Purpose of review: Scalp reconstruction remains an evolving field. This study will highlight scalp reconstruction methods, and highlight new technologies and surgical techniques.
Recent findings: Dermal replacements have become increasingly popular as an adjunctive method to increase skin graft take.External tissue expansion has obviated the need for preoperative skin expansion prior to definitive surgery and may be an attractive option for oncology cases.
Summary: Scalp reconstruction is a complex interplay of patient factors, surgeon experience, and available techniques and technologies. The thoughtful surgeon is wise to tailor reconstruction to provide adequate coverage with the least morbidity. This study highlights interesting developments in scalp reconstruction, which may expand the surgeon's ability to do so.