Scalp Reduction Repair. A crown repair with hair implantation for middle aged gentleman. This patient had undergone 4 scalp reduction procedures in the early 1990’s as well as large unsightly grafts placed in the anterior scalp. He had also had a unsuccessful repair of the area with incorrect placement of grafts compounding the awkward appearance of his crown. Dr. Goertz performed scar revisions as well as substantial recreation of hair swirl in the crown (vertex area of the head). Scalp reductions have fallen out of favor and Dr. Goertz does not perform scalp reductions.