Forehead Lengthening - How Much of a Gain in Length?

Question

I am a 23 year old female.I have a very short hairline (almost 2inches). Is there any way of lengthening the forehead with a lift of some sort? If so how much of a gain in length would you see. Please briefty explain the procedure you would suggest. Roughly the cost as well. thanks for any help as I am extremely unhappy with my low hairline.

Benjamin Caughlin, MD, FACS · Answer

We can lengthen the forehead. This is typically done with a coronal brow lift and is ideal for someone with concomitant low eyebrows. The procedure coset 5,500$ at our office and requires an incision in the hairline. There is a 2 wk recovery period. Patients are very happy with this procedure over all and the hairline can be raised up to 2cm but keep in mind this will also raise the brows significantly so it is typically performed in an older population with low or ptotic eye brows.I hope this helps.Best of luck,DrC

Larry S. Nichter, MD, MS, FACS · Answer

Of course photos and preferably an exam is required for the best recommendation. The simple answer is yes there are procedures that will lengthen (or for that matter shorten it for others)  your forehead including endoscopically and with open approaches to the forehead lift.

Sam Naficy, MD, FACS · Answer

I agree that a coronal forehead lift is the best procedure, especially if you need brow elevation as well - but it would be difficult to raise your hairline more than ~ 1cm.

Jason Hess, MD · Answer

Dear hersheykissy,

	A forehead lift is a great surgery, but only in the appropriately selected cases.  Surgery is generally preserved as a last resort for most cosmetic issues.  A low hairline is not traditionally treated with a forehead lift.  This is a difficult question to answer without pictures.  First, you must decide the aesthetic ideal placement of your hairline.  If it is indeed too low, consider possible hairstyle changes as your hairline will likely lengthen with aging.  If you are certain that it is too low and prefer a more immediate change, consider laser hair removal or depilation along the frontal hairline.  Tissue expansion of the forehead is an option, but is less than ideal.  This essentially involves baloons placed beneath the skin that will stretch and lengthen your tissue.  It would be wise to visit one or several board certified plastic surgeons to gain some information and consider your options.

	Good luck!!

Kenneth D. Steinsapir, MD · Answer

Dear HersheyKissy

	Endoscopic forhead lifts do tend to push the hairline back.  Generally, this effect is subtle and the improvement in the appearance of the forehead more than makes up for the change in the hair line position.  Occasionally gals get talked into having a forehead lift with the incision made a long the hairline to "shorten the forehead."  This scar is virtually always visible and causes compression of hair along the hairline that can look a little funky. For more accurate and complete information, consider adding a photograph.

Philip Young, MD · Answer

A forehead lift tends to make the forehead longer but not in a great degree. If you really want to lengthen the forehead another way to consider doing this is by carrying out hair removal with lasers and other techniques. You have to make sure this is what you want to do though. It could be permanent.

	Thanks for reading, Dr Young

Jeffrey Epstein, MD, FACS · Answer

By elevating the hairline, usually through an incision made back within the hairline, the forehead can be extended by as much as 2 to 3 cm in a flexible forehead. To achieve any more elevation, tissue expansion of the forehead would be indicated, something that few patients are willing to tolerate.

Samer W. Cabbabe, MD · Answer

Foreheads can be lenghtened by removing some of the hair - bearing scalp above the forehead. This can be done with a lift. It can be difficult to get a natural appearing hairline this way and a lift is required in order to stretch the skin. Make sure you see a board - certified plastic surgeon in consultation.

Barry L. Eppley, MD, DMD · Answer

A short forehead is more difficult to improve than a long one. Most types of browlifts, other than a hairline or pretrichial technique, will actually lengthen the forehead to some degree. But this degree of lengthening is never more than .5 to 1 cm in actual length. It is possible to create real forehead lengthening through tissue expansion and scalp excision but this would be an extreme approach.

Zain Kadri, MD · Answer

Dear hersheykissy,

	You have an interesting problem. Before you embark on any surgery first decide where your hairline should be. and  have your stylist  mark it.  Then  shave off that area.    If   you like your new hairline  consult  someone who does good laser hair removal and have the hair removed  to  the new level. .It sound like wierd idea but  you are doing what is happening to lot of men( receding hairline). So basically you are receding your hairline with the aid of laser. 

	 In order for the. laser hair removal to be effective you should have dark hair  If you are a platinum blond you are out of luck.

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