Dr. Meltzer did my forehead which included a scalp advance; there was a lot of numbness from the hairline (forehead also, but since you specifically asked about the scalp advance, I will focus on that) to the crown, and it took a year to get most of the feeling back; I'm almost 9 years post op and I still have a bit of numbness at the crown. The scar has faded very well; it's very thin and light, and I didn't have any hair loss at the incision site. I had a good experience in Thailand, and Dr. Chettawut good surgeon; he's nice and caring, and his nurses do aftercare at your hotel on a daily bases, so that is an extra added bonus. Dr. Chettawut did my lip lift, tracheal shave, BA, and Lipo; I am pleased with the results, but as pointed out by Dr. Chettawut at my last follow up, before leaving Thailand, my left flank was not easy to Lipo, which resulted in a bit of unevenness compared to the right side; it's not overly uneven, but I notice it when a look at my backside with a mirror, and if the surgeon was in the area, it would be easy to get a revision, so that is definitely something to consider when traveling for surgery, because most of the time everything goes perfectly, but not always, and if it is something that needs some immediate attention, you have to scramble to find a surgeon who is capable (and willing) of taking on the case, especially if it is bone work; and there is also the added costs, and time involved as well, not to mention how stressful it can be. Type 3 forehead is a difficult procedure to perform, and there are a lot of risks with it, therefore a greater chance you might have a complication, so my personal choice was to have it done close to home; I am not implying that surgeons outside of the U.S.A, are not competent, or are not as highly skilled as our surgeons, because they most definitely are, but some procedures are so invasive, and you cannot predict how your body will react during the healing process, so if you choose to travel (even outside of your State) surgery (especially bone work, and SRS), it is to your advantage to stay in the area for post op recovery as long as possible; I think staying for a minimum of 30 days, would be optimal.