Ineffectiveness of acute scalp expansion

Scalp expansion: Surgical considerations and possible future directions

Introduction

Repairing large scalp defects has always been a difficult task for plastic surgeons. This is because the requirements of such procedures are two-fold: sufficient soft-tissue coverage is required, and to obtain a satisfactory aesthetic outcome, a sufficient number of covering hairs should be ideally provided.

Materials and Methods

Based on the author's experience in this repair technique over a 20-year period, this article presents some technical details of scalp expansion, surgical refinements and possible directions for further technical advancement.

Results

Data and details on relevant scalp anatomy, expander choice, expander placement, subgaleal undermining, galeotomies and acute scalp expansion are provided.

Conclusions

The author hopes that the above-mentioned details may be of some utility in the complex field of scalp expansion.

Supragaleal placement of tissue expander for post-burn alopecia

Supragaleal placement of tissue expander for management of alopecia of scalp excludes tough galeal layer so that easier and faster expansion of scalp may be achieved.