reduction procedures may also be used to repair the appearance of a person who has suffered a traumatic injury to part of the scalp, for example from an automobile accident or fire. Sometimes scalp reductions are performed on those who suffer chronically inflamed scalps as a result of artificial hair implants. In these cases, the severely damaged portion of scalp is removed, and the adjacent scalp is pulled together and sutured to close the opening.

How to prepare for Scalp Reduction Surgery?
Your doctor will give you specific instructions to prepare for surgery but here are some general guidelines:

  • Massaging your own scalp gently a couple of times each day for several weeks before surgery will allow for greater bald scalp to be removed during a simple reduction procedure. The general pattern of the massage is to knead the scalp up.

  • Avoid aspirin, any aspirin containing medication or any other non-steroidal anti-inflammatories (NSAID), such as Motrin?or Advil? for two weeks prior to treatment. Because aspirin thins the blood, it can interfere with normal blood clotting and increase the risk of bleeding and bruising.

  • Smoking inhibits the healing process, so stop smoking before your procedure and if you start again, make sure it is after you are completely healed.

  • Avoid drinking alcohol a few days before your surgery.

  • Make sure to follow any fasting instructions the night before and morning of your surgery. Your doctor may insist on an empty stomach depending on the type of anesthesia.

  • Make sure that you arrange for someone to bring you home and to help you out for 24 hours after surgery.

Are there alternatives to Scalp Reduction Surgery?
Other methods of hair restoration include scalp reduction and scalp flap procedures, but they do not have the same restorative effect, especially in terms of filling in the hairline. Alternatives to surgery are oral medications such as Finasteride (Systemic), sold under the brand name Propecia or topical solutions such as Minoxidil, sold under the brand name Rogaine. Minoxidil stimulates new hair growth, while finasteride slows the rate of hair loss.

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