Scalp Flaps in the Treatment of Baldness

BACKGROUND: Scalp flaps have been used as a treatment for male pattern baldness for many years. OBJECTIVE: To assess the long-term results of these flaps. METHODS: Twenty patients who underwent a total of 31 temporo-parieto-occipital and temporo-parietal flaps 10-20 years ago were reviewed. RESULTS: Consistent maintaining of the initially obtained coverage and a low incidence of complications was demonstrated. Universally, the male pattern baldness progressed, requiring in some patients subsequent procedures. CONCLUSIONS: Scalp flaps, when performed properly with anticipation of further hair loss, are an effective treatment of male pattern baldness in the appropriately selected patient.