Does the scalp reattach to the skull after hairline lowering procedure?

Question

From what I’ve seen, the scalp is detached from the skull in order to move it forward. Does it stay detached for life and does this have any affect on anything?

Kevin Ende, MD · Answer

Whether the surgeon uses an endotine or bone tunnel with suture fixation, the purpose of this step in the operation is to fix the scalp to the skull.  This is performed several centimeters behind the new hairline to avoid tension on the hairline closure.

Jerold Olson, MD · Answer

Hello,
The scalp is lifted in between 2 structures, the periosteum is the layer just over the bone and the galea.  After the forehead advancement these 2 areas heal down to one another again.  There is some numbness associated with this procedure but once this improves the scalp feels completely normal to patients.

Jeffrey H. Spiegel, MD · Answer

It's attached and then lifted and then reattaches naturally.  There is a healing process but in the end you are in a very good healthy place.  Watch our videos to learn more.  We do this here 4-5 times each week.

Catherine Winslow, MD · Answer

Hello! Yes, the scalp is detached to move forward to lower the hairline but heals and reattaches quickly. It does not have any long term issues regarding the initial separation provided it is done correctly. There are, of course, other issues such as temporary scalp numbness, the visibility of the scar and possible weakness - temporary or permanent- that should be discussed. Good luck!

William Rassman, MD (retired) · Answer

Yes, after the scalp is lifted and moved forward during the surgery, the scalp reattaches itself into its new position. The lift of the scalp is performed under the galia which makes the lift possible without bleeding.

Does the scalp reattach to the skull after hairline lowering procedure?

Answers (5)

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