For some patients, prominent forehead bones can disturb their facial balance while a high hairline can exacerbate ageing. In the ideal situation, the hairline is 6 to 6.5 cm above the brows and usually begins at the point where the scalp slopes from a more horizontal position to a more vertical position. When there is a high hairline, the face can look elongated and/or attention is given to the forehead rather than to the eyes and the rest of the face. At Orange County Plastic Surgery, a one-stage scalp advancement with forehead bone sculpting lowers the hair-line while reducing the prominence of the forehead bone. This procedure can lower the hair-line by about an inch to give a more youthful look to the face.