Brow lift on woman with receding hairline?

Question

Is any brow lift possible if one has a high forehead and receeeding hairline? I have a very wrinkled high forehead with low eyebrows in need of a lift, but I have hair loss in front and on sides of hair. Can anything be done?

Mehryar (Ray) Taban, MD, FACS · Answer

Pretrichial brow lift is a useful technique. It does not raise the hairline and in fact lowers it. See following video and website link. It also includes a link to my publication on this technique.

Jonathan Kulbersh, MD · Answer

A facial plastic surgeon considers the balance of the patient’s face before making any decisions about what procedure to perform. Depending on the degree of lift you need, you may benefit from a 1-cm brow lift, which will not affect your hairline. The small (1-cm) incisions are made in the eyebrows themselves using local anesthesia. Recovery includes one day of rest. Sutures are removed after 5 to 7 days. If your brow is wrinkled, I’d recommend resurfacing with chemical peels to improve the quality of your skin. This will also help the brow lift look extra rejuvenating. I hope this helps.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy for an endoscopic brow lift. 
Best wishes,

Christian G. Drehsen, MD · Answer

Yes it is possible to re-position the brow in an attractive and effective fashion and simultaneously reduce a high forehead. My procedure the Dual Plane Brow Lift produces exactly that effect by lifting the brow in a balanced fashion and reduces a high hairline by using an incision that weaves into the hairline. The resulting scar is no problem as it is camouflaged by growing hair follicles. We also use 3 CORE CO2 laser sessions soon after surgery to optimize the scar disappearance. Christian Drehsen, M.D.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about brow lift. It is difficult to correctly offer a suggestion without an in person consultation.  However, based on what you said, it sounds as if a brow lift would appeal to you.  As we age we lose collagen and elastin in our skin.  This in turn cause our skin to become loose and sag.  A brow lift would allow you to have your brow placed in the correct anatomical position.  A brow lift and hairline reduction achieve similar outcomes. 
To be sure, see two or more experienced, board-certified Plastic Surgeons in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.

Robert Kearney, MD, FACS · Answer

Depending upon how much your hairline is receding you could consider getting a hair transplant with the new Neograft machine and then do your brow lift.  You could do your brow lift first and then do the hair transplant.  With an endoscopic approach you no  longer need a long incision over the top of your head. so the incisions are easier to hide.

William Portuese, MD · Answer

A full set of facial photographs are required to make a determination about being a candidate for the surgical  brow lift.  As long as there is low set eyebrows, and wrinkles on the forehand, a brow lift procedure can accomplish lifting the eyebrows and making them more symmetrical in addition to softening the corrugator and frontalis muscles of the forehead to help with wrinkles.  If the patient has a low hairline, the incision was placed behind the hairline.   When patients have a high hairline, the incision is placed at the hairline which accomplishes lowering the hairline in addition to raising the eyebrows.  For many examples, please see the link and the video below.

Foad Nahai, MD · Answer

Dear Katherine87590,
Thank you for your question regarding a brow lift.  
Yes, there are options. Depending on the contour/curvature of the forehead an endoscopic approach may be possible. Alternately there are techniques which combine lowering the hair line with a brow lift, but a scar right at the hairline is required.

Tim Sayed, MD, MBA, FACS · Answer

There is a technique called a hairline-lowering (pretrichial) browlift where an incision is made at the hairline in order to avoid raising it. Endotines (the little absorbable carpet tack devices) can be placed through this approach and you can sometimes even have the hairline brought down slightly if the hair is not too thin right behind the hairline.

Curtis Wong, MD · Answer

done at the hairline then into the scalp are great ways to elevate your brow and shorten your forehead at the same time.  Do not have the traditional coronal lift as it will only make things worse.  SQ browlift have a high relapse rate so make sure you know what the surgeon's revision policy is as well so you can have a revision if your brows settle lower than you desire.

Brow lift on woman with receding hairline?

Answers (16)

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