Scalp reduction is a surgical procedure in which the hairless region of the scalp of a bald person is reduced. This procedure can reduce the area of the scalp in which hair transplantation is needed, or even eliminate the need for hair transplantation.[1][2]
History
Scalp reduction became very popular starting in the 1960s and by the 1980s was considered one of the most effective treatments for baldness.[citation needed] It is not commonly performed today, with around 5,000 men per year receiving hair transplantation[3] instead of a full scalp reduction surgery.[4] Scalp reduction may reduce the size of bald spots and treat baldness. The surgery can typically take 2–3 hours with around 250 hair grafts, with cases of severe baldness involving around 1,000 hair grafts.[3]
Candidates for surgery
Hair loss due to genetics
Healthy scalp
Scalp elasticity
Donor hairs (healthy hairs on the side and back of scalp)[4]
Pricing varies dependant on the severity of the baldness. A straight-forward scalp reduction procedure can cost over $2,000,[6] with over $4,000 for a mild case, and up to $20,000 for a severe case of hair loss.[citation needed]
Health insurance
Health insurance will not pay for any type of hair loss surgery for cosmetic reasons, but they may elect to pay if the hair loss is caused by Alopecia Areata,[7] accidents, or burns. Many offices offer payment plans to cover the surgery.
Surgeons
Scalp reduction surgery is performed by a physician trained in plastic surgery and cosmetic surgery or dermatology. The surgery is performed in a hospital, outpatient office setting.
Lotions that contain Rogaine or Finasteride may lead to hair growth in some patients. Rogaine grows fuzz on the crown of the head and Finasteride tends to grow actual hairs on the crown of the head. Some recommend the use of lotions as treatment for baldness before considering scalp reduction surgery.
Non-surgical hair restoration
Low-level laser therapy can act as a form of non-surgical hair restoration, using laser light to stimulate follicles on the scalp. This process not only makes hair grow but it also thickens the hair which can increase its appearance.