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  1. #11
    Senior Member clarence's Avatar
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    Sep 2012


    This is kind of puzzling topic for a noob like myself. I mean, women - as opposed to men - mostly retain that juvenile hair line, where the hair line is touching the highest crease on a wrinkled forehead. So I'm puzzled, don't women need to have something of a mature hair line, rather than just a naturally high forehead, in order for the hair line to be advanced?

  2. #12
    Senior Member
    Join Date
    May 2009


    This procedure forehead reduction should never considered itís complete lunacy. If anything fue with hair near the nape area would be ideal for recreating a hairline with exactly the same caliber hairs you have there now.

    Why would a doctor even offer this to a woman who is not losing her hair. Cutting out a strip of skin on her forehead which is part of her face and sewing it back up, completely insane.

  3. #13
    Senior Member
    Join Date
    Jul 2012


    Please don't get a forehead reduction surgery done, it's madness.

  4. #14
    Doctor Representative
    Join Date
    May 2013
    Miami, FL


    There are two techniques that can be used to advance the hairline. The most common, because it has many advantages, is with hair transplants. In this technique, as many as 2,800 or more hair grafts can be placed in a single procedure with natural appearing results. Performed usually under a mild oral sedative, this 4 to 6 hour long procedure is essentially painless, as is the recovery period. These grafts, each containing 1 to 3 hairs, are each placed in the natural direction of growth, into very tiny incisions both in front of as well as between the existing hairline hairs in order to increase density. Most patients are fully presentable by 4 to 7 days, and allowed to resume normal activities, including exercise and hair washing, at 5 days. The transplanted hairs fall out after 3 weeks, then start to regrow at 3 months- requiring a total of 6 or so months before the results are quite noticeable. The hairs can grow not only in areas that once had hair, but also in areas where hair never grew. The donor hairs come from the back of the scalp, which continue to grow for a lifetime. To provide a natural appearance, the hairs are transplanted primarily one and occasionally two at a time, with the finest hairs up front, the natural way the hairline hairs grow. There are few risks with the procedure. The donor site, from where the hairs are removed, typically heals as a less than 2 mm wide incision, easily concealable with existing hair in the area.

    The other hairline advancement technique is a surgical procedure that involves shortening the forehead while surgically moving the hairline forward. An incision is made right along the front of the hairline, and sometimes along with shortening the forehead, the eyebrows can be raised up, if desired, so that a browlift is performed. The result is a fine line incision scar along the hairline which typically heals up to be barely if at all visible, plus is typically designed by our team to have hairs growing through it. This is definitely a bigger procedure than transplanting with hair grafts, but can be quite effective and produce rapid results. Most patients are presentable at 5 to 7 days, and the sutures come out at around a week.

    In order for the surgical advancement procedure to be successful, the patient needs at least a moderate amount of flexibility of the scalp along the frontal region. This can be tested by placing your index finger right along the middle of the hairline, then seeing how high up and down it can be moved. Being able to move the finger a total of an inch or so is generally what is needed to lower the hairline enough. If the scalp is not loose enough, the occasional patient may choose to undergo what is called tissue expansion. With this technique, a balloon tissue expander is surgically placed under the front three inches or so of the scalp, then over an 8 to 10 week period, the balloon is gradually inflated with saline. As it does so, it stretches out the scalp and allows for much more hairline advancement/lowering, as much as 2 inches if desired. Both of these procedures are typically performed in the office operating room under either an oral sedative or deeper intravenous sedation, the choice being up to the patient in consultation with one of our doctors, who have extensive experience with these procedures. As you can well imagine, most patients are not interested in having this expander.

    In fact, for most patients, hair grafting is the procedure of choice. It avoids the need for making an incision along the hairline, and is a much less involved surgical procedure. Another advantage of hair grafting is that our surgeons are able to achieve better rounding out of the hairline, especially filling in and lowering the sides. The main advantage of the surgical advancement procedure, however, is that there is an immediate result with unsurpassed density in just a single procedure. In addition, in as soon as 2 months later, a hair grafting procedure can be performed to round out the hairline as well as to conceal any possibly fine line scars that can result.
    This account is monitored by the assistant team of Dr. Jeffrey S. Epstein. All opinions are those of the respondent.

  5. #15
    Junior Member
    Join Date
    Jun 2014


    Mostly hair loss starts from the forehead part so looking after it is very necessary so you could take FUE treatment for it that would be very worthy.

  6. #16
    Junior Member
    Join Date
    Aug 2014
    USA, Illinois, Chicago


    The hair transplant for lowering the hair line is beneficial, it is a simple and natural process. This procedure is not so long, the expert surgeon will take only one day to complete this hair transplant procedure.

  7. #17
    Junior Member
    Join Date
    Jul 2019


    Where did you do the surgery please?

  8. #18
    Junior Member
    Join Date
    Nov 2019


    I've had both of these procedures done.

    Assuming the patients' issue is a genetically high hairline and not hair loss, the Surgical Hairline Advancement preserves far more hair density than is possible with a hair transplant. Additionally, it lowered my hairline immediately (although I also experienced shock loss - this started regrowing within a few months, and the hair all came back). The scalp that is stretched forward will have the effect of slightly thinning out the natural density of your hair - you will notice this, however others (including hair transplant surgeons who evaluated me later) still perceive it as "natural density", and it's far thicker than you can achieve with FUT/FUE.

    A downside of the SHA surgery is the scar - the trichophytic incision that is meant to camouflage the scar on the front of my forehead was partially successful on my hairline, and in other areas the hair grew through in clumps which gave it a "pluggy" look (My friend mentioned it looked like doll hair, and I hadn't told her I had a procedure done). In those areas, the hairline was also completely straight, therefore it looked unnatural. I also still had deeply recessed bald temples (this was due to my original hairline - it wasn't round, it was M shaped like a Norwood 3 man. The SHA was unable to fix this issue) so after healing I went back for a FUT hair transplant. I actually just had this procedure done the other day.

    Downside of the FUT: Long wait for results, not as high of hair density as the SHA. Upside: More natural results of the hairline, plus it's able to fill in my bald frontotemporal area.

    Honestly: If you need to get a second hair transplant procedure after the first hair transplant anyways to improve density after the first, you might consider the SHA first then followed by the hair transplant to soften the hairline and camouflage the scar - it will reduce the overall time you need to wait for the results, and the end result of hair will be denser than is possible to achieve with 2 hair transplants.

    If you do decide to get a hair transplant, find a good physician who only does hair transplants and will be in the room performing the procedure the whole time - there are a lot of docs out there who let technicians do the work under their license, but are out of the room the majority of the time. Since you can never achieve a truly normal density of hair with a transplant, a good outcome depends on hair placement, including orientation of the recipient incisions, hair placement and skill dissecting the donor follicles. Don't underestimate the skill this takes.

  9. #19

  10. #20
    Junior Member
    Join Date
    Feb 2020


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