Hairline Lowering Surgery


Inevitably, both men and women lose hair as they get older. The question is how much. Fortunately for women, male pattern baldness is much more common than that for women. However, women lose hair too. The most common type of female hair loss seen in our practice is thinning of the anterior hairline or the hairline above the forehead. We recommend medical hair loss therapy first prior to any surgery. In some women, the hairline recedes in addition to thinning. For these women, hairline lowering surgery may be beneficial.

Causes include genetics, pulling the hair back too tightly, hair loss, and previous surgery, among others. The hair loss should be stable for a period of time, at least 6-12 months, before considering hairline lowering. If there is still active hair loss, then this is a relative contraindication for this surgery. Thinning of the hair at the hairline is another relative contraindication as the scar may be visible until it is fully healed though transplanting hair after the surgery is an good option and thinning along the hairline should not be a deterrent. Darker skin individuals take longer to heal and have a higher risk for thick scars in general though this is not an absolute contraindication and scars can be proactive treated before and after the surgery to create a natural result. Men are also candidates for hairline lowering surgery but they must have a longer history of stable hair loss and a family history that does not demonstrate male pattern baldness, along with a thick anterior hairline.

The hairline can usually be brought forward approximately one inch in a single stage in most cases depending on scalp mobility and the location of the current hairline. Of course, the hairline cannot be brought back to its location in youth because this may not look natural or age appropriate for the individual at their current point in life. In some cases, an advancement of more than one inch is possible in a single stage.

In individuals who desire more than 1.5 inches of advancement, a tissue expander may be necessary. A tissue expander is placed under the scalp and gradually and slowly expanded over 4-6 weeks to ‘stretch’ the scalp allowing more scalp to be advanced. Once this ‘extra’ skin is created through expansion, the expander is removed and simultaneously the hairline is advanced and secured.

Hairline lowering surgery is one of the most gratifying surgeries Dr. Majmundar performs as it is truly a life-changing procedure. 

MIke Majmundar, MD
Article by
Atlanta Facial Plastic Surgeon