title: Anchor scalp reduction.
abstract: BACKGROUND
  Unsightly scars, stretch-back, and stretch atrophy are common complications of scalp reduction.
  
  
  OBJECTIVE
  To remove as much bald scalp as possible while preserving normal tissue integrity (e.g., thickness, vascularity) and cosmesis.
  
  
  METHODS
  Surgical innovations anchor scalp reduction I & II, use pericranial flaps as aids to facilitate maximal reduction while limiting postoperative distraction vector forces responsible for stretch-back, stretch-atrophy, and wide scars.
  
  
  RESULTS
  Anchor scalp reduction I consistently results in fine barely perceptible scars. Anchor scalp reduction II enables maximal bald area reduction while minimizing the incidence of stretch-back and wide scars.
  
  
  CONCLUSIONS
  Anchor scalp reduction I is a simple innovation recommended for suturing scalp incisions where the primary objective is a fine barely discernible scar, e.g., in plastic surgery or neurosurgery. Anchor scalp reduction II is preferred for hair restoration procedures where the primary objective is maximizing reduction while minimizing stretch-back and stretch atrophy.
authors.affiliation: Hair Transplantation Clinic of Sacramento, California 95825, USA.
authors.forename: G E
authors.initials: GE
authors.lastname: Seery
mesh_terms: D000505:Alopecia / Q000601:surgery*; D006801:Humans; D008297:Male; D012535:Scalp / Q000601:surgery*; D013518:Surgery, Plastic / Q000379:methods*; D016896:Treatment Outcome