Candidly, scalp reductions do not meet Dr. Harris' standards in three key areas: undetectable results, risk of complications and conservation of donor hair. The procedure consists of the surgeon cutting away areas of the scalp where hair is thin or missing, usually at the crown. The remaining areas of the scalp with growing hair are then sewn back together. Popular in the 1980s, it is now simply a dated and painful procedure that does not deliver natural, undetectable results.
Medical literature offers many articles exploring the pros and cons of scalp reductions. In Dr. Harris' opinion, the problems with scalp reductions greatly outweigh the benefits and do not result in a successful hair transplant.
Scalp reductions leave a scar, no matter how experienced the surgeon is. This scar must be transplanted with hair to be camouflaged. And the amount of scalp removed is usually lost when stretch back (a normal, post-procedure occurrence) is complete. There are many procedures designed to counteract these problems; however, they are done at the expense of the hair in the donor area, which is a limited commodity.
If you would like to know more about scalp reduction, as well as the risks and benefits, let us know during your consultation.
But I've heard that scalp reductions conserve donor area. What's the truth?
Hair is a limited resource. It is used up regardless of how it is moved, and scalp reductions are just another method of moving hair around. Specifically, scalp reductions move hair to the crown at the expense of the front of the scalp, the cosmetically more important area. As a result of the reduction, the hair in the sides and back of the scalp is reduced in density and the scalp has diminished laxity (looseness). These two consequences make it more difficult to move the hair to the cosmetically important areas, such as the hairline and front part of the scalp.
After a scalp reduction, the surgeon may never be able to harvest enough hair to complete the transplant. In addition, the scalp reduction can cause problems such a scarring, a thin scalp, altered hair direction and a host of other unwanted effects. It's no wonder that the use of this procedure has dropped dramatically!
Dr. James Harris is an internationally renowned hair transplant surgeon, inventor of patented follicular unit extraction technology, published author in the field of hair restoration and an advocate for patient care. Learn more about Dr. Harris or read rave reviews from his patient