ABSTRACT
A case of successful replantation of a total scalp avulsion, including both ears and
one eyebrow, is presented with bilateral anastomoses to the superficial temporal vessels.
While over 90 percent of the replant survived, partial loss of occipital and posterior
neck skin and the inferior half of the left ear occurred. The patient subsequently
required additional procedures, including skin grafting, scar revisions, and staged
ear reconstructions. Thus, while microsurgery often provides the only hope for tissue
salvage, there is a frequent need for additional revisions and aesthetic adjustment
of portions of the replanted tissue.