Role of scalp reduction in the treatment of male pattern baldness

The pulley suture. Utilization in scalp reduction surgery

A suture variation not commonly utilized in dermatologic surgery is helpful in approximating wound edges without the complications of excessive undermining or the scarring of conventional retention sutures. It is especially useful in scalp reduction surgery.

A new apparatus for hair regrowth in male-pattern baldness

A newly devised apparatus (Scalp-Tension-Relaxer, STR) can efficiently promote hair regrowth in patients with male-pattern baldness. When this apparatus is applied, the scalp is pushed up to relieve tension on the vertex. The efficacy rate of hair regrowth in alopecia patients was 40%. An investigation into the basis for the hair regrowth caused by this apparatus was directed toward the changes in hemodynamics and skin temperature of the scalp. During and after use of this apparatus, subjects exhibited an increase both in the cutaneous blood flow rate (as determined by laser Doppler flowmetry) and in the cutaneous temperature (as determined by thermography).

A new technique for curvilinear scalp reduction

A technique of alopecia reduction utilizing a curvilinear ellipse employing a sequential excision and suture technique is described. Advantages of the technique over previously described procedures are presented. Measurements of individual scalp elasticity and alternating suture tension vectors help to produce an excellent cosmetic result with minimal complications.