Combined Reconstructive

Scalp reduction- also called alopecia reduction- is a surgical hair restoration procedure that involves the removal of a portion of bald scalp and the subsequent stretching of the surrounding hair-bearing scalp upward to replace the portion that has been removed. This technique can be performed as a stand-alone procedure, but is usually performed in combination with a hair transplantation procedure as well to achieve optimal cosmetic results. This procedure may also be carried out in selected patients using a scalp expander. This then allows for the removal of an even larger area of bald scalp following the expansion of the surrounding hair bearing scalp over a period of weeks preceding the reduction procedure. Although hair transplantation is by far the most commonly performed surgical hair restoration procedure, scalp reduction with or without the use of expanders can be an extremely effective surgical option, especially where there are large areas of hair loss from injury, burns or tumor excisions.

Give us a call at 858.459.8600 or click here for more information on Scalp Reduction.

Scalp/Tissue Expanders

Scalp- also called tissue- expanders are balloon like devices that are implanted under the hair-bearing scalp. They are then gradually filled over a one to three month period with saline solution, increasing their size under the scalp. Skin has an enormous capacity to expand in response to under-the-skin pressure. This results in an increased area of “loose” hair bearing tissue that can subsequently be placed over an adjacent area where a large portion of bald scalp has been removed. Scalp expanders can be used as an integral part of scalp reductions, hairline advancements, and forehead reduction procedures.

Give us a call at 858.459.8600 or click here for more information on Scalp/Tissue Expanders.

Scar Revision

Revision of scars of the hair-bearing scalp can be accomplished as a stand-alone procedure, or in conjunction with a hair restoration procedure. At La Jolla Hair Restoration Medical Center, Dr. Carman utilizes the most advanced donor closure technique, known as the tricophytic closure method. This method of closure results in minimal scarring over traditional closure techniques.

Give us a call at 858.459.8600 or click here for more information on Scar Revision.


The surgical technique known as the browlift has as it’s goal the elimination or reduction of the lateral lines present across the forehead which develop with age. It also can be used in conjunction with the appropriate application of BOTOX® as well as the use of augmentation techniques utilizing tissue fillers such as Restylane®.

Give us a call at 858.459.8600 or click here for more information on Browlifting.

Forehead Reduction

Forehead reduction is a more advanced hair restoration surgical procedure that can involve the use of tissue expanders. This procedure is generally performed in female patients who are born with unusually long or “high” foreheads which feature of very receded complete hairline. For further information regarding this procedure, contact our office to discuss your individual needs.

Give us a call at 858.459.8600 or click here for more information on Forehead Reduction.

Facelift Scar/Hair Revision

Some surgical procedures involving facial rejuvenation or “lifting” rely on incisions that are made in the area of hair bearing scalp. This is done with the intention of making them virtually undetectable. On occasion, these scars may become more visible over time. Hair transplantation into these areas provides an excellent result with high rates of patient satisfaction.

Give us a call at 858.459.8600 or click here for more information on Facelift Scar/Hair Revision.

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