Scalp Flaps in the Treatment of Baldness

Abstract

Scalp flaps, when performed properly with anticipation of further hair loss, are an effective treatment of male pattern baldness in the appropriately selected patient.

A Philosophy and Strategy for Surgical Hair Restoration: A 10-Year Experience

“…Scalp rotational flaps have their origin in the management of cicatricial alopecia but became celebrated as a means of aesthetic hair restoration with the contribution of Juri's eponymous, twice-delayed temporoparietal-occipital flap. [7][8][9] Scalp reduction was introduced in 1977 by the Blanchards 10 and has had a somewhat variable course of success partly due to two complications, stretch-back 11 and slot deformity. [12][13][14][15] The former problem, in which the reduced, bald scalp partially stretches back after reduction, was brilliantly solved by Frechet 16 in 1993 with the use of an implanted extender ( Figure 1).…”

“…Nordström 5 and Marritt 6 advanced follicular grafting with the introduction of single‐hair transfers, or micrografts. Scalp rotational flaps have their origin in the management of cicatricial alopecia but became celebrated as a means of aesthetic hair restoration with the contribution of Juri's eponymous, twice‐delayed temporoparietal‐occipital flap 7–9 . Scalp reduction was introduced in 1977 by the Blanchards 10 and has had a somewhat variable course of success partly due to two complications, stretch‐back 11 and slot deformity 12–15 .…”

Scalp-Reduction Revisited: A 10-Year Experience

“…Scalp rotational flaps have their origin in the management of cicatricial alopecia but became celebrated as a means of aesthetic hair restoration with the contribution of Jose Juri's eponymous, twice-delayed temporoparietal-occipital flap. (7)(8)(9) Similar to scalp reduction techniques, flap rotation affords the patient rapid and dense coverage of exposed scalp but in the frontotemporal rather than the vertex region. The authors have found tremendous success with this technique, when the proper candidate is selected.…”