Q: Dr. Eppley, I want to do a brow bone reduction and scalp advancement, but first i need to ask you if its possible correct a irregular hairline (hole in the center) during the scalp advancement. I need to know if its possible to make that correction without hair transplant to the hole.I have a irregular hairline which is not common. i have a little lack of hair in the center front, like a little hole, fortunately its less than 1cm to the back. I need to know if you can align during hairline lowering to get a linear hairline.
A: While the entire scalp is mobilized for a hairline advancement, the edge of the hairline from side to side does not move equally. Because a scalp advancement (aka hairline advancement) gets the greatest movement in the center of the frontal hairline, it is likely that the hairline will become more linear afterwards. But that would depend on how much hairline advancement one is trying to achieve. Anything beyond a 1 cm to 1.5cms would likely end up with the hairline shape you now have. You may need to consider a hair transplantation after the scalp advancement.
Dr. Barry Eppley