Can The Anterior Temporal Muscle Be Reduced With A Hemi-Coronal Scalp Incision?

Q: Dr. Eppley, I was wondering if a hemi-coronal approach for anterior temporalis reduction leaves noticeable scarring and can be combined for a brow lift without altering hairline. (I was considering this anyway).

A:There is no question that a hemi-coronal incision provides adequate access for an anterior temporal muscle reduction. I have attached a patient who had this approach a year ago who did use that same incision for a browlift secondarily. Now he did not care about the hairline or the scar since he wears a hair piece. And you would need that incision at the frontal hairline for the browlift so the frontal hairline does not move. But the purpose of the picture is to show a similar scar on a shaved head.