A Scalp Reduction defined is simply the removal of a balding area in lieu of transplanting hair into it. Literally surgically removing the balding areas and suturing the wound to reduce baldness. The historical aspect of this procedure dates back into the 1970’s. The first mention of this was in Montreal, Canada and a second person close by named Martin Unger also from Canada began writing about this procedure.
Unfortunately, no one had performed research into the long term outcomes of this procedure and instead, Martin Unger showed the Bosley Corporation and suddenly this procedure was the holy grail of solving hair loss in 1979. In a matter of a few years thousands had been performed as the procedure proliferated. As a consequence to not having an internet, the word about the truth of this procedure trickled out and by the 1980’s there were many men suffering from:
1. Stretch back: In a matter of 2 to 3 months, the central scar would stretch approximately 40% of the portion excised out. So an additional scalp reduction had to be performed. In fact 3 to 4 scalp reductions had to be performed to reduce the balding area and join the sides in the hair.
2. The Central Slot: A secondary problem occurred when the two sides of hairs were joined and the hairs right at the scar line went into two different directions. This left a slot look which was hard to correct if at all and definitely unable to style the hair.
3. The White Side Walls: Basically pulling the scalp together at the top of the scalp pulled the scalp AND hair away from the sides of the head upward thus leaving a rather unsightly look of NO hair above the ears.
The backlash: Thousands of men unhappy. Massive scarring from experimental variations such as the Brandy lift.
Today the Gold Standard in Hair Restoration since the entire industry left the scalp reduction is the FUT and FUE procedures since 1997.