Typically, in a forehead reduction surgical procedure, an incision is made along the hairline and used to advance the hair bearing scalp and shorten the forehead typically in the range of 2.0-2.5 cm and sometimes more. Most patients are satisfied with this amount (approximately 1 inch) of hairline advancement. In some cases, a similar incision is made during the first stage of the forehead reduction surgery, and a tissue expander is placed beneath the hair-bearing portions of the scalp. Over the course of 6-8 weeks, the tissue expander is slowly filled and stretches the scalp. In the second stage of the procedure, the tissue expander is removed and the hairline is advanced and lowered to a greater degree than in a one-stage hairline lowering surgical procedure. Other patients may be candidates for a second forehead reduction surgery after the scalp has had time to stretch further. This depends on the patient’s hairline, their goals, and their anatomy.I would highly recommend speaking with a forehead reduction expert to discuss your anatomy, goals, and expectations.All the best,