Best way to proceed? Forehead horns and volume loss with hypertrophic temporalis (Photo)

Always want to know the root cause before treating. If actively losing hair, that has to be stable prior to advancing hairline. For the FH contour, you can probably bur it down, but you need a scan to make sure you have good thickness and an achievable point where it would be smooth. A hairline advancement would give you access to the FH, you could do a little brow lift too to raise up your brow.

Thank you so much for your question! Based on your pictures you you will totally benefit from Forehead Reduction and Forehead Bone shaving surgery. Forehead reduction surgery, also known as hairline lowering surgery, is a cosmetic procedure that involves removing excess skin and reducing the height of the forehead. The goal of the surgery is to create a more balanced facial appearance and improve the contours of the forehead. Whereas forehead bone shaving surgery involves reducing the height of the forehead bones through the removal of a portion of the bone. The recovery process is comfortable and you will see the result immediately after the surgery. I hope it helps!