Expansion-assisted treatment of male pattern baldness

Scalp expansion has been combined with scalp reduction and flap procedures for the treatment of male pattern baldness. Expansion offers the advantages of a safe and reliable procedure, as well as more coverage in a shorter period of time. The techniques described involve bilateral temporal parietal occipital (TPO) expanders followed by either a frontal TPO flap and contralateral scalp reduction or bilateral TPO flaps. Both procedures leave areas of baldness in patients with more extensive losses (Juri classes II and II). Further expansion may be used for further coverage of residual bald areas.