Facial plast Surg 2008; 24(1): 011-021
DOI: 10.1055/s-2007-1021458
© Thieme Medical Publishers

Aesthetic Considerations in Scalp Reconstruction

Keith E. Blackwell1 , Jeffrey D. Rawnsley1
  • 1The Division of Head and Neck Surgery, Department of Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California
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Publication History

Publication Date:
20 February 2008 (online)


This article reviews common methods of reconstructive surgery in patients with wounds that involve the scalp, including primary wound repair, healing by secondary intention, and the use of skin grafts, local tissue flaps, regional myocutaneous flaps, and microvascular free flaps. Special attention is paid toward consideration of aspects of the reconstruction that affect the aesthetic outcome, including preservation of the hairline and hair follicle orientation, scar camouflage, avoidance of alopecia, and secondary restoration of alopecia.