Scratch and Split: How I Minimize Bleeding, Visible Scarring, and Alopecia During Incision and Closure in the Hair-Bearing Scalp

The document outlines a technique for making scalp incisions that minimizes damage to hair follicles, thereby reducing the risk of alopecia and ensuring less visible scarring in hair-bearing areas. The authors, Brett K Sacks and Howard R Webster, provide a step-by-step guide on how to perform these incisions effectively, emphasizing the importance of precision to prevent bleeding and promote optimal healing. This method is particularly beneficial for surgical procedures on the scalp, where preserving hair and minimizing scarring are critical for aesthetic outcomes.