San Francisco Center for Facial Plastic, Reconstructive and Laser Surgery - San Francisco

A: Thank you for writing and sharing your pictures. It is possible to change the profile, particularly the upper 2/3 of the nose, with minimal change to the tip of the nose. In your comments, however, you mention making the tip smaller. Obviously this will change the tip shape a little in all views. The most important thing to remember in rhinoplasty is that each part of the nose relates to the other parts -- so lowering the bridge will change how you see the tip. In some cases, the tip shape should be changed to match the height and width of the bridge after reducing a hump. Best of luck moving forward!

A: Hi there! Thanks for the great question and your photo. Yes, you can have hairline lowering surgery with a small widow's peak like I see in the photo. The key thing for hairline lowering (a.k.a. forehead reduction) is that most of the need for hair coverage should be in the central forehead rather than the temples. If you needed additional coverage after the lowering procedure, a small amount of hair grafts can be used to fill in or add density. Best of luck moving forward!

A: Thank you for the question and your photos. Hairline lowering surgery may be a good option for you, but the decision would depend on measurements of your forehead and test of scalp mobility. An ideal female forehead height, for a woman of average stature, would be about 6.5-7cm. If yours is within 2cm of this measurement, the scalp could be advanced to give you an improvement in symmetry and shape. Another option would be FUE hair transplantation. The grafts could be selectively placed to even out the hairline height difference. Best of luck moving forward!