Hairline Lowering

Hairline lowering

This procedure can reduce an excessively high forehead or hairline which results in an improved appearance, confidence and self-esteem. It also gives the patient a greater range of options in regard to hairstyles.

Do you have a high forehead or hairline? A large forehead is often seen as a sign of intelligence but not everyone sees it this way. Some people find their high hairline or forehead embarrassing and would rather cover it than display it all the time.

Causes of a high hairline

A high hairline or large forehead is often inherited so if either of your parents have this feature than they will have passed this on to you.

Other causes include:

  • Hair loss
  • Surgery such as a brow lift

A large forehead is nothing to be ashamed of but if you are self-conscious about this to the point where it is affecting your confidence then consider hairline lowering surgery. It helps if you have a thick head of hair and no history of hair loss.

Two types of hairline surgery

There are two ways of reducing a large forehead or high hairline which are:

  • Insert hair grafts around the hairline which will reduce the size of the forehead.
  • Remove a section of the forehead skin and pull down the hairline.

These are individual procedures but in some cases, they are combined.

What has to be considered is the direction of hair growth, blood supply and circulation to the scalp and the types of incisions. Plus the elasticity of the scalp is taken into account.

Hairline lowering for men and women

Hairline lowering and forehead reduction surgery is performed on both men and women. Men are suitable for this procedure as long as they don't have any bald patches due to hair loss. If they do then other hair transplant procedures such as micro grafting are more effective.

Women with a large forehead find this unattractive or less than feminine. In these cases hairline lowering can help which also reduces the size of the forehead, leading to a desired appearance.

Forehead reduction/hairline lowering surgery

This procedure involves the removal of a section of skin from the forehead, which is in front of the hairline. This reduces the overall size of the forehead and lowers the hairline to a more acceptable level, e.g. 1.5 inches. Hair will then grow back over the site of the incision.

Another option is that of grafting donor hair onto the front of the hairline which reduces the size of the forehead. Follicular Unit Transplantation (FUT) is performed in these cases.

Both these procedures are usually performed without the use of a scalp expander which reduces operating time and speeds up the recovery process. However, there are a few exceptions to this.

There is minimal pain and discomfort and few side effects with this procedure. Most patients are ready to return to work or everyday activities after a couple of days.

What about heavy eyebrows? If you have thick, bushy eyebrows then this surgery can help by moving them up to a desired position. But this is only a slight improvement. An eyebrow lift is more appropriate.

Two stage process for men

Men often choose to have hair grafting as well as forehead reduction surgery - especially if there is a small risk of male pattern baldness. This is done in 2 stages.

Single stage process for women

Women opt for the single stage procedure. This is due to the fact that they are at less risk of baldness or other forms of hair loss compared to men.

What to expect after hairline lowering/forehead reduction surgery

The surgeon will have discussed the outcome of this procedure during the initial consultation. This includes a talk about the risks as well as the benefits and the importance of having realistic expectations in regard to the results.

You will experience some pain, bruising and swelling around the forehead and eyes although this can be eased with painkillers and an ice pack applied to the affected areas. Your forehead will have been wrapped with a bandage to reduce any swelling but this will be removed the following day.

Your forehead especially around the incision will feel numb for a few weeks afterwards although this will ease. You may also experience some itching. Both of these are signs of scalp recovery. You may also lose some hair from the front of your scalp but this will grow back.

Rest for a couple of days afterwards and avoid any strenuous activities. You can wash and shampoo your hair after 2 days. You can return to work after a few days.

Side effects of hairline lowering/forehead reduction surgery

There are a few risks which include:

  • Infection
  • Numbness
  • Bleeding
  • Poor incision healing
  • Asymmetrical hairline

These are common to all hair restoration procedures. Scarring is another side effect but this can be hidden with hair grafts.

Note: if you are a man who wants this surgery then you may need several procedures especially if there is a risk of baldness. Men are more likely to experience hair loss than women so keep this in mind when making a decision.