New devices for scalp reduction. Intraoperative and prolonged scalp extension

Area of Science:

• Plastic Surgery
• Dermatology
• Hair Restoration Surgery

Background:

• Scalp reduction is a valuable procedure for extensive hair loss.
• Traditional scalp expansion techniques can be painful and disfiguring.

Purpose of the Study:

• To evaluate the efficacy of intraoperative and chronic scalp extension techniques in hair replacement surgery.
• To compare the outcomes of scalp reduction with and without adjunctive scalp extension devices.

Main Methods:

• Ten patients underwent scalp reduction using the intraoperative Sure-Closure skin-stretching device.
• Ten patients had Frechet Extenders placed for chronic scalp extension, followed by a second reduction after 28 days.

Main Results:

• The Sure-Closure device enabled 20%-30% more scalp excision compared to standard scalp reduction.
• The Frechet Extender combined with a lazy S excision pattern yielded 25%-50% greater scalp excision.

Conclusions:

• Scalp extension devices, including Sure-Closure and Frechet Extender, enhance scalp reduction efficacy.
• These methods allow for more effective scalp reduction with fewer procedures and minimal complications.