Deep lines/folded scalp - What causes this and can it be fixed? (Photo)

Question

I am 36 male, i just noticed some deep veinlike lines on my scalp. The lines are like ridges and hard. It extends to my foforehead and i am very stressed as i have no idea what it is or could be the cause.

Behnoush Zarrini, MD · Answer

The image you provided reveals prominent, deep ridges and folds on your scalp that appear to have a cerebriform (brain-like) appearance, which is highly consistent with a condition known as Cutis Verticis Gyrata. Noticing these thickened, hard ridges can be alarming, but it is important to first determine if this is a primary condition or secondary to an underlying systemic issue. Three distinct possibilities for these deep scalp folds include primary essential CVG, which occurs in isolation, pachydermoperiostosis, which can involve broader skin and bone changes, or acromegaly, where hormonal imbalances cause tissue overgrowth. While Morpheus8 RF microneedling is my go-to for many structural skin concerns at my Beverly Hills clinic, more advanced cases of CVG often require a surgical approach such as scalp reduction, subcision, or surgical excision to physically remove the excess tissue and smooth the contour.

Anna Chacon, MD, FAAD · Answer

This sounds consistent with a condition called:
➡️ Cutis verticis gyrata (folded scalp skin)

Characteristics:
ridges or folds
firm, vein-like appearance
may extend toward forehead
Causes:
often benign
sometimes linked to skin thickening
Treatment:
usually none needed
surgical correction only if severe
Important:

This is not dangerous—but worth confirming in person.

Deep lines/folded scalp - What causes this and can it be fixed? (Photo)

Answers (2)

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