Scalp flap – cosmetic surgery remedy for baldness

Hair Procedures Plastic surgery scalp flaps

Scalp Flaps

Scalp flaps - Definition

Scalp flaps are a scalp reduction surgery in which surgically removed flaps of hair bearing skin are used to cover reduced areas of the scalp and hair line. It is an answer to the problem of balding and one of the best measures to control male pattern baldness.

Unlike hair transplantation, scalp flaps require large sections of healthy hair follicles to be removed and then placed within the balding area. Sometimes used in conjunction with other baldness therapies, scalp flaps can use the natural growth rate of the hair that is harvested and create a natural looking hair growth result. By using this attribute, the ‘new’ hair fits right in with the hair that is already present.

The Need for Scalp flaps

Although balding is generally thought of as a man’s affliction, more and more women are now seeking treatment to help with hormone and age related hair thinning. Most often, the problem of balding is a genetic one, unable to be controlled by the patient. Going bald and seeking a remedy for baldness is very common. Generally the non-surgical procedures do not work effectively. However, medical advances have shown that surgery can be the answer to the embarrassment of pattern balding—hence, the invention of scalp flaps.

Scalp flaps - Consultation

In the initial consultation, the patient and physician will discuss the goals of the patient, along with the realistic results that a physician can produce. It is necessary to have a frank discussion with the physician and look into the physician’s background as well. A qualified physician will be able to determine if scalp flaps are the best option for the particular patient. In some cases, other treatments like hair transplant surgery or the scalp reduction surgery may be indicated. Some physicians will take ‘before’ photos so that the improvement can be judged during and following the surgery. A physician may also prescribe a pre-operative regimen of medication instructions, as well as urge the patient to quit smoking and drinking. If a patient’s body is not prepared for the surgery, then proper healing may not occur. It is imperative that a patient follow the advice of the physician so complications can be avoided.

The initial consultation is the opportunity for the patient to ask questions and decide on the level of anesthesia that he may need. It is also the place where a patient needs to be honest with the physician in terms of medical history and drug use. Anything that is not disclosed at the consultation may affect the outcome of the scalp flaps and even affect the health of the patient. When undergoing any procedure that involves anesthesia, some medications and illegal drugs can react in a dangerous way, so a patient must be sure to disclose anything that they may have ingested.

Scalp flaps - Procedure

The actual scalp flap procedure is very delicate. It is performed by taking an entire strip of hair from one side of the patient’s head and moving it to a bald area. Typically done in three stages, scalp flaps are done under general anesthesia, although more physicians are opting for local anesthetic to minimize any anesthesia complications. In the first stage, two parallel incisions are made on one side or one both sides of the scalp. The incisions are then sutured. In a week, the second stage is performed. A smaller incision is made in the patient’s head toward the back of the head to connect one of the other incisions. This stage is done so that a blood supply can be established for the areas to be harvested. The third week has the patient receiving an incision near the front hairline where the scalp flap is placed and sutured into place. Each stage will take about two to three hours to complete.

Scalp flaps - Aftereffects

Following the scalp flap procedure, a patient can expect some minor pain—easily controlled by pain medication, discomfort, swelling, bruising, and a slight headache. Scabbing is also common following scalp flaps. Most patients return to work in about three to five days following receiving scalp flaps. Scarring that occurs will be hidden within the hair growth. Washing the hair and combing the hair will need to be avoided for about a week and normal activities can be resumed within a few weeks.

Scalp flaps - Complications

Scalp flaps - Complications as with any surgery, scalp flaps do pose some concerns for a patient. Because of the incisions, infection is always a concern as is bleeding. Following the physician’s instructions is imperative at this stage. Other concerns include a disappointment in the results with the hair restoration surgery, but if an honest dialogue was created between the patient and the physician, the outcome should be as the patient expected.

In the long term, scalp flap patients can expect a lifelong improvement of their hair’s appearance. Although aging may continue to change a man’s hairline, scalp flaps can help to avoid any major changes in the future.