Background The reconstruction of scalp alopecia is necessary for improvement of cosmetically displeasing scars. V-Y-C or V-Y-S plasties are simple procedures that conserve tissues in the repair of round skin defects.We aimed to review our experience with the V-Y-C and V-Y-S plasties for correction of acquired alopecia and attempted to construct a simple management algorithm. Methods Twenty patients with acquired alopecia of the scalp were corrected by using V-Y-C or V-Y-S plasties. There were 16 males and 4 females. Their age ranged from 4 to 30 years, with an average age of 19 years. V-Y-S plasty was performed in nine patients, while 11 cases were reconstructed by V-Y-C plasty. Results V-Y-C or V-Y-S plasties provided coverage of good quality in most cases. There was only one case of superficial distal sloughing, which responded nicely to postoperative dressing and healed spontaneously without any surgical intervention. There were no major complications. Conclusion The V-Y-C or V-Y-S plasties are easy and simple one-stage operations for correction of acquired alopecia. Satisfactory aesthetic outcomes and minimal morbidity make these plasties excellent options for repairing alopecia