A procedure that removes bald scalp and brings the edges of hair-bearing scalp closer together. Scalp reduction is most often used in patients with crown baldness. It is only suitable for some people. It may be most effective if there is a lot of scalp baldness at the vertex of the head only, and an adequate supply of good-quality donor hair on the sides and back of the scalp.
An obvious requirement is that the patient have plenty of scalp skin laxity (stretchiness) in order for the procedure to work well.
There are a number of variations of this procedure, which may or may not be combined with regular hair transplantation. Excellent surgical skills are needed to avoid scarring.