Can Temporal, Sagittal Ridge and Forehead Skull Reductions All Be Done At The Same Time?

Q: Dr. Eppley, I’m a 29 year old male interested in getting a surgery for skull reshaping + temporal reduction. The shape of my head has bothered me for over 15+ years now. I’m aware the trade off for such a procedure includes scarring and I’m perfectly fine with that. The width (shaped like a balloon), prominent sagittal raised area, and size of my forehead are the main concerns. My hair is thinning, which doesn’t bother me, and I have no interest in altering my hairline or getting a future transplant. I’m curious to see if this is something you guys can help out with or if I have unrealistic expectations of what can be done. I will keep this short until then. Thank you for your time and consideration. 

A: Thank you for your inquiry and sending your pictures. The temporal reduction and sagittal ridge reductions are very straightforward, effective and will certainly be winners for you. (see attached) The more dubious one is that of the forehead. It is dubious as I am uncertain as to what exact aspect of your forehead you see as too big (upper bossing??) and, while you may have no concerns about scars at least for now, I do and I would be cautious about scars and their visibility when doing procedures are the forehead. Such forehead procedures in a shaved head are not as assured winners as the other ones where the scar tradeoffs are so negligible they are virtually irrelevant.

Dr. Barry Eppley

World-Renowned Plastic Surgeon