ORIGINAL ARTICLES: PDF OnlyExtensive Scalp Lifting as a Reconstructive Tool for a Large Scalp DefectBRANDY, DOMINIC A. MD Author Information Address correspondence and reprint requests to: Dominic A. Brandy, MD, The Bourse at Virginia Manor, Building 2400, 2275 Swallow Hill Road, Pittsburgh, PA 15220. In private practice The Journal of Dermatologic Surgery and Oncology 18(9):p 806-811, September 1992. | DOI: 10.1111/j.1524-4725.1992.tb03038.x Buy Metrics Abstract Extensive scalp lifting is a relatively new technique for the treatment of alopecia. Because this technique involves the undermining of the entire occipitoparietal scalp down to the hairline of the nape, a significant anterior and medial advancement is accomplished with one operation. This case report describes a patient with a large surgically induced scalp defect that was reconstructed with the use of extensive scalp lifting in combination with coronal brow lifting—thus, the intermediate cosmetic deformity of the more commonly used tissue expansion technique was completely circumvented. Why this technique can be substituted for tissue expansion or multiple rotation-transposition flaps in certain cases is elaborated. J Dermatol Surg Oncol 1992;18:806–811. © Lippincott-Raven Publishers.