For men, my main concern for men who have a hairline advancement surgical procedure is in the potential balding that may occur as most balding can start at any age and advance until the mid-fifties. If that happened to you (your risk) then you will have to get a hair transplant to cover it as a scar from a hairline lowering surgery will show with a receding hairline as the frontal area is the place that genetic balding starts in the most men. For young men, this chance of this happening is fully 99% so a surgical hairline lowering is not the procedure of choice in men for a receded hairline. This scar is permanent and you need a hair transplant to cover it, burying it in the new hair placed by the hair transplant.