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This article presents information on a new procedure for reducing the area of baldness, the modified major scalp reduction. Significant surgical skill and experience are a prerequisite as the surgery itself is far more complicated than standard reductions. Significantly more local anesthetic is required, as well as specialized operating facilities and monitoring equipment. Postoperatively, there is increased edema, discomfort, and nausea, as well as bruising. As a result of this, the recovery time is prolonged when compared with regular reductions.

The Y-shaped alopecia reduction is used less frequently than indicated. This article outlines the advantages of this pattern, describes the technique of excision in detail, discusses the many variations possible, and advocates greater utilization of this procedure. [ABSTRACT FROM AUTHOR]

Three cases of postoperative necrosis following a bilateral lateral reduction are presented. Due to the incidence and possible severity of this complication, the author has abandoned this procedure and cautions others to do the same [ABSTRACT FROM AUTHOR]

Since the number of grafts that are available in any given patient is a fixed quantity, significant benefits may be derived by surgically reducing the size of the area of alopecia in combination with prior and later punch hair transplantation. This paper outlines and describes techniques of excisions that achieve such reductions. [ABSTRACT FROM AUTHOR]

The article focuses on risks of the bilateral lateral scalp reduction. The bilateral lateral scalp reduction is one of the newer procedures and as such warrants careful assessment. Dr. Dominic Brandy advocates that the surgery be carried out in the prone position with a Pron pillow. Although the Australians carried out this operation in a sitting position, the author did carry out the procedure in the advocated position and still had some cases of postoperative necrosis. Prior to carrying out a treatment, it is only proper that one is fully informed with regard to the benefits as well as the risks of that treatment. In the past, the benefits of the bilateral lateral reductions have been well presented but, unfortunately, the risks either minimized or totally omitted.