The skull deformities of scaphocephalic patients who have not had surgery are very disturbing for them, even when they are moderate. They are usually more preoccupied by the frontal narrowing and elevation than by the occipital bulge. A midline splitting of the anterior cranium enables solving these problems, and the preservation of the frontonasal sinuses by cutting above them significantly diminishes the infectious risk. The case of a 19-year-old young man, followed since childhood, who finally requested the correction, is presented and discussed.