To make this more female, we have the following procedures:
1. Rhomboid skin excision and temporal lift.
2. Temporal advancement flap and resection of non-hair bearing skin of the recession.
3. Hemline incision on the hairline and advancement of the hair bearing scalp up to the recession.
4. Expander placement under the hair bearing scalp; in a second stage after three months, removal of the expander, excision of skin, and redraping of the scalp.