Is the Scalp Advancement Incision Scar Similar to Forehead Contouring Which is Better? (photo)

Scalp advancement can be performed together with a browlift and forehead contouring. Each one of these procedures are very safe in expert hands. I do not feel that the new hairline will look unnatural based on my experience. The hair eventually grows through the incision but if not happy with how it looks you may choose to place some hair transplants.

As you can see, surgeons are very happy to provide these services.  The photos you have provided really make it very difficult to get an overall aesthetic sense of your face.  The big problem with burring down your forehead is irreversibility.  Also the trichophytic incision causes compression of the hairline.  Despite beautiful work on the part of the surgeon to permit hair to grow through the scar, the compression of the hair lines leave it looking unnatural.  Another issue I would be concerned with you is how much time per day is taken up by these concerns and if they cause you to avoid social circumstances.  If you spend more than a few hours a day thinking about these issues, or have suffered social consequences regarding your forehead concerns, then it is possible your situation is further complicated by body dysmorphic disorder (BDD).  BDD does not mean that you should not have surgery, although some surgeons may feel that way.  What it does mean is that your surgeon will most likely misunderstand your aesthetic concerns.  This makes it much more likely that you will be satisfied with the surgical outcome.

Your bony forehead reduction by burring and scalp advancement can be done through the same incision. Generally, scalp advancements look better than hair transplants for lowering the hairline. It does not appear that you would need more than a 1 cm scalp advancement. Using a trichophytic incision across the frontal hairline should produce a fairly imperceptible scar. I do not see the benefit of a browlift in your case.

The hairline lowering / forehead reduction procedure can readily be combined with a browlift if indicated. No additional incisions are needed. Contouring the bony forehead in your case would be complicated. Some hair transplants could be placed in front of the temple hair to reduce the width if the forehead in addition to lowering its height. Scarring should be imperceptible if proper technique is used. 

A brow lift should only be done to improve brow position and eliminate heaviness and hooding of the upper eyelids, not to change the size or contour of the forehead. Lowering the hairline will give you an much better, more natural result than hair transplants. This is why we developed the irregular trichophytic hairline incision many years ago to lower the hairline and lift the brows, if necessary, during the same procedure. Hair will grow through and in front of the incision so it will not be seen and the patient will have total freedom of hair styling. Many times over the past 35 years I have lowered the hairline after removing previously placed transplants that women did not like because they did not look natural.