Reduction Procedures

  • Pierre Bouhanna
  • Jean-Claude Dardour


Repeated reduction is theoretically the best technique for the treatment of baldness. It is the most simple procedure, consisting essentially of excision and suture; it is the quickest, the result being immediate, and the safest, complications being rare. It is also the most cosmetically successful, since the zone of coverage is perfectly uniform at the cost of a single scar. However, the main deficiencies of this technique are inability to routinely cover the frontal region and the displacement of hair-bearing zones, which may become partly bald in the future.


Frontal Region Reduction Procedure Occipital Artery Great Occipital Nerve Male Pattern Baldness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Alt TH (1980) Scalp reduction as an adjunct to hair transplantation. J Dermatol Surg Oncol 6(2): 1011–1018.PubMedGoogle Scholar
  2. 2.
    Alt TH(1981) Scalp reduction. J Cosmetic Surgery 1: 1–19.Google Scholar
  3. 3.
    Bell ML (1982) Role of scalp reduction in the treatment of male pattern baldness. Plast Reconstr Surg 69(2): 272–277.PubMedCrossRefGoogle Scholar
  4. 4.
    Biemer E, Stock W, Wolfensberger C et al. (1979) Successful replantation of a totally avulsed scalp. Br J Plast Surg 32(1): 19–21.PubMedCrossRefGoogle Scholar
  5. 5.
    Blanchard G, Blanchard B (1976) La réduction tonsurale (détonsuration) — concept nouveau dans le traitement chirurgical de la calvitie. Rev Chir Esthet L 4: 5–10.Google Scholar
  6. 6.
    Blanchard G, Blanchard B (1977) Obliteration of alopecia by hair lifting. A new concept and technique. J Natl Med Assoc 69: 639–641.PubMedGoogle Scholar
  7. 7.
    Blanchard G, Blanchard B (1984) Proposition d’une approache topographique de la transplantation capillaire et de la réduction tonsurale. Ann Chir Plast Esthet 29(2): 152–161.PubMedGoogle Scholar
  8. 8.
    Blanchard G, Blanchard B (1982) La réduction tonsurale, opération complémentaire de la transplantation dans la calvitie commune. Ann Chir Plast 27(1): 75–82.PubMedGoogle Scholar
  9. 9.
    Bosley LL, Hope CR, Montroy RE (1979) Male pattern reduction (MPR) for surgical reduction of male pattern baldness. Curr Ther Res 25: 281–287.Google Scholar
  10. 10.
    Bosley LL, Hope CR, Montroy RE, Straub PM (1980) Reduction of male pattern baldness in multiple stages: a restrospective study. J Dermatol Surg Oncol 6: 498–503.PubMedGoogle Scholar
  11. 11.
    Brandy D (1986) The Brandy bitemporal flap. Cosmet Surg.Google Scholar
  12. 12.
    Brandy D (1986) The bilateral occipito-parietal flap. J Dermatol Surg Oncol.Google Scholar
  13. 13.
    Buncke HJ, Rose EH, Browstein MJ et al. (1978) Successful replantation of two avulsed scalp by micro-vascular anastomoses. Plast Reconstr Surg 61: 666.PubMedCrossRefGoogle Scholar
  14. 14.
    Dardour JC (1989) Les reduction de tonsure. Principles et innovation: le lifting du scalp. Ann Chir Plast Esthet 34(3): 234–242.PubMedGoogle Scholar
  15. 15.
    Fleming J (1965) Surgery for baldness. a case report. Can J Surg 8: 400–403.PubMedGoogle Scholar
  16. 16.
    Marzola M (1984) An alternative hair replacement method. In: O T Norwoord (ed) Hair transplant surgery, 2nd edn. Thomas, Springfield, pp 315–324.Google Scholar
  17. 17.
    Miller GDH, Anstee EJ, Snell JA (1976) Successful replantation of an avulsed scalp by microvascular anastomoses. Plast Reconstr Surg 58: 133.PubMedCrossRefGoogle Scholar
  18. 18.
    Morestin H (1911) La mobilisation tégumentaire par décollements très étendus et ses applications en Chirurgie reparatrice. J Chir (Paris) 8: 509–538.Google Scholar
  19. 19.
    Morestin H (1968) La reduction graduelle des difformités tégumentaires. J Chir (Paris) 8: 509–511, reprinted in Plast Rec Surg 42: 163.Google Scholar
  20. 20.
    Nahai F, Hurteau J, Vasconez LO (1978) Replantation of an entire scalp and ear by micro-vascular anastomoses of only one artery and one vein. Br J Plast Surg 31: 339.PubMedGoogle Scholar
  21. 21.
    Nordstrom RE (1984) Stretch-back in scalp reductions for male pattern baldness. Plast Reconstr Surg 73: 422–426.PubMedCrossRefGoogle Scholar
  22. 22.
    Nordstrom RE (1984) La cinetique du cuir chevelu dans les opérations réductrices pour une alopécie masculine. Ann Chir Plast Esthet 29(3): 292.PubMedGoogle Scholar
  23. 23.
    Norwood OT, Shiell RC (1984) Hair transplant surgery, 2nd edn. Thomas, Springfield.Google Scholar
  24. 24.
    Norwood O’Tar (1983) Scalp reduction for baldness. Plast Reconstr Surg 71(1): 149.PubMedGoogle Scholar
  25. 25.
    Norwood O’Tar (1975) Male pattern baldness: classification and incidence. South Med J 68(11): 1359–1364.PubMedCrossRefGoogle Scholar
  26. 26.
    Orticochea M (1969) Application de la technique des quatre lambeaux dans la rconstruction du front et des régions pariétales. Ann Chir Plast 14(2): 153–158.PubMedGoogle Scholar
  27. 27.
    Orticochea M (1971) New three flap scalp reconstruction technique. Br J Plast Surg 24(2): 184–188.PubMedCrossRefGoogle Scholar
  28. 28.
    Real JP (1986) Le lambeau de scalp total: utilisation depuis 6 ans (1980–1985). Ann Chir Plast Esthet 31(4): 336–347.PubMedGoogle Scholar
  29. 29.
    Unger MG, Linger WP (1978) Management of alopecia of the scalp by a combination of excision and transplantation. J Dermatol Surg Oncol 4: 670–672.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • Pierre Bouhanna
    • 1
  • Jean-Claude Dardour
    • 2
  1. 1.ParisFrance
  2. 2.ParisFrance

Personalised recommendations