Can A Frontal Hairline Advancement Be Done After Getting A Custom Skull Implant?

Q: Dr. Eppley, I am scheduled for my surgery and ready to go so far. A question I have is with my forehead reduction is will my hairline. Also be lowered with it, since the bony layer is being reduced?

A: The frontal hairline can not be lowered when a skull implant is being placed, either during or afterwards.  A frontal hairline advancement relies on the scalp being able to be loosened and moved forward. In other words a frontal hairline advancement requires a total epicranial tissue shift. The skull implant ‘steals’ whatever scalp mobility exists to cover its volumetric increase.

Dr. Barry Eppley

World-Renowned Plastic Surgeon