Replantation of a totally avulsed scalp is a demanding microsurgical procedure with no good alternatives. Here, we present a case of successful scalp replantation after 11 hours of cold ischemia in a 24-year-old woman. The steps of the procedure, the outcomes, and a review of the literature are presented. Adhering to the steps outlined in this report during replantation is vital for success, and allows the serious complications and pitfalls associated with this procedure to be avoided. Following basic plastic surgery principles leads to better aesthetic outcomes. We observed good, even hair growth, and the return of sensation to the skin and frontal muscle function. Replantation of an avulsed scalp is an effective treatment that allows the patient to return to normal life after severe physical and psychological trauma.
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