Scalp reduction surgery is a procedure primarily used to treat balding or thinning areas on the top of the head, often used in conjunction with other hair restoration techniques such as hair transplants. The procedure typically begins with the administration of local anesthesia to numb the scalp, although general anesthesia may be used in some cases. Once the area is anesthetized, the surgeon removes a section of the bald scalp, usually in a football-shaped or U-shaped pattern. The amount of scalp removed depends on the extent of the baldness and the flexibility of the scalp skin. The remaining scalp is then stretched and sutured together, effectively reducing the size of the bald area.

Following the excision and suturing, the surgeon ensures proper tension and closure to promote optimal healing and aesthetic results. Drains may be placed temporarily to prevent fluid accumulation under the scalp. Post-operative care includes managing pain with prescribed medications, using antibiotics to prevent infection, and following specific wound care instructions. Patients are generally advised to avoid strenuous activities for a few weeks to allow proper healing. Over time, the scar from the surgery will typically fade and become less noticeable, particularly if hidden by surrounding hair. Follow-up appointments are crucial to monitor the healing process and address any concerns or complications that may arise.