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.
High Wide Forehead Reduction Possible?
Doctor Answers 35
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.
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 reduce the forehead size that way.
Get a consult with a Board Certified Plastic Surgeon.
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 follicles in the front. The forehead is lifted up and back, and some of the forehead skin is removed. This results in a smaller forehead and the hairline being brought down. It takes some time, but the hair that you cut through will eventually start growing and will disguise the incision. As the hair is growing, the incision will be pink and may be difficult to hide depending on how you style your hair. If you go to my profile you can see some photos of the incision at 2 weeks, then 6 weeks, plus a front view of the patient after things have healed. My cost is about $2500 plus $100 for anesthesia. Utah plastic surgery is quite a bit more affordable than that found in NY. You must be female to be a candidate for this operation.
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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.
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.
The other two common ways of doing a brow lift are endoscopic and coronal. Endoscopic has the appeal of requiring only a few small incisions behind the hairline, but that is at the expense of a higher hairline. Keep in mind, when you lift the eyebrows from behind the hairline, the hairline goes up 2 or 3 times as much as the eyebrows. For example, lift your eyebrows 1/8 of an inch, the hairline goes up as much as 3/8's. Since most people already have a hairline that is bordering on the upper edge of desirable, rarely do patients pick this route.
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.
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 procedure can not be performed if you had an old fashioned brow lift (coronal lift) prior.
I don't perform forehead reduction procedures in men. The hairline may continue to recede and scars that remain may look ridiculous. Men with receding hairlines, that is every male patient, require innovative techniques which elevate the brow while maintaining the hairline and minimize scarring. Fortunately, for most male patients the brow needs minimal elevation or just maintenance of position. Hair transplants can be helpful in some male patients.
It is possible
For patients with a high and wide forehead, it is possible to perform a scalp advancement to bring the hairline forward. The degree of advancement will depend on laxity and your goals.
Hairline lowering and hair transplant
most patients wishing to lower the hairline and reshape the hairline require a combination procedure with both a hairline lowering and hair transplants. The hair transplants can be performed by one of several methods. Alternatively, many patients have the hairline lowered with hair tranplants without a hairline lowering procedure.
Hairline lowering surgery
Hairline lowering or advancement (also known as forehead reduction) is a great method of reducing the forehead with immediately noticeable results. Traditionally, the high hairline has been addressed by hair transplantation. Hair grafts can look natural here but may require a number of procedures, depending on the density and the amount of lowering required. Perhaps two years would need to pass before the process is completed. The ideal patient for the hairline advancement procedure is typically someone born with a high hairline and no personal or familial history of progressive hair loss. To achieve optimal results with a single procedure, potential surgical candidates must meet specific criteria.
To select appropriate candidates for this procedure, a thorough examination of the scalp with a focus on scalp laxity, direction of hair exit, and frontotemporal points and recessions. Forward-growing hairs at the hairline allow for hair growth through the scar and the highest probability of scar camouflage. Patients with posteriorly exiting hairs at any point along the hairline, as seen in those with cowlicks, may require future hair transplantation to disguise the scar and achieve best results. Hair grafting is also preferred for individuals who desire coverage of deep temporal recessions. Adequate scalp laxity can be determined by the relative ease of moving the hair-bearing scalp forward and backward and the pinching of forehead skin. For patients with relatively tight scalps, massaging the scalp in a backward-forward movement for a month before the surgery can improve the forward advancement achieved.
This is a great procedure that produces immediate results. There may be some forehead swelling which usually resolves in about 4-5 days. Stitches are removed in 1 week and most patients are able to return to work in 1 week. In order to determine if you are a candidate for hairline lowering surgery, a proper physical examination of your scalp is necessary.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.