Bald Spot Attenuation (Scalp Reduction)
Bald Spot Attenuation (Scalp Reduction) - The bald area of the scalp is removed and the hair-bearing scalp on the sides of the head is stretched toward the middle to reach closure.
What should I expect?
Your physician will remove the bald skin, usually two to five centimeters wide in a session. The remaining skin is then stitched together. Multiple sessions may be necessary. An alternative method is to place balloons, also called tissue expanders, under the skin in the first operation. Then, over months, the expanders are slowly filled in the doctor's office until enough skin has been stretched out and then a second stage is performed to remove the expander, the excess skin and connect the hair bearing parts of the scalp.
Keep in mind that male balding is progressive and scalp reduction patients are advised to use Rogaine or some alternative hair thickening method to stabilize balding and prevent scars from showing.
How should I prepare?
The night before your operation, cleanse your scalp with Hibiclens soap which can be found in your local drug store.
What are the risks?
Due to skin elasticity, it is possible that the scalp may stretch and recreate a bald spot over time. If you use the tissue expander method described above, the expander may become infected and then it must be removed and the expansion process has to start all over again. The scars from the operation may develop areas where hair does not grow and therefore you can have bald spots along the incision lines. Scarring or slot deformities may develop post-operation. When an undue amount of tension is used in suturing the incision, scarring may form. A slot deformity is an unnatural appearing indentation along the scar or they may develop a slot defect - an abnormal hair direction. A slot defect is typically perpendicular to the incision and appears as a permanent part. (also called "parting of the seas").
How do I ensure my safety?
Be sure to pick a surgeon that has training and performs the operation in an accredited facility. Also ask to see their previous work.
What will recovery be like?
Scalp may be painful for weeks or months after the procedure. Swelling and numbness may occur. If tissue expanders are used, each individual operation may not be that extensive but keep in mind that you will need to go to the doctor's office weekly over several months to enlarge the expander and stretch out the skin.
How much does it cost?
In the United States, the average cost of a scalp reduction is $2,931, according to BuildMyBod's 2020 Plastic Surgery Pricing Report.This includes costs of anesthesia, operating room facilities, and other related fees.
See more detailed pricing for this procedure
Prepare for your consultation. View these common questions you should ask your surgeon.