Forehead Reduction / Hairline Lowering

What is forehead reduction or hairline lowering surgery?

Forehead reduction or hairline lowering is also known as hairline restoration surgery. The intent of this procedure is to lower the hairline and reduce the height of the forehead.

Who is a suitable candidate for forehead reduction?

Forehead reduction is ideal for both men and women in good health who are have a high hairline and/or large forehead. The overall objective is to reduce the amount of space (height) between the eyebrows and the hairline.

(NOTE: This treatment is not for individuals who are actively experiencing natural hair loss – those patients are good candidates for medical treatments designed to prevent or slow hair loss.)

Forehead reduction is often recommended for individuals undergoing gender reassignment, particularly as part of facial feminization surgery. When done as part of facial feminization surgery, the intent is to give the hairline a more rounded, feminine appearance.

What is the difference between forehead reduction and hairline grafting?

Hairline grafting (also called frontal hairline restoration) is generally used to treat receding hairlines in men and women.

As part of the surgery, the patient’s hairline (on the forehead) area is “lowered,” using a combination of surgery and hair transplants, eliminating the appearance of baldness. As part of this process, hair follicles are taken from the back or sides of the patient’s scalp and then grafted to the front hairline area, where they will then grow back naturally as they did at the donor site.

Forehead reduction is not for individuals who are actively experiencing ongoing natural hair loss – those patients are good candidates for hairline grafting.

How is forehead reduction surgery performed?

The surgery is performed by making a small incision along the natural hairline, hair bearing tissue is then moved forward and hair follicles are transplanted after closure to normalize the shape of the hairline. This minimizes the appearance of any scars as hair grows through/over the incision line. In most cases there is only a very minimal scar at the hairline.

What is the healing process and timeframe?

There is very little post-surgery pain associated with hairline restoration surgery. The most common side effect is slight facial swelling, generally in the forehead and eye area. Most often this is not painful, but may require up to seven days for it to subside completely. Because of this, many patients will take a week off from work, but can return to light activities after two or three days and normal activity level after a week. Patients may experience temporary, harmless numbness at the front of the scalp, which generally subsides after a few weeks.