Step 1, lowering the hairline Dr. Lindsey McLean VA
This attractive mid-40s female complained of an abnormally high hairline and large forehead. She'd consulted with 2 hair docs who recommended lots of hair, and one general plastic surgeon who recommended excising forehead skin in front of the hairline and skipping hair work.
When she came to me, first off I told her that she was not un-attractive and didn't need to do anything. Her husband agreed.
However, she's in the health care field, and has considered her condition for 20 years or more.
I felt that indeed she has a high hairline, which is quite common in white females--accounting for the fact that while I've done 3400 facelifts...I've only done a hundred or so browlifts--I think most browlift options can exacerbate an already high hairline and make an un-natural result.
I also felt that she has brow ptosis, or abnormally low hanging eyebrows.
So a combination treatment option was offered and this is step one. First, we did a trichophytic incision (this is what trichophytic was made for as I've posted elsewhere on this site), and a browlift. But rather than simply raise the brows, I undermined way back under her scalp and pulled that foreward too. I was able to excise an inch and a quarter of hairless forehead skin, and then a nice trichophytic closure was done. She wore a wrap one night, and then a tennis sweatband for 2 weeks. Sutures were removed on day 5, see pictures, and hopefully she'll return in a month for a scar check...but she lives a fair distance away.
I expect her forehead skin to stretch back a little, and she will probably want a hairline hair transplant this fall. OR perhaps this will take care of it to suit her.
She was a great patient and went back to work on day 6, with minimal discomfort. She'll have a bit of a surprised look for a few weeks, and hopefully in a few months she'll have hair growing out in front of that hairline scar.
Dr. Lindsey McLean VA
William Lindsey, MD
Member, International Alliance of Hair Restoration Surgeons
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