Hair loss is not uncommon following facial rejuvenation surgery. It can be the result of general anesthesia or the stress of the surgical procedure. In the vast majority of cases hair loss is a transient phenomena and resolves with time. Occasionally, it can be permanent and requires secondary treatment. Hair loss may also be associated with scarring. This may occur for a variety of reason including tension on the wound closure, use of the cautery and thinning of skin flaps.A variety of options exist for treating permanent hair loss following facial rejuvenation surgery. These include surgical scar revision, hair transplantation and the use of Rogaine. The majority of the patients are happy with their surgical result even when hair loss occurs. In most cases, scars and hair loss can be easily hidden. When hair loss is visible, secondary procedures may be necessary and in most cases, solves the problem.