A more masculine appearance in women can be the result of elongated foreheads or high hairlines. An oversized forehead can readily detract from balance and harmony in women’s faces. Today, a procedure aimed at placing the hairline in an aesthetically pleasing position by lowering the hairline and reducing the forehead results in a restoration of balance to the face.
Typically, female hairlines start from about four to six centimeters above the eyebrows, from around the transition point between where foreheads start sloping towards the scalp and the vertical forehead. Hairlines starting well above this transition point will often appear relatively unattractive.
One of the important factors for a successful procedure is the flexibility of the scalp, meaning a patient can freely wriggle their scalp backward and forward, enhancing chances of achieving the desired outcome. If on the other hand, one’s scalp is not as flexible, advancing one’s scalp to reduce the forehead can prove to be more challenging and result in the requirement of a two-stage surgery. The other important factors to be considered include the presence or absence of cowlicks or hair whorls, hair density and existing, hereditary, or progressive hair loss.
Dr. Jeffrey Epstein, MD, FACS
Having performed about 2,500 procedures of hairline lowering and treatment of receding hairlines, Dr. Epstein is arguably among the world’s most renowned specialists in this field.
The two techniques in which Florida based Dr. Epstein specializes in are hair grafting and surgical hairline advancement.
Surgical Hairline Advancement
Surgical hairline advancement, also referred to as the hairline lowering procedure, effectively lowers high hairlines in just a single step, is comparable to no other procedure, and is almost exclusively practiced on women. This process usually takes a maximum of two hours, effectively reducing high foreheads by as much as two inches.
An alternate method is combining both surgical hairline advancement and hair grafting to alter the hairline’s structure successfully for the creation of an enhanced feminine appearance, making hairlines more round or oval shaped by filling in the upper temporal region.
This surgical hairline advancement procedure is among those that Dr. Epstein specializes in for the reduction of the forehead Dr. Epstein performs this particular procedure at least once every week, an average that is significantly higher compared to other practicing doctors in the United States. Dr. Epstein’s patients, more often than not, travel to Florida for this procedure.
The surgical hairline advancement is a technique that entails surgically reducing foreheads through moving the hairlines forward, and Dr. Epstein is clearly among the world’s most experienced and successful practitioners of this particular procedure.
It features an incision, made along the hairline’s front, after which the hairline is moved forward, followed by suturing close the incisions, but only after fruitfully removing the excessive forehead skin. This process leaves a linear incision scar that runs along the hairline, later healing to a barely visible fine scar that allows hairs to grow through it, unlike the regular scars which restrict hairs from growing.
Compared to hair transplantation, achieved through grafting hair, surgical hairline advancement is by far much more complex, though it does provide quick and desirable results. Most of the patients who undergo this procedure are usually almost fully recovered within a week, allowing for the removal of sutures inside the same time duration. The possibility provided by this procedure, of achieving of a lower hairline that appears thick and natural in just under two hours, is quite impressive.
The primary and most beneficial advantage of choosing the surgical hairline advancement, is the provision of an immediate outcome accompanied by unsurpassed density, all achieved by simply performing a single procedure. Additionally, two months after a successful surgical hairline advancement procedure, patients can have a hair grafting procedure conducted to round out their hairlines effectively, concealing any line scars that resulted from the initial operation and might still be visible.
Hair grafting, also referred to as hair transplantation, is usually the preferred procedure by most of the patients, especially since this particular procedure does not require incisions along hairlines, in addition to being a less surgically involved process compared to surgical hairline advancement. Hair grafting is also beneficial to patients since it allows rounding out of hairlines, effectively filling in and lowering the sides. This procedure is common for advancing overly high female hairlines and most of the male hairlines too.
At least 2,400, hair grafts can be successful placed in just a single hair transplantation procedure, with the resulting outcomes appearing quite natural. Hair grafting is a painless four-to-eight hour procedure, typically performed after subjecting patients to a mild oral sedative, and its recovery period is also painless.
In this procedure, the surgeon places grafts, each of which contains about three hairs, into minuscule incisions that are both in front of and in-between existing hairline hairs, in a natural growth direction, suitably enhancing density.
Employing either a scarf or hat allows most of the patients who undergo this operation to be fully presentable the following day, which enables them to resume their normal activities, and after about five days it is usually possible for these patients to exercise and even wash their hair.
The hairs that were transplanted will fall off about three weeks after the operation, and begin to regrow after about four months, which means it might take about eight months once the procedure has been successfully performed for any noticeable results to appear.
The resulting hair can not only grow in the areas where hair previously grew, but also in the places where hair never grew. Donor hairs will usually come from the backs of patients scalps, seeing that hair will always continue growing there. The hairs will mainly be transplanted one or two at a time, of course, placing the finest hair strands up front, which is the natural way hairline hair grows, this results in a natural-looking appearance.
There are, however, risks that accompany the hair grafting procedure, including the possibility of the donor site, which is where transplanted hairs are removed, healing as an incision smaller than two millimeters. Fortunately, this can easily be concealed by the existing hairs that are around that area.
A light dressing is usually applied immediately after surgery and removed a day after. It is also quite unusual for any patient to require a covering of their hairline beyond three months, especially with most of the patients being able to wear their hair pulled back about three weeks following surgery.
The extent of hairline lowering and forehead reduction to be expected will typically be determined by the laxity of a patient’s scalp and forehead and how easy it is for a patient to move it backwards, and forwards.
These two procedures provide a permanent alteration and will not require repetition, plus they can be performed on patients of any age, albeit the most common age for this procedure is as from the early 20’s onwards, with no limits as to age advancement.
Although you should be up and about by the afternoon following the surgery, plan on taking it easy for at least the very first week, and avoid strenuous activities such as heavy housework as well as aerobics for the same duration. Mild stretching and walking are both fine, but exercises involving extensive stretching or inversion, such as Pilates and Yoga should probably be put off for at least two months.