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Forehead reduction surgery is a type of plastic surgery that’s designed to shorten the distance between your hairline and your eyebrows. It is also commonly called hairline lowering or scalp advancement since the procedure involves moving the hair-bearing scalp forward and securing your hairline in a lower position on your forehead. This is a “high patient satisfaction surgery”; the vast majority of patients who undergo forehead reduction surgery are pleased with the results.
There’s a lot to like about forehead reduction surgery. It can help create more balanced and harmonious facial proportions and give you a much more balanced hairline. Those who undergo this surgery have better and quicker results with forehead reduction than they would with hair restoration surgery. Transplanting hair doesn’t yield as much hair density in the desired area as forehead reduction surgery can achieve.
Add Any content hereForehead reduction surgery is a straightforward procedure performed by professional facial plastic surgeons. The surgery itself typically lasts about one hour, depending on the specifics of your procedure. Forehead reduction surgery is often performed at the same time as other cosmetic procedures, such as brow lifts or facelifts, so you maximize your time and money.
You’ll be sedated or given anesthesia sedation or general, depending on your and your surgeon’s preferences. Before your surgeon begins, he will plan the demarcation of your new planned hairline. Once your new hairline is drawn, Dr. Huy will make an incision and loosen the hair-bearing scalp tissues. The final step will be to move the skin forward anywhere from one to three centimeters and remove any excess skin before closing the incision.
Your surgeon will use two or more layers of stitches or surgical clips to close the incision after the hairline has been secured. They will also cover it with surgical dressing afterward.
Add Any content hereThe procedure moves the hairline location lower on your forehead, permanently changing the proportions of your face. The procedure only takes about 2 hours, and the results are noticeable soon after surgery. Unfortunately, recovery doesn’t happen immediately, but we will guide you through every stage. A full recovery lasts 12-18 months.
Here’s what to expect before, during, and after forehead reduction surgery:
Being as healthy as possible before your surgery helps you heal. Starting a month or so before your surgery, you’ll want to take some steps to ensure you have the best experience possible.
We’ll discuss these and any other requirements during your initial consultation.
On the day of your treatment, you’ll need to have a driver to take you home.
Hairline lowering surgery is typically performed on an outpatient basis. The hairline lowering procedure takes about 2 hours. An irregular trichophytic incision is made behind the first two rows of the existing natural hairline during the operation. Hair can grow back through the scar using this opening. Then, the scalp is pushed forward and raised to create the desired forehead height.
The incision is closed in layers in order to create very fine sutures along the hairline to avoid a noticeable scar. Deep sutures anchor the new hairline in place and a hairline lowering bandage is applied. Patients can typically remove the bandage the next day after the procedure, and no further bandages are usually required.
It’s essential to take good care of yourself and follow all instructions in the weeks after your surgery.
It’s normal to feel some itching and numbness during recovery that may last up to a year. You may also notice the shedding of fine hairs. Don’t worry; your hair normally grows back after 3 months.
In 12-18 months, your hairline lowering results will look and feel natural.
It’s essential to take good care of yourself and follow all instructions in the weeks after your surgery.
It’s normal to feel some itching and numbness during recovery that may last up to a year. You may also notice the shedding of fine hairs. Don’t worry; your hair normally grows back after 3 months.
In 12-18 months, your hairline lowering results will look and feel natural.
The benefits of hairline lowering surgery are significant and noticeable immediately:
Although complications are rare, they are possible:
Forehead reduction surgery typically leaves a scar along your hairline where the incision is sutured closed. The scar is usually easy to hide under your hair.
Hair follicles lie underneath and adjacent to where the incision is placed, and they help to conceal the scar. Within a few months of surgery, look for hairs to grow around the scar to hide it. If you find that hair growth after surgery is not enough to conceal your scar effectively, hair grafting may be needed to cover it up more.
Forehead reduction surgery is most often performed on females or males without a family history of hair loss, as well as individuals looking to curate more youthful, balanced features. The main requirements for a successful procedure are that patients have a high forehead, good scalp elasticity, and no hair thinning. They must also desire to change the proportions of their facial features.
Scalp laxity is important because the stretchiness of the scalp has a direct impact on the result. A fair amount of scalp laxity is necessary for the patient to realize a nice amount of lowering. If the scalp is not that elastic, tissue expansion might be required before the surgery can be completed.
People trying to correct a receding hairline caused by male or female-pattern baldness are not generally good candidates for forehead reduction surgery. If the hairline were to continue to recede because of future hair loss, the incision site would be visible.
Because a high hairline is essential, many of the patients who elect to undergo forehead reduction surgery are female. Since the goal is to shorten the brow-to-hairline distance, forehead reduction surgeries are often performed in tandem with brow lifts or contouring of a, particularly prominent forehead bone. This combination is particularly effective at smoothing forehead lines and furrows by lifting the eyebrows into a more youthful position. It can also take care of vertical frown lines between the eyebrows.
Men with high hairlines may also consider the surgery. Ideally, they would have no family history of hair loss that would potentially reveal their scar.
Transgender patients who are in the process of transitioning from male to female choose this surgery to obtain a lower, more feminine-looking hairline. When this procedure is done to facilitate the transition between genders, it may be accompanied by a brow bone reduction. During that process, the surgeon shaves down the orbital bone right under the eyebrow, near the top of the eye socket. These procedures can be performed via the same incision that is used to lower the hairline. When combined, they make a broad forehead appear significantly less prominent.
Hair transplant surgery can often complement forehead reduction surgery by making the hairline look more natural. Hair transplants will usually be used to round the hairline or make a broad forehead appear narrower.
Thankfully, once completed, the results should last for a lifetime. Once the hairline is secured in its new position, there should be no movement.
Hairline lowering will benefit those who have a high hairline and are looking to lower it, or those who have a large forehead. These often distract from other facial features and facial symmetry and can lead to trying to cover this up with various hairstyles. Good candidates are those with good scalp laxity and without family history of hair loss or pattern baldness.
A consultation is needed for us to develop an individualized surgical plan that considers your goals, specific concerns, facial structure and genetics, ethnicity and cultural heritage. During the procedure, incisions will be made in the hairline and forehead, and skin and connective tissue will be carefully separated and excess removed to close the desired gap and shorten the forehead. Sutures are carefully placed in the hairline to minimize visible scarring. This procedure is typically done under local or general anesthesia.
Typically, an overnight hospital stay is not needed, and you can go home the same day. For most patients, expect some pain, swelling and bruising to occur around the forehead, which will feel tight, especially in the first couple of days after surgery. Some may feel light headaches as well. After a week, we will schedule a return visit to check on progress as well as remove sutures. After one to two weeks, you may feel well enough to resume normal activities and go outdoors. However, don’t rush outdoors without proper protection, such as a wide brimmed hat and sunscreen, as your skin will be more susceptible to sunburn. Results should be apparent after the first month.
Many people are not aware that this is an option to reduce the appearance of a high forehead; this is one of the few surgical options to address this concern.
Yes! Common surgeries combined with hairline lowering include brow lift, eyelid surgery or facelift. Other body contouring procedures can be done at the same time. Schedule a consult with one our surgeons to determine what is the best approach for you.
The Vanity 360 team is here to help you fulfill your dreams. Our certified surgeon, Dr. Tristan Huy, has extensive training and experience in his specialty. Dr. Tristan Huy is a leader in his field, employing the newest and best techniques and tools. Together, the team can address any concerns you may have with your appearance and work with you to develop a personalized treatment plan based upon your unique physical features, skin, age, and personal goals.