Cosmetic abnormality is an important indication for surgery. The cosmetic abnormality will usually get significantly worse with growth, and it may affect facial shape as well. Surgery is not required to prevent mental retardation, blindness, seizures or headaches in the vast majority of cases. No amount of surgical expertise can produce a perfect result. The aim of cosmetic surgery is to change the appearance from one that attracts unfavorable attention to one that does not attract attention.
General anesthesia has risks.
There are risks related to loss of blood and to transfusion, which is often required. There is a risk of injury to the underlying brain that can cause significant neurological abnormalities, including weakness and seizures. There is a risk of an unsatisfactory result. Nearly all children operated on for premature closure come out with an improved appearance.