Scalp Reduction London

Summary

Procedure time
1-5 h

Anaesthesia
Twilight

Hospital stay
Not required

Support garment
2 days

Exercise
From 3-4 weeks

Recovery
6-8 weeks

Final results
3 months

What is Scalp Reduction

Scalp reduction is a surgical treatment for hair loss designed to remove portions of the scalp affected by alopecia, with the aim of reducing the total area of bald skin. After excision of the hairless section, the remaining healthy, hair-bearing scalp is gently stretched and repositioned so that the bald area becomes smaller and more manageable. This method can be used on its own, but is often combined with hair transplant procedures to optimise the visual result.

In many cases a small scalp reduction involves removing a strip of scalp skin measuring approximately two to five centimetres, after which the remaining scalp is stitched together. In situations such as scars from burns, trauma or previous surgery, a more extensive reduction may be considered, sometimes in two stages, first the reduction and then a hair transplant once healing has progressed.

Why Scalp Reduction May Be Recommended

Scalp reduction is particularly considered in cases of hair loss resulting from immune-related conditions, previous trauma, burns or surgical treatment. It is also useful when there is insufficient donor hair available for conventional transplant techniques, meaning a transplant alone may not achieve the desired density. By reducing the bald area first, scalp reduction can improve the chances of achieving a satisfactory result, whether on its own or in combination with transplanted hair.

How Scalp Reduction Works

The procedure begins with an initial consultation and a full scalp assessment. This allows the surgeon to evaluate the pattern and extent of hair loss, scalp flexibility, and donor hair quality. From this, a tailored treatment plan is created.

During the operation, the bald scalp is surgically removed. Depending on how much scalp is excised, the remaining hair-bearing scalp skin is then mobilised and stretched to cover the removed area. The wound is closed with sutures. In some instances, particularly when scalp skin is tight or scarred, a scalp-expansion technique may be used prior to reduction, gradually stretching the scalp skin over weeks or months to allow for a larger excision and closure. Scalp reduction can serve as the only hair restoration procedure, or it may be combined with hair transplantation, either at the same time or in a second stage, to enhance density or restore hair in areas less suitable for reduction.

What to Expect

Patients can often go home on the same day following a scalp reduction procedure. Recovery may involve some temporary tightness, swelling or discomfort in the operated area, and there can be numbness or altered sensation initially. Hair-bearing scalp used to cover the excised area will continue to produce hair; however, scalp reduction does not generate new hair, rather it redistributes existing hair-bearing scalp. In the future, further hair loss may occur, which could eventually expose scars or necessitate additional treatments such as hair transplantation or further reduction.

Why Choose Dr Stefano Cotrufo for Scalp Reduction

Choosing a surgeon of experience and skill is critical for achieving natural-looking, long-lasting results. At our London clinic, your procedure will be performed by Dr Stefano Cotrufo. Dr Cotrufo brings extensive expertise in advanced microsurgery and hair restoration, with years of dedicated experience in scalp and hair surgery.

Every patient receives a comprehensive scalp assessment, followed by a personalised treatment plan designed to meet individual needs, whether a single scalp reduction, a combined treatment with hair transplantation, or a multi-stage approach. Your treatment will be carried out using state-of-the-art surgical techniques and the highest standards of medical care. Dr Cotrufo is listed on the Specialist Register of the General Medical Council, ensuring professionalism and regulatory compliance. With Dr Cotrufo, you are in expert hands as every pre- and post-operative consultation will be with the doctor, and follow-up is included in the cost of your treatment, delivering continuity of care and peace of mind.