I have a wide forehead (wide face), can I get a lower hairline and smaller forehead? (photo)

Question

If I have a wide forehead ( I have a wide face) can I get a lower hairline and also a smaller forehead? Hmm.. as in squishing the forehead until it gets smaller or some sort like that? I have the first picture forehead I want the second

Jae Pak, MD · Answer

In general you can reduce or lower your hair line with a forehead reduction surgery.  Forehead reduction surgery generally cannot NARROW your forehead.  To narrow your forehead, you would likely need a hair transplant surgery.  You would need an exam to make sure you are a candidate for both.

Matthew Richardson, MD · Answer

Based on the photos provided, it seems like a combination of forehead reduction and hair transplantation (in two stages) might be the best way to go. The hairline can be lowered dramatically with forehead reduction surgery, but the temporal areas cannot be narrowed using this method. Hair transplants can be used to bring in the temporal areas and also to help disguise the hairline scar even further postoperatively. An alternative would be to go through two hair transplant procedures, but this requires quite a long process to see the results.All the best,

A.J. Amadi, MD · Answer

As mentioned previously, a trichophytic [hairline] incision made at the hairline will allow the incision to be nearly invisible, however, pulling your hair back in a tight ponytail may make the scar somewhat visible. It also depends on how thick your hairline is.

	Posting your own photo would be helpful.

Siamak Agha, MD, PhD, FACS · Answer

I do perform forehead reduction for selected patients.    This is what most patient need. The ideal distance between the brow and forehead is 6 to 6.5 cm.  An inch of hairline lowering is more than adequate for most patients.

	 

	To learn more and see photos, please visit the link below.

Lawrence Kass, MD · Answer

Yes, as mentioned by the other doctors who replied this is possible for you. But I am not certain that it is advisable and there is a risk that you could be unhappy, despite the best efforts, with the scar created to do the procedure.

Chase Lay, MD · Answer

Morning Patricia,

	 

	It's absolutely possible, however, none of us have seen or examined you so take our limited advise for now.  The best, complete, procedure you can do is to remove the strip of tissue/skin in front of and along the hairline then advancing the scalp forward.  There is an incision that will always be visible to some degree but it is rarely conspicuous.  The added follicular hair unit transplantation to camouflage the incision at the time of surgery helps this.

	 

	This procedure can be performed under local anesthesia with about a week of down time.  It would be another 2 to 4 weeks before the incision is not noticeable.

	 

	Best of luck

	Chase Lay, MD

Michael M. Kim, MD · Answer

Lowering the hairline (and consequently shortening the forehead) is possible. A tricophytic broken line excision of a strip of skin just inferior to the hairline allows one to pull hairbearing skin into a lower position. There are the risks of a conspicuous scar but people who needs this procedure generally happy with their result.

William Rassman, MD (retired) · Answer

There are two types of procedures for lowering a woman’s hairline. One, is a surgical excision of the upper forehead followed by the downward advancement of the hairline up to an inch from where it was prior to the surgery. To accomplish this, the entire scalp from the frontal hairline to the very back of the crown, is lifted up and pulled forward. When this is done by an experienced surgeon, the hairline can often be advanced about 2/3rd – 1 inch if there is enough looseness when this lifting process is done. This procedure is often complete in one surgical session; however, it may not address receded corners of the hairline if the corner recession is significant. A great advantage of this surgical approach is the immediate impact of the procedure on hairline location with healing usually complete in a week or so. Sometimes this procedure produces a scar in front of the hairline, and if this is this is the case, a hair transplant in front of the hairline can address the scar. If there is corner rounding that is not addressed by the surgical lowering, then hair transplants can address this very well.  Hair loss does occur rarely in women who have has any type of facial surgery, including forehead advancement surgery
  
 The second type of hairline lower procedure is done through hair transplantation. The number of sessions varies by the thickness of the hair. For women with other than fine hair, they might do this in a single session. With finer hair, it often takes two sessions. The time to see the impact of a hairline lowering hair transplant procedure is 7-8 months and if a second session is required, it will take another 7-8 months to wait for full growth. See web-references below for four excellent sets of photos of this process on four women

Richard Ellenbogen, MD (retired) · Answer

This can be accomplished with a Camirand incision of the hairline where the hair grows thru the scar. The samecan be done for thewidth of the forehead

Richard W. Fleming, MD (retired) · Answer

We developed the procedure to reduce the forehead using the irregular trichophytic hairline incision which allows hair to grow through the incision so the patient has total freedom of styling after surgery. The forehead can be narrowed with the use of micrografts.

I have a wide forehead (wide face), can I get a lower hairline and smaller forehead? (photo)

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Answers (11)

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