Can I place expander in forehead through hairline to raise hairline and have a hair transplant to cover the scar afterwards?

Question

I have a small 4 cm forehead. I want to raise it about 2 cm. I want the expander to be placed through my hairline instead of behind it because I would just get a hair transplant after to cover the scar. Is this possible or will the stretched skin of the forehead make it to wear the skin will become too thin to graft hairs into the scar? Also, I don’t want my eyebrows raised.

Toby Mayer, MD · Answer

Raising a 4cm forehead using the Irregular Trichophytic Forehead Lift using tissue expansion is possible as I have done. Transplants are not normally needed with a properly done ITFL. I described this in my textbook covering tissue expansion. This would require an examination before moving forward and your surgeon should be able to show you examples of the ITFL without a scar visible with the hair pulled back.

Jeffrey H. Spiegel, MD · Answer

Hello, you wish to have a larger forehead?  First of all, you can put a tissue expander from far away so the scar is not an issue. But, you don't need that. Get laser hair removal.  Your forehead and scalp blend together.  If your hair is too far forward, remove some.

Can I place expander in forehead through hairline to raise hairline and have a hair transplant to cover the scar afterwards?

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