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High Wide Forehead Reduction Possible?

asked 3 years ago by jaco in New York, NY, USA
Latest answer by Tom J. Pousti, MD
Question viewed 22,255 times
Tags: candidate, hairline

I have a high and wide forehead. Is a forehead reduction possible, where the skin at the corners will be pulled in to bring the hair line down? If so, what is the estimated cost and recovery period of this procedure? Thanks.

29 answers to High Wide Forehead Reduction Possible?

+1

Is Forehead Reduction Possible?

Reduction of the forehead is possible.  If the surgeon places the incision in front of the hairline and then resects part of the forehead, this will reduce your forehead and bring down your hairline.  In males, I do not like to perform this procedure because male pattern balding will eventually show the incision site.  In women, it is a very nice procedure, especially if the woman will wear bangs after the procedure, covering up any scarring.  The scar usually heals... more
Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

+1

Forehead reduction is now commonly performed

Forehead reductions are now commonly performed. There is indeed a way to reduce the high forehead. Patients who have a congenitally high forehead can benefit from browlifts which both elevate the brow and lower the hairline (pretrichial; subcutaneous). Many patients who have had coronal browlifts or endoscopic browlifts are now bothered by unexpectedly high hairlines, high central brows, brow asymmetries or high lateral brow fixation. Patients with stringlifts who suffer from pain or... more
Brent Moelleken, MD

Beverly Hills Plastic Surgeon

www.drbrent.com

+3

Forehead Reduction?

Thank you for the question. Reduction of the forehead is possible by performing a hairline incision forehead lift procedure. This type of forehead lift removes non-hair bearing scalp and “lowers” the hairline. It is a useful operation for patients who have “long foreheads” and wish to undergo forehead lifting for any reason. I hope this helps.
Tom J. Pousti, MD

San Diego Plastic Surgeon
+2

The Hairline Forehead Lift Makes You Feel You Have Much More Hair.

The hairline forehead procedure removes skin and raises brows and makes you feel like you have more hair.  A high hairline is masculine and notTpleaseing to  women .   A beautifully done hairline leaves a scar that defies detection and a beautiful result.   this is one of the great operations.  You will greatly enjoy this procedure.  Be sure and get 3 opinions from ABPS certified docs and good luck.  You should be very happy with this one... more
George Commons, MD

Palo Alto Plastic Surgeon
+2

Forehead Reduction

In a forehead reduction a scar is placed at the hairline and the excess skin and forehead distance is removed. This results in a brow lift at the same time. From El Paso.
Frank Agullo, MD

El Paso Plastic Surgeon
+2

Browlifts are Great For Reducing The Large Forehead

I perform about 80% of my browlifts using what is called a trichophytic incision.  This incision is done along the first row of hairs at the top of the forehead, pulling the brows up and the hairline down.  Because of a special beveling technique I use with the incision, the scar ends up with hair growing right through it.  As a result, the scar darn near becomes invisible once healing is done and you not only have higher eyebrows, but a lower hairline and shorter forehead... more
Louis W. Apostolakis, MD

Austin Facial Plastic Surgeon
+2

Forehead reduction

I do about 35 of these operations per year strictly to reduce a high (or tall) forehead or to lower a high hairline. It is the same operation, just phrased differently, to address the patent's perception. It is not completely simple ,as is suggested by some , for there are numerous subtle details. Candidates have to have a flexible scalp and there are certain limitations as to how much reduction is possible in a one stage operation. Also, some patients might need hair... more
Sheldon S. Kabaker, MD

Oakland Facial Plastic Surgeon

www.kabaker.com

+2

Forehead reduction is possible using a pretrichial (hairline) incision.

Forehead reduction is possible using a pretrichial (hairline) incision. It is essentially a 'reverse forehead lift'. This procedure can lower one's hairline and elevate the brow position simultaneously. Healing time is approximately one week. Costs will vary from surgeon to surgeon and from region to region.
Sanjay Grover MD

Orange County Plastic Surgeon
+2

Forehead Reduction Options

Female forehead reduction is a necessary tool in brow reduction. Essentially a scar is placed just anterior to the hairline. The scalp and hair is elevated and released, allowing it to be pulled forward. The release of the scalp is called a galeotomy. While doing this, the brows can be elevated and lifted. Despite extensive dissection, the tight nature of the scalp usually allows for about 2 cm of reduction. This can be determined preoperatively by feeling how mobile the scalp is. Note this... more
Anil R. Shah, MD

Chicago Facial Plastic Surgeon
+1

Hairline lowering works

Look at celebrity Kim Kardashian and you see the ideal hairline. Her hair frames her face perfectly, no matter what style she selects. She is among the fortunate few. Other women struggle with too-high hairlines that distract from their facial beauty. Many women have a large forehead secondary to a congenitally high hairline; some women found themselves with a too- high hairline after cosmetic surgery. A high hairline can give women a balding, masculine appearance, so they spend a lot of... more
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Surgical Hairline Advancement for Forehead Reduction

These are exactly the procedures in which I specialize- the surgical hairline advancement. You can see a large number of before and after examples of them on my website photo galleries, and welcome you to contact my office directly to learn more.
Jeffrey Epstein MD, FACS

Miami Facial Plastic Surgeon
+1

Not enough information to do forehead reduction .

Depending on your age and the amount of wrinkles on your forehead the scar could be placed in the middle of the forehead and the brows lifted and the forehead advanced ,together this change of the brow and hairline position would reduce the forehead size and have a better appearance. The middle age to over 60 male forehead scar in the wrinkle lines of the forehead is usually not visible. The incision could be at the hairline but at that point you may as well do a hair transplant and... more
Walter D. Gracia, MD

Arlington Plastic Surgeon
+1

Big Forehead, the answer is trichophytic browlift

In patients requesting a brow lift, but already have a high hairline or large forehead, you need to be careful.  Most brow lift techniques (endoscopic or classical "coronal" brow lift) will actually further raise the hairline.  You will almost assuredly be unhappy with the result.  The best alternative is something called a trichophytic brow lift.  When doing this operation, the incision is placed right at the hairline, actually cutting through the hair... more
John Bitner, MD

Salt Lake City Facial Plastic Surgeon
+1

A trichophytic browlift will allow reshaping the hairline

A trichophytic browlift will allow the hairline to be lowered. Visible scars can be avoided with proper incision placement and beveling. Seek an experienced facial plastic surgeon who is familiar with open browlift approaches. You can return to work in 1 week but might have bruising around the eyes and some residual swelling. Cost is region specific but surgeons should give you this information at the time of your consultation.
Stephen Weber, MD

Lone Tree Facial Plastic Surgeon
+1

Forehead Reduction is possible

Forehead Reduction is possible.  Open forehead reduction is best performed with a pretrichophytic incision (just anterior to the hairline).  Recovery is variable, 6 weeks is usually adequate for complete healing.  Warmest Regards, Dr. Pippin.
Gregory Pippin, MD

New Orleans Facial Plastic Surgeon
+1

Different options to change the shape of a forehead.

An alteration of the position, height, or shape of their forehead. Plastic surgeons may perform surgery that will change the position of their eyebrows or their hairline. This can have the effect of changing the appearance of the forehead. Your best bet is to work with a plastic surgeon who has a great deal of experience in brow lift and facial rejuvenation. They will be able to assess your tissue and determine what combination of techniques will help you meet your aesthetic goals... more
B. Pat Pazmino, MD

Miami Plastic Surgeon
+1

Forehead Lift Surgery to Alter Hairline

Forehead or eyebrow lift surgery generally do not alter the hairline. Most brow lift cosmetic surgeons perform endoscopic or minimally invasive plastic surgery to rejuvenate the upper face. However, plastic surgery may be modified to adjust the hairline in select patients. Brow lift surgery to lower the hairline generally involves an incision along the hairline margin and by moving the hair-bearing scalp down & forward. Speak with a eyebrow plastic surgery to determine appropriate... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Forehead reduction

A forehead lift is certainly a possibility for you. It does require an incision line just in front of hairline to decrease the amount of skin show in forehead area. If you wear your hair swept or pulled back, you could have some visibility of the scar but this also depends on skin color, appearance and age. A consultation with a surgeon will help you figure out what you could expect from this procedure. As for recovery time, most patients can return to work approximately 7 days following... more
Deason Dunagan, MD

Huntsville Plastic Surgeon
+1

Forehead Reduction

A high hairline can be lowered using a technique known as a Trichophytic Brow Lift. A curvilinear incision is placed at the hairline (mimicking the natural protrusions and regressions of hair), using an extreme bevel forward, which leaves several rows of hair follicles along the hairline. The scalp can be mobilized and non-hairbearing forehead removed, effectively lowering the hairline. The preserved hair follicles along the hairline will later grow through the incision, further... more
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+1

Reducing a high, wide forehead

Hi Jaco - Yes, a forehead reduction can be performed with minimal recovery and the cost is around $3-4000. The entire procedure can be done as an outpatient with about 1-2 weeks of recovery. It's difficult to determine how much forehead skin can be removed without assessing your scalp and forehead in person. The stitches are usually removed at 1 week with any discomfort controlled very well with oral pain medicine. Good luck!
Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon
+1

Forehead Reduction

A particular form of a forehead lift known as a forehead reduction can be performed to reduce a high forehead. This should be distinguished from frontal hairline recession from alopecia which may require hair transplantation.
Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon
+1

Yes, forehead reduction is possible

Jaco, Forehead reduction surgery is a common procedure. It is very similar to the procedure performed for brow lifting. It would be nice to see a picture of your forehead, since hair line, brow position, skin quality and many other factors go into surgical decision making for incision placement and plane of dissection. Good luck with your surgery.
David Shafer, MD

New York Plastic Surgeon
+1

Pre-hairline brow lift

It is possible to bring the hairline forward, and reduce the non-hair bearing forehead area with an open brow lift technique. An incision is made just at the hairline, and the brow is lifted & excess non-hair bearing skin is removed. This will leave a scar but will reduce the height of the brow. It will not affect the width of the forehead. Be advised however that the shape and position of the brows will be affected.
Scott E. Kasden, MD

Dallas Plastic Surgeon
+1

Forehead reduction is possible

A forehead reduction can be performed by advancing the scalp forward and removing excess skin from the top of the forehead. It is basically a reverse browlift. In terms of recovery you are probably looking at about 1-2 weeks.  Price varies around the country, but somewhere in the neighborhood of $5-10K.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Yes, design of incision varies to minimize scar.

Forehead reduction is definately a possibility. Obviously some skin needs to be removed to decrease the distance from the brow to the hairline. The design and implementation of this incision can differ depending on the hair line, the amount of skin to be removed, the likelihood of future hair loss and other factors. One technique which can be very helpful near the hair was developed years ago by Andre Camirand of Montreal. His incision is angled gently just inside the hair line. By... more
Donald Kress, MD

Frederick Plastic Surgeon
+1

Pretrichal Forehead Lift

Hello, As the others have mentioned, these operations are the only reliable ones I know when the forehead length exceeds 6 cm. They can be difficult in balding male patients as further hair loss exposes incisions and erases some of the gains that have been made. Cost relates to experience and facilities. A low end ball park number would probably be around $6000.
John P. Di Saia, MD

Orange Plastic Surgeon
+1

Subcutaneous forehead lift

Subcutaneous forehead lift with a hair line incision is a very powerfull tool to lift the forehead and also to lower the hair line. The incision is designed along the hair line so the scar will be well hidden. Recovery is within a week and of course depends on other procedures as well. Cost varies between different areas.
Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon
+1

Forehead Reduction

Yes this is very similar to a forehead lift where the skin is removed in front of the hairline (pretrichal forehead lift) but instead of lifting the forehead upward and backward, the hairline is advanced forward and downward. It is typically performed when the distance from the peak of the eyebrow to the hairline measures more than 6 cm. It is more difficult to perform in a male due to male pattern baldness and difficulty in placeing the scar in the hairline. It oftentimes helps to zig zag... more
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

A forehead reduction is quite possible

The vertical height of the forehead (eyebrow to hairline) should be roughly 1/3 the height of the total face. When the forehead is too prominent, this dimension can be reduced by advancing the hairline. The operation is easy but does result in a scar at the junction of hairbearing a non-hairbearing scalp. The scar is usually very inconspicuous in time, but it is there nonetheless.
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon

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