Scalp advancement first, forehead reconstruction later?

[pinatafullofbees]

Would it be possible to have scalp advancement first and then forehead reconstruction at a later date?  Would I run into any complications doing this?

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[Dena]

Welcome to Susan's Place. I don't know enough about FFS to advise you on this so these are only my thoughts. I would think a Scalp advancement would be an automatic part of a forehead reconstruction so you might at well plan to do both at the same time. In addition, by doing both, you eliminate one trip under the knife and one recovery period. Surgery recovery isn't fun or easy I feel it's best to go through as few surgeries as possible.

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[keojampamd]

Yes, this can be performed without any additional risk of complications.  Sometimes this can make sense if you have an extremely recessed hairline and a large amount of scalp needs to be advanced to lower the hairline.  The hairline would be lowered in two stages to allow maximally advancement.  Typically, it is very easy to advance 3-4 cm of the hairline to remove any exposed area of balding.  If you need more advancement, separating the forehead surgeries 6 months apart would help.  This allows the scalp to stretch more.  The first stage would be performed the initial scalp advancement, the 2nd stage would be to advance the scalp further and perform the forehead reconstruction.  Hope this information answers your question.


-Kyle Keojampa, MD, FACS
Facial Plastic Surgeon
Facial Feminization Surgeon
4640 Admiralty Way, Ste 718
Marina Del Rey, CA 90292
(310) 823-4444
www.drkeojampa.com

Would it be possible to have scalp advancement first and then forehead reconstruction at a later date?  Would I run into any complications doing this?

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[DanielleBasel]

Would it be possible to have scalp advancement first and then forehead reconstruction at a later date?  Would I run into any complications doing this?

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Dear pinatafullofbees

Yes... This would be possible. The surgeon I where I was doing my FFS has done that as well with another woman.

And depending on your needs there are different techniques. Like keojampamd wrote, there are techniques I saw, where rhe scalp can be advanced much more than done by a simple hairlie lowering.

But you should keep in mind, that the forhead reduction could be done with the same incision. So if you will do it in a later step your surgeon will have to open more or less same incision again (depending on techique and forheasd type.

Cheers... 
Danielle

[AlexisRene]

It was good hearing a Docs point of view above. But just makes me think that the level of scar tissue would be tough to ever hide doing it in separate surgeries?