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 32
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.
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.
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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.
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.
High Wide Forehead Reduction Possible?
hair-bearing skin in front of the hairline. In the latter procedure, the incision is placed just within the front hairline and angled so as to avoid damaging the follicles. The undersurface of the hair-bearing scalp usually needs some relaxing incisions so that the scalp can be brought forward a couple of centimeters. Devices called endotines are placed within the bone of the skull. The endotine has little pointed prongs or "tines" onto which the scalp is impaled so as to keep the advancement from being pulled back. The excess non hair-bearing forehead skin is then excised and the wound closed.
In some cases an expander is placed for 2-3 months first, if it is felt that the scalp will not advance sufficiently.
Expanders are also helpful in stretching the skin around male temporal recessions for adequate closure in these areas.
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.