A successful replantation of a totally avulsed scalp, including both e
yebrows, with only one arterial and one venous anastomosis to the supe
rficial temporal vessels is described. Apart from a small partial skin
necrosis of the right eyebrow, the entire transplant survived. Subseq
uently, the patient required only minor additional skin grafting, corr
ection of scars with a skin expander, and reconstruction of the eyebro
w with hair micrografts. Replantation of the total scalp based on two
or more vessels has previously been recommended and reported elsewhere
. In the present case, complete survival of the scalp on only one arte
ry and one vein was demonstrated, indicating that replantation should
be considered even if available vessels for anastomosis are minimal.