 Acquired defects can be caused by burns, blunt, penetrating, or avulsion injuries, tumor invasion, infection, oncologic resection, radiation, or wound-healing difficulties.Alopecia can be an aesthetic motivation for hair-bearing scalp reconstruction.As the incidence of basal-cell carcinoma and squamous-cell carcinoma is rising and about 80% are located in the head and neck area, the number of scalp reconstructions will likely increase in the future.