The treatment of choice for the avulsed scalp is microvascular replant
ation. After replantation there are numerous arterial anastomoses, wit
h venous congestion. Usually an effort to establish inflow through two
arterial anastomoses is made. We elected to anastomose one artery and
multiple veins in each of our patients. We present three consecutive
successful replantations of total scalp avulsion, using only one arter
ial anastomosis, and multiple veins. Surprisingly, two of the patients
regained their ability to elevate their eyebrows actively.