Scalp reduction is a surgical procedure used to treat baldness by removing areas of the scalp affected by hair loss and stretching the remaining hair-covered scalp to reduce the size of bald spots. This technique is most commonly performed on individuals with male pattern baldness, especially those with hair loss concentrated in the crown or top of the head.

The procedure was more commonly used before the advancement of modern hair transplant techniques. Today, it is often combined with other treatments, such as hair transplantation, to achieve a more natural appearance.

Scalp reduction surgery involves several key steps:

1. Assessment and Marking – The surgeon evaluates the scalp and marks the area to be removed.
2. Anesthesia Administration – Local or general anesthesia is applied to ensure a painless procedure.
3. Scalp Excision – The bald area of the scalp is surgically removed.
4. Scalp Stretching and Closure – The remaining skin, which contains hair, is stretched and sutured together to close the gap.

The goal is to minimize the size of bald spots while maintaining a natural hairline and scalp shape.

Not everyone with hair loss is suitable for this procedure. The best candidates include:

• Individuals with Stable Hair Loss – Those whose hair loss has stabilized and is not progressing rapidly.
• People with Sufficient Scalp Elasticity – The remaining hair-bearing scalp must have enough flexibility to be stretched without excessive tension.
• Patients with Baldness Concentrated on the Crown – Scalp reduction is most effective for individuals with baldness in a localized area.
• Those Seeking Alternative Solutions to Hair Transplants – Some people opt for scalp reduction instead of or in combination with hair transplants.

This procedure offers several advantages for those struggling with hair loss:

• Immediate Reduction in Bald Area – Unlike hair transplants, which require time for growth, scalp reduction provides an immediate decrease in baldness.
• Natural Hair Appearance – Since the existing hair is repositioned, the results can look natural.
• Minimal Maintenance – Unlike hairpieces or continuous medication, this is a one-time surgical solution.

While effective, scalp reduction comes with potential risks, including:

• Scalp Tightness and Discomfort – Stretching the scalp can cause temporary tightness or discomfort.
• Scarring – Some patients may experience visible scars at the surgical site.
• Hair Growth Direction Issues – The repositioned scalp may cause unnatural hair growth patterns.
• Infection or Bleeding – As with any surgery, there is a risk of complications such as infection or excessive bleeding.
• Limited Effectiveness for Progressive Hair Loss – If hair loss continues after surgery, additional treatments may be needed.

Scalp reduction is often compared to hair transplant procedures, but they serve different purposes:

If scalp reduction is not the right option, other treatments are available:

• Hair Transplants (FUE & DHI) – The most popular modern technique for restoring natural hair growth.
• Medications (Minoxidil & Finasteride) – FDA-approved treatments to slow hair loss.
• Platelet-Rich Plasma (PRP) Therapy – Injecting growth factors to stimulate hair follicles.
• Scalp Micropigmentation – A non-surgical tattooing technique to create the illusion of hair density.