Know All About Hairline Lowering


How Do I Fix A High Forehead?

Do you have a high or excessively large forehead which you believe detracts from your otherwise proportional features? An excessively high forehead may be due to several reasons including genetic factors, hair loss or from prior surgery such as a coronal brow lift or rarely an endoscopic brow lift. A high hairline or excessively high forehead can heighten an individual's self conscious and limit the number hairstyles which s/he can wear to help camouflage the large forehead.


Hairline Lowering can help you reduce the size of your forehead.

What Is Hairline Lowering?

Hairline lowering doesn't reduce the forehead, but rather moves down the location where your hair grows in. Also known as scalp advancement, this procedure may be performed during facial feminization surgery. It allows an individual to have their frontal hairline advanced upto certain distances, depending on variables such as preoperative hairline height, scalp laxity and patient preference.

This procedure is also called Forehead Lowering or Reduction, Hairline Advancement & Foreheadplasty.

Who Are The Ideal Candidates For Hairline Lowering?

Women are generally more ideal candidates than men.

Women with a high hairline and large forehead.

Men with thick hairline and no history of hair loss can also become ideal candidates.

Individuals with flexible forehead skin.

What Are The Different Types Of Hairline Lowering Procedures?

Hairline lowering refers to forehead reduction either by surgical hairline advancement or through hair grafting.

Surgical hairline advancement, as the name suggests, includes a surgery that takes place on the forehead. A part of the skin next to the hairline, generally not more than 2-3 cm thick, is removed. After the excess skin is removed, remaining part is stitched back. The result is a lowered hairline. The surgery results in a scar that is hidden by hair grafting in case it is also performed. There is a biodegradable scalp that is put behind the skin. It attaches the skin with the muscles beneath so as to avoid scarring.

Grafting hair is the alternate procedure for hairline lowering. The technique involves grafting hair in front of the hairline. It is, at times, used as an independent technique to reduce the forehead. This is done by increasing layers of hair above the natural hairline. This method is non-surgical in nature. 

The different kinds of hairline lowering techniques also differ in terms of price and need of the patient.



What To Do Before Hairline Lowering?

  •  Avoid intake of anti inflammatory medicines for at least a week before the surgery. They hinder with hairline lowering recovery.
  • Avoid consumption of alcohol or salty food as they lead to fluid retention and swelling.
  • Consult your surgeon on what to eat in order to strengthen your immune system and get prepared for the surgery.
  • It is also necessary to talk to your doctor or browse the internet to know about the precautions you need to take, in order to avoid blood clots and infections.



What Is The Post-Operative Care For Hairline Lowering?

  • The surgery can take as long as two hours to complete and the recovery time is 7-10 days.
  • Do not wash hair for at least two days after the surgery takes place.
  • Do not engage in strenuous activities such as swimming, gyming, running for at least two weeks.
  • Do not lift heavy objects.
  • Apply ice on any area that is swelling or burning due to the surgery. You can even take prescribed medication for the pain and ask your doctor for after care instructions.
  • Do not smoke or drink alcohol one week before as well as one week after the surgery as it slows down the recovery process.

What Should Be The Post-Op Diet For Hairline Lowering?

Drinking alcohol and smoking should be avoided.

Do not take any anti-inflammatory medicines. It leads to bleeding.

The diet should be very nutritious before and after the surgery so as to facilitate a smooth recovery. Patients are recommended to increase intake of supplements that have Vitamin C.

What Are The Realistic Expectations From A Hairline Lowering Procedure?

Cosmetic procedures primarily aim to enhance the body of the patients, in order for them to look more appealing. Hence, expectations can often be unreal for an individual undergoing a cosmetic surgery procedure such as hairline lowering.

  • The most realistic expectation you can have from this procedure is the ‘after-procedure’ look. Generally, skin removal can lower hairline by 5 cm while the hairline can be lowered by more than 6 cm, with the help of an expander. Looking at after procedure photos can often be misleading and deceptive, given the one dimensional outlook of the surgery that it provides. To avoid getting carried away by pictures, talk to patients who have undergone the surgery. You can even read patient testimonials for and gain knowledge of a variety of hairline lowering results.
  • While the surgery is beneficial for those will a large forehead, you shouldn’t consider undergoing it if you are prone to scarring. The surgery leads to a long scar along the hairline and if you have a tendency to scar or if your skin cannot heal from scars easily, you should rethink the procedure.
  • It is also realistic to expect that the surgery will have a few after effects such as swelling, bleeding and slight pain around the treated area that will subside in different recovery stages.

What Are The Pros And Cons Of Hairline Lowering

  • Pros

  • Cons

  • Appearance:
    The procedure can reduce the look of an over-sized forehead, restoring balance and good appearance in the face.
  • Instant Results:
    After a quick procedure and a short recovery time, hairline lowering surgery offers instant results that could take up to 2 years to reach with hair transplants. The procedure can also be done in conjunction with a brow lift, which smooths most forehead wrinkles.
  • Hidden Scar:
    While hairline lowering surgery can leave a scar, the scar tissue is disguised behind the hairline. In most cases, hair re-grows in front of the scar and through it, making it undetectable unless hair is wet.
  • Outpatient Procedure:
    Unlike many cosmetic surgeries, recovery time for hairline lowering is short, as the surgery is done on an outpatient basis. In some cases, patients need to stay overnight to recuperate faster. Most plastic surgeons will advise taking a week off to complete all stages of healing, but in some cases, patients can return to their normal routine in only 2 days after the procedure.
  • Adaptability to Different Scalps:
    If you’re not an instantly suitable candidate for hairline lowering surgery, there’s an extra step that can make the procedure available to you. If the surgery can’t be done in a single step, doctors recommend expansion assisted hairline advancement. This involves the insertion of an expander under the scalp and inflating it gradually for up to 8 weeks before the final surgery. The final procedure can move the hairline down by up to 2 inches.
  • Cost:
    Only one time costs. If you’re getting the one-stage procedure, the hairline lowering surgery cost is approximately $7,000, and there are typically no aftercare costs. When the procedure is done in two stages, the cost can increase, but with the benefit of getting your hairline lowered more than 6 cm.

  • Like all surgeries, there are risks of complications and infection after the procedure, but most patients recover without any trouble.
  • It's not a good fit for people with thin hair density.
  • Bruising and Swelling:
    Since the scalp is moved forward, swelling and bruising are common after the hairline lowering surgery. In some cases, bruising can extend down to the eyes, especially when the procedure is done at the same time as a brow lift. Both problems are common and usually go away in a few days.
  • Numbness:
    Most patients experience temporary numbness in the forehead and scalp after the cosmetic surgery. This is caused by minor nerve damage which cannot be generally prevented. Itching and tingling are also common, but they usually disappear completely in a few months. For a small number of patients, numbness can become permanent. However, if the patient chooses a surgeon with prior experience and expertise, such occurrences are rare.
  • Hair Loss:
    One of the cosmetic risks of hairline lowering surgery is temporary hair loss or permanent hair loss around the scar, which can usually be fixed with hair transplants. In most cases, hair loss experienced right after the procedure doesn’t have long term effects and the hair begins to grow again after up to 4 months.
  • Scarring:
    Right after the surgery, the scar will look red and sometimes lumpy for up to 9 months after the procedure, when it should become almost indiscernible.
  • Decreased Mobility:
    Hairline lowering surgery decreases mobility in the forehead area, like any botox procedure. When it’s done simultaneously with other procedures in the area, like a brow link, the mobility reduces further. Mobility problems are usually temporary, but for some patients they’re permanent. However, these prevent the forming of any creases or deep lines on the forehead.
  • More procedures required in Men:
    Men having this operation have to understand the progressive nature of hair loss in males and that further procedures may be required to maintain a result. 

What Are The Alternatives To Hairline Lowering?

The chief aim of a hairline lowering surgery is reduce the size of one’s forehead by shifting down the position of the hairline. Also called forehead reduction, this procedure improves the balance of facial features by bringing the scalp lower.
In case an individual does not want to opt for such a surgery, s/he may chose other similar surgical procedures.
The alternative treatment would be hair transplantation. While the procedure is available for both men and women, it can be more effective in women, since the hairline doesn’t continue to recede at the same rate as for men.

Hair Graft

This is a typically a less invasive alternative which involves transplanting around 1200 to as many as 2400 hair strands, a little below where the original hairline begins. The transplanted hairs typically fall out within 3 weeks, then start to regrow at 4 months, taking a full 10 months or longer for final results, and is thus a more long drawn procedure as compared to a hairline lowering procedure.
Generally, there are not many non surgical alternatives for such a surgery other than wigs or styling the hair in a manner which covers most of the forehead.



Will Hairline Lowering Lead To Scarring?

Scars are inevitable in a hairline lowering procedure that involves surgery. But the extent of the visibility of the scar depends on a number of factors, such as the scarring tendency (color of skin, texture of skin etc.) of the patient, precautions taken after the procedure and the skills of the surgeon. After the skin is stitched back, there is a recovery period of 7-10 days during which the patient needs to take excessive care so as to avoid making the scars more prominent. With appropriate care, the scars can diminish in 6-12 months. 

Choosing the right doctor from an accredited hospital is necessary. A good surgeon will be qualified and experienced. He/she will make sure that the scar is least noticeable.



What Are The Temporary Side Effects Of Hairline Lowering?

The most common risk of hairline lowering is the formation of scar after the skin is stitched back. The ideal way to tackle it is to take the utmost care of it. Right after the procedure, do not do anything that will lead to stretching of the scar or opening of stitches, such as exercising, running, etc. for at least a week. 

In addition, other temporary complications of hairline lowering include:

  • Numbing of forehead
    Numbing of the forehead normally happens after the surgery. It is common, and the best way to deal with it is to simply wait for a 3-5 days for the sensation of feeling to return.
  • Swelling of the treated area
    This is a usual side effect of the surgery. You can simply apply ice pack on the swollen area in order to control and reduce the swelling.
  • Bleeding around surged area
    If the surged area isn't handled with care, it can easily begin to bleed. Do not take inflamatory medicines or drink alcohol, before or after the surgery. These substances slow down the recovery process and cause excessive bleeding. In case bleeding occurs, call your doctor and take the prescribed medication. Remember to take utmost care and do not engage in strenuous activities.
  • Prolonged healing
    Sometimes, the recovery timeline may extend beyond the general time of 3 weeks. If you did not stop taking dietary supplements and medications before the procedure, the healing might be delayed. Massaging slightly and eating the appropriate diet (green vegetables, protein etc) can help you with fastening the healing.



How To Choose A Surgeon For A Hairline Lowering Procedure?

Your choice of surgeon is directly related to the hospital the surgeon is associated with. A credible and renowned hospital will not hire doctors without adequate qualifications. In addition, you can also look into the educational background of the doctor. Many doctors working in good hospitals in medical tourism destinations have received their education and training from institutions in the west. Such a doctor will treat you with standards matching the western ones. 

In addition, you should ask the doctor certain questions to gain confidence in his/her method of treatment relating to the medical know-how, the procedure he/she specialises in, and his prior experience in performing the procedure.      

While performing the surgery, a surgeon has to evaluate the extent of skin on his forehead that can be removed without causing a lot of stretching. This depends on the flexibility of your forehead skin. Then, the surgeon cuts a strip of the skin along the hairline, not more than 4-5 cm thick, removes it and then stitches it back. The stitching back part is crucial and central to the procedure. A well made choice about the surgeon is imperative for the stitch to made without complications. A qualified surgeon will know how to hide the scars through the hair grafting method.

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