Im 20 Years Old, Male, and Considering Forehead Reduction Surgery. What is the Process? (photo)

A forehead reduction will basically involve the lowering of the hairline through the transfer of hair follicle grafts extracted from your own scalp. With the Follicular Unit Extraction (FUE) method, this involves the use of tiny punches which will not leave any permanent linear scarring. My clinic also uses specialized (Dr.UGraft) punch technology to remove thinner nape hair to recreate the softer outer edge of the hairline and temples, rather than using thick, harsh hairs. Here is an example of a patient from the Dr. U Hair Clinic in Los Angeles where this was achieved on a young man in his twenties.

Greetings,
It is hard to find doctors for forehead lowering since they need to be experts in 2 areas.  First of all, doctors need to be experts in facial plastic surgery or plastic surgery to lift up the scalp area and advanced along the forehead.  The galea is released during this.  A key component is hiding the scar along the border of the scalp.
The second component is being an expert in hair transplantation.  The hairline is lowered and the scar is camouflaged through hair transplants. 
Look for a surgeon specializing both plastic surgery of the face and who does hair transplants.
Best,
Dr. Anil Shah 

In general, forehead reduction in male patients is most commonly performed through hair transplantation. This prevents a linear scar along the forehead and hairline area in a male that is at risk of the hairline thinning and receding over time. As others have mentioned, 20 is too young for a hair transplant procedure in my opinion, and is likely to lead to long-term problems and the need for several more transplant procedures in order to keep up with hair loss. Be sure to see a facial plastic surgeon who specializes in hair restoration in order to review all of these options in detail.Best,

Hairline Lowering Surgery is a very popular option for reducing the height of the forehead.  It is done in 1-2 hours with a visit the following day.  Stitches are removed on day 7 so you can stay close by for that week or fly home and fly back.  There is very little discomfort in most individuals though we provide mild pain medicine to every one.  You are able to shower the next morning and because the swelling is primarily at the hairline and behind it, you can run errands outdoors easily without anyone knowing you had it done.  Hairline lowering Surgery is truly a highly satisfying procedure for both patients and surgeons.  Males can have this procedure done but we have to practice some caution.  Men generally have a receding hairline or will have a receding hairline in most cases.  The scar on the scalp can be mildly visible if he experiences hair loss in this area.  A better option for men would be hair transplantation unless there is a strong family history of little hairline recession, in which case, we can perform the hairline lowering surgery and later add hair grafts as the hair thins or recedes mildly.

If you are a male with receding hair line, a forehead reduction may not be in your interest.   See a doctor for an examination for your options.

Hair transplantation is probably in your best interest rather than a forehead reduction as you most likely will continue to have a receding hairline.

Hair transplantation is the best option for you. As a young male you do not want scars on the forehead that cannot be reversed. You can get a smaller forehead with proper hair transplantation in the receding hairline. If you do not like the hair transplant, down the road you can always get a skin excision with forehead reduction. This way you have not burnt any bridges.

Regards

Dr. J

Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.

Thank you for your photos and question.  Based on your pictures and your age, a forehead reduction would not be the ideal procedure.  This is because a forehead reduction surgery requires an incision along your frontal hairline.  This may look good for a few years, but if you start to lose your hair along your frontal hairline, the incision will not be hidden anymore.  For this reason, we are always hesitant to perform a forehead reduction surgery on a young male who may have a family history of hair loss down the road.  Hair transplantation is an alternative option for you to lower your hairline without the risk of a scar on your forehead that can't be hidden.  I hope this helps!

You are not a candidate for forehead reduction surgery as almost no males ever are. With your unstable and receding hairline, you need to consider hair transplantation. Forehead reduction by skin excision requires a stable frontal hairline with good follicular density.

For forehead reduction you have several options depending on how much you want to lower the hairline.

1: Hair transplant

2: Incision infront of the hairline and advance the hair bearing scalp foreward, may advance one inch

3: incision infront of the hair line and lift the scalp all the way back then advance will give more advancement of the hair line.

if you want much advancement, then using a tissue expander in the scalp, after expansion can advance a lot.This is a two stage procedure