Hair Loss: Procedures to Avoid
Scalp Reduction continued...
Scalp reduction problems also include:
- Accelerated hair loss, more than the natural course your hair would take.
This hair loss can occur within just weeks or months and often doesn't
- An unnatural appearance because the direction of hair growth is
- Hemorrhaging and hematoma (blood pooling)
- Stretch back, a problem in almost 100% of scalp reduction cases. The
stretched part of the hair-bearing scalp that has been stitched together loses
its tightness and stretches out partially or totally, leaving a visible bald
area created by the stretching. The dog ear scar is not only unattractive; it
is extremely difficult to repair.
- Suture reaction, in which the stitches in the deep layers below the skin
can cause pain and swelling. The body can reject the sutures, causing holes in
the scalp at the suture sites.
- Loss of hair for future transplants. Scalp reductions do not preserve hair
for later use, as some physicians may try to claim. The same wreath of
permanent hair is stretched to cover the wider area in the crown, thereby
thinning the permanent hair that would normally be used as donor hair for
This is a more radical form of scalp reduction. Dissection or loosening of
the scalp skin is done at a level below the major arteries of the scalp. The
procedure may leave parts of your head permanently numb.
Unlike other scalp reductions, this is major surgery, which requires
hospitalization and general anesthesia. It leaves visible scars around the
ears, and additional hair loss is often a result.
Published on March 1, 2010