The upper half of your face tells the world very much about your gender, and your hairline is a critical aspect of facial gender confirmation because it essentially “frames” your entire face. A masculine hairline is typically further back on the skull than a feminine one, creating the appearance of a larger, more prominent forehead. In comparison, the feminine hairline is lower down on the forehead and more rounded in shape with hair appearing more graduated or “wispy” at its edges. If you are seeking a more feminine aspect, you will need to lower your male hairline into the normal feminine range of hairline height and shape.
Feminizing hairline lowering, or scalp advancement as it is also known, is ideal for facial gender confirmation candidates who may have a naturally higher hairline and/or larger forehead. It is also not uncommon for us to lower, or reshape the hairline of non-transgender individuals who have receding hairlines. The objective of the procedure is to reduce the amount of height between the eyebrows and the hairline, to bring the position of the scalp forward, and to alter the shape of the hairline. The procedure is usually included within a larger set of procedures that comprise facial feminization, which is typically undertaken in one single session of long format surgery.
The surgery is performed by making a trichophytic incision along the natural hairline and then bringing the hair-bearing tissue of the scalp forward. Individual hair follicles may then be transplanted after closure to further feminize the shape of the hairline and create a more natural- looking hairline.
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Scalp advancement has minimal post-surgery pain. The most common side effect is slight facial swelling in the forehead and the eye area. It may require up to seven days for the swelling and discomfort to subside completely. Accordingly, many patients will take a week off from work, but it is possible to return to light activities after two or three days and normal activity level after a week. Patients may also experience short-term and harmless numbness near the front of the scalp, which will subside after a few months.