Retrocoronal patterns of fronto-orbital remodeling provide long-term gains in head circumference percentile and the least growth impairment in [[cranial length]]. Irrespective of [[osteotomy]] design, expansion in frontal breadth relapses significantly over time ((Seruya M, Shen SH, Wang LL, Penington AJ, Wray AC, Greensmith AL, Holmes AD, Chong DK. Three Patterns of Fronto-Orbital Remodeling for Metopic Synostosis: Comparison of Cranial Growth Outcomes. Plast Reconstr Surg. 2014 Nov;134(5):787e-795e. PubMed PMID: 25347654. ))