A New Method for Correction of the Vertical Scar Observed Following Scalp Reduction for Extensive Alopecia

Abstract

The serious cosmetic problem posed by the vertical "strip" following scalp reduction may be eliminated. A technique combining scalp reduction with a small random flap is proposed. If necessary, the treatment can be completed with an advancement flap.

A review of surgical methods (excluding hair transplantation) and their role in hair loss management today

“…Frechet devised a flap which is actually a triple transposition flap used for correction of the slot secondary to scalp reduction surgery. [3637]…”

A review of modern surgical hair restoration techniques

“…[9] He also developed the Frechet Extender , a device which was inserted under the skin where it remained for 30 days producing continuous traction on the hair bearing scalp. [10] This not only prevented stretch-back, but also produced additional tissue-creep enabling further tissue to be removed after 30 days.…”

An Evaluation System to Enhance Patient Selection for Alopecia-Reducing Surgery

“…There is, however, a saving grace. With the recent introduction of transposition flaps 5–7 for the correction of slot formation (Figure 3), one can easily change the diverging hair direction to normal very quickly, effectively, and aesthetically (Figure 2C–G). These flaps also place the scar on top of the head, where it is much less obvious.…”