The "bilateral occipito-parietal flap" is a technique whereby the entire occipito-parietal, donor dominant scalp is undermined past the galeal attachment and advanced forward into the balding areas. Use of this method for the treatment of bitemporal recessions and type 6 male pattern baldness is discussed in detail.

Using a combination of 4.0-mm conventional Orentreich punch grafts and minigrafts, the author describes a methodology to achieve a very uniform, untufted look which is usually the end result of conventional grafting alone. Advantages and disadvantages are detailed.

Extensive scalp-lifting is a new, revolutionary method to treat male pattern baldness. As discussed in previous articles by the author, there are many great benefits of this technique; however, there are also certain pitfalls that must be clearly avoided. This article discusses these pitfalls and describes helpful pearls to eliminate these problems.

Utilizing the bilateral occipitoparietal flap, the Brandy bitemporal flap, and non-part-side frontoparietal advancement flaps, a patient with extensive male pattern baldness can now be treated aesthetically in just three or four steps.

A combination of the bilateral occipito-parietal flap, the bitemporal flap, conventional punch grafts and minigrafts is used to treat the patient with extensive male pattern baldness in six operations.