Options For a Wide Forehead Reduction?

I've read that it is possible with hair transplants, but is there any other way? I've heard there's a way to lower your foreheads length by making an incision in the fine hairs, and putting the forehead skin over it and it'll grow through the scar, or something. Is this procedure possible when attempting to reduce a foreheads width?

Doctor Answers 8

Forehead reduction

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Foreheads can be reduced in size by lowering the hairline with hairgrafting or by performing a traditional, open subcutaneous browlift.  A well done brow lift will reduce the forehead width by removing the some of the skin between the brow and the hairline.  The fine scar against your hairline can be created in such a way that your natural hair will actually grow through the scar and camouflage it very well. 

Wide forehead reduction or high hairline?

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If want you mean by a wide forehead is a high hairline and if your high hairline is due to male pattern baldness than the best treatment would be a hair transplant. Surgery performed to reduce the amount of visible forehead skin would possibly leave a well camouflaged scar at the front of your hairline now but as the hair loss continues it would become quite visible. A forehead lift can be done this way but typically its to address brow height and wrinkles not the position of the hairline.


Forehead reduction options

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Hair transplantation is a great way to lower the hairline and fill in the temple areas. Another option is hairline lowering surgery (also known as forehead reduction) for reducing the forehead with immediately noticeable results.  The ideal patient for the hairline lowering surgery typically is born with a high hairline and ideally has no personal or familial history of progressive hair loss. Because the fine hair grow through the scar in hairline lowering surgery, thereby camouflaging the incision, it is important to not have any personal or family history of hair loss. If male-pattern hair loss develops years later following hairline lowering surgery and the scar becomes evident,  we can place a few grafts into the hairline lowering scar to camouflage the incision. In general, the single-stage hairline lowering procedure performed on a scalp with average laxity will allow for up to 2.5 cm of forehead height reduction. Very lax scalps may allow for up to 3.5 cm of lowering with this one-stage approach.

Sahar Nadimi, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

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Hair transplant

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Reducing the width of the forehead (to narrow your forehead) requires a hair transplant surgery.  

Making an incision and overlapping your fine hairs sounds good in theory but there are issues.  One would be scarring. 

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 106 reviews

Lowering your forehead hairline

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I think you are describing the final closure technique of an incision made immediately behind the hair line then pulling up and removing the non hair bearing skin which in essence makes the hairline less high. In other words the distance from the brows would be less. The initial incision is made at a slant or oblique angle to preserve underlying hairs that often grow through the scar to camouflage it.The success of this technique depends on the amount of loose/redundant skin you have on your forehead that can be removed.

Wide Forehead Reduction

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The height of the forehead can be reduced by burying an incision in the fine hairs at the hairline after lowering the frontal hairline, a technique that we developed many years ago. However, this does not work along the temporal hairline to decrease the forehead width because of the direction of hair growth at the sides of the forehead. Hair transplants can be placed but do not look natural. Unfortunately there is no way to effectively reduce the forehead width.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Reduce a wide forehead? Maybe not.

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The trichophytic incision, the one that allows hairs to grow though and sometimes even in front of the resultant scar, will not work at the leading edge of the acutely downward growing temple hairs. I base this opinion on experiences with some of my cases from many years go and seeing this noticeable scar on the work of other surgeons. 

Also males should consider any of this hairline and temple work with great caution if there is any balding pattern going on or is a family trait. 

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon

Shotening the forehead

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As you mentioned there are two ways to shorten the forehead

1: hair transplant

2: Forehead lift through an incision infront the hairline, the incision is beveled so that one preserve some hair follicles that will grow within the scar to lessen the appearance of the sacr infront the hailine. You will still see the incision without bangs. This an also be comoufaged by hair transolant a year later by hair transplant.

In very rare cases, where significant decrease i the hairline is needed or in people who had previous forehead lift resulting in a wide forehead, one may need  tissue expansion of the scalp and advancing the hair bearing scalp. this will need fixation with absorbable screws or Coapt devise.

Samir Shureih, MD
Baltimore Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.