Hairline lowering surgery or hair transplant for naturally high forehead? (Photo)

Question

I have always had a high forehead that bothers me, particularly in photographs. I am now considering either hairline lowering surgery or a hair transplant. I would prefer surgery but my main concerns are the scar of the hairline lowering surgery, if a hair transplant will look natural, if the hair will in fact "take" (since hair does not naturally grow on my forehead), the ability to manipulate transplanted hairs with keratin treatments and blow dryers, and the number of transplants necessary.

Jae Pak, MD · Answer

A great hair line lowering surgery can look great despite the scar.  The scar will be there but it will not be as noticeable.  Sometimes hair transplants on and in front of the scar can help.A great hair transplant surgery can also look great.  Hair transplants do "take" and it will grow and behave like your normal hairs.  In fact a hair transplant surgery has the potential look most natural.The decision to go through with either surgery should be made after examination by doctor(s) or several consultations with different doctors.

Toby Mayer, MD · Answer

Hairline Lowering--hair transplant or Irregular Tricophytic  hairline lowering is A frequent question. As Dr. Fleming said we developed a better and less expensive way of doing this 35 years ago. The hair grows through the hairline scar and you never have the rows of corn look or a change in hair texture which you can get with hair transplantation. This can be done in a simple operation with only a few days off of work and the result is completed. You do not have to wait for transplants to grow as the hair that you have is just moved down and does not fall out.  See you very experienced surgeon with this technique.

Anastasios Vekris, MD · Answer

Lowering of the hairline is one of the main goals of hair restoration with the FUE technique. Through the ability to extract large number of hair follicles (single hair follicles for the hairline) we aim at a natural hairline according to individual characteristics without any scar or visible mark.

Kapil Dua, MBBS, MS · Answer

Hair line reconstruction by hair transplant should be a better procedure for you as it is a simple procedure, the number of grafts required is less in your case and a single sitting should be good enough.

Parsa Mohebi, MD, FISHRS · Answer

A high forehead could be treated with:Hair TransplantSurgically remove the upper part of forehead and pull the hairline lower.The first method gives natural result but for creating maximum density some patients may need more than one procedure.The second method can give a solid hairline but it may look too linear with a scar that may require further hair transplant in front of it to make it look more natural.  You should talk to a hair transplant surgeon to explore your options.

Michael Meshkin, MD - Account Suspended · Answer

There are two ways to lower the hair line one is by forehead reduction and one is by hair transplant. In the  hands of an experienced hair restoration doctor, wither way it will look natural.  For pros and cons for each technique you need to see a specialist and find out which is better for you.

Brian Goertz, MD (retired) · Answer

In general, hair transplantation will give a more natural appearance than the resultant scar from hairline lowering surgery. However, I have performed many hair transplants in the hairline after face lift and forehead reduction surgery in both men and women and the scar can effectively be masked with hair transplantation.  Caution, you will see mixed messages on FUE versus FUT: FUE grafts even in expert hands still has a lower hair graft survival rate than FUT (strip method harvesting). Most women and men with longer hair will achieve better cosmetic result and better growth with FUT.

Sheldon S. Kabaker, MD FACS (retired) · Answer

The hair at the front of your present hairline does not look all that strong. You may have lost some hair from styling practices or you always had a zone of fine hairs. If that is the situation, the one stage hairline lowering operation by itself would probably not work as well as it would if you had a two-stage procedure with a tissue expander. (If you have an extremely flexible scalp that might not be the case.) The hairline lowering procedure gives you the thickest coverage which cannot be replicated with grafts alone.It is rare for the hairline scar after a hairline lowering operation to be a problem especially if all the hairs grow in the forward direction.  But if it were or you wanted the hairline lowered further, grafts could be done later to totally disguise any scar. There are a number of factors that have to be evaluated in order for you or your surgeon to make the best decision.

Richard W. Fleming, MD (retired) · Answer

For over 35 years I've recommended hair line lowering or patients like you. We developed the Irregular Trichophytic Incision where hair grows through the incision after surgery so the patient has total freedom of styling. The patient can achieve normal density and texture in the behindt the hairline.

Hairline lowering surgery or hair transplant for naturally high forehead? (Photo)

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