Hairline lowering surgery, also known as forehead reduction surgery, is a cosmetic procedure aimed at reducing forehead height, measured by the distance between the hairline and eyebrows. By shortening the forehead height, this technique helps patients achieve more balanced and harmonious facial proportions, where the upper, middle, and lower face sections have equivalent lengths.
Additionally, for cases where the hairline has receded due to hair loss, this surgery also plays an important role in rejuvenating the patient's overall facial appearance
What are the benefits of hairline lowering surgery?
Hairline lowering surgery helps reduce forehead height, improving facial contours and harmony. Specific benefits include:
- Helps patients achieve their ideal facial proportions, with a more beautiful and harmonious appearance.
- Helps patients reshape their hairline according to their preferences. This is particularly beneficial for patients with asymmetrical, excessively high, or M-shaped hairlines
- Can be combined with hair transplant and brow lift procedures to achieve comprehensive facial rejuvenation.
- Provides immediate results, patients will be able to see their new hairline right after surgery.
Reduce effort and costs associated with concealing a high hairline in long term. This is especially true for women because this surgery helps them achieve their desired appearance without needing to wear wigs or use other methods to cover imperfections.
Who are appropriate candidates for hairline lowering candidates ?
The surgery is indicated for patients who possess the following traits:
- A naturally high or excessively prominent forehead
- Scalp with appropriate flexibility and elasticity
For patients that might benefit from this surgery but lack the appropriate scalp elasticity or wanted to avoid surgery, non-surgical direct hair transplantation is the most suitable treatment method. Additionally, in cases where forehead height naturally increases due to brow ptosis during the aging process, a brow lift procedure should be performed in combination with or as an alternative to this technique to achieve more balanced facial proportions.
Procedures details
This surgery typically takes 1 to 2 hours and is performed under local anesthesia with sedation or general anesthesia. The procedure includes the following steps:
Surgical Planning: Based on the ideal hairline position, the surgeon will mark the incision lines and the excess forehead skin to be removed. These incision lines are typically zigzag-shaped rather than straight to mimic the natural hairline pattern.
Creating the Incisions: Precise incisions are made along the hairline following the marked lines. It is important to note that these are complex incisions that require high concentration from the surgeons to avoid damaging surrounding hair follicles and nerves.
Tissue Preparation and Processing (Scalp Flap Preparation): In this step, the surgeon will undermine the scalp and detach it from the underlying tissues. Additional local anesthesia is applied to the scalp to ensure patient comfort and precision, even when general anesthesia is used.
Excess Forehead Skin Removal: Following the surgical markings made during planning, the surgeon excises and removes the strip of excess forehead skin. The dimensions are based on the planned degree of reduction and the patient's scalp elasticity.
Hairline Advancement: The hair-bearing scalp is carefully advanced forward as an advancement flap to meet the lower incision line.
Incision Closure: Unlike conventional surgical approaches, the surgeon employs the Trichophytic closure technique (hidden scar suturing method). In this technique, one edge of the incision is carefully trim before suturing, allowing hair to grow through the scar line and completely conceal the scar after healing.
Hairline Lowering Steps
Recovery process and Post-Operative Care:
The patient's recovery process typically progresses through several stages:
- In the first few days, bruising and swelling will appear around the treatment area but will gradually subside. Sutures will be removed 10 days after surgery.
- Although the effects of hairline lowering will be visible immediately after surgery, patients will need to wait 3-6 months for complete wound healing and for the surgical improvements to reach their full potential.
To ensure optimal recovery, patients must strictly follow these post-operative care instructions:
Take prescribed medications as directed by the surgeon to reduce the risk of bleeding, infection, swelling, and pain during recovery.
Clean the incision site as instructed.
Avoid touching or scratching the incision site.
Avoid strenuous physical activities or lifting heavy objects for the first 2 weeks after surgery.
To prevent scar darkening, limit sun exposure during recovery. Avoid direct sunlight and wear protective covering when going outdoors.
Sleep with your head elevated.
Attend all follow-up appointments for the surgeon to monitor your recovery progress.
See more: Robotic Hair Transplant - Hair Transplant Pricing
* The final results also depend on individual's physiology.
