Forehead Reduction/Hairline Lowering in Beverly Hills
Forehead reduction, also known as hairline lowering surgery, can correct an overly high or large forehead while preserving the natural flow of your hair. This procedure is ideal for patients who are finding it hard to conceal their high forehead with hairstyles. Forehead reduction is also frequently included in facial feminization. If you’re seeking better gender alignment, hairline lowering can make your face appear softer and more oval in shape.
With over 25 years of experience, Beverly Hills plastic surgeon Dr. Richard Fleming has the expertise to perform forehead reduction safely and effectively. He’s helped hundreds of patients reduce the size of their foreheads. To learn more about how Dr. Fleming can help you achieve better facial proportions, contact him at The Beverly Hills Institute directly or review the information provided on this page.
How Forehead Size and Shape Affects Facial Features
Usually, the most aesthetically pleasing size of a forehead is about one-third of the face. In women with high hairlines, the forehead will make up a disproportionate amount of the face. This atypical lack of balance can create a masculine appearance. More, women may be unable to wear their hair in the style they prefer. While high hairlines in women is usually an inherited characteristic, it can also be the result of a previous cosmetic surgery.
Men with very high hairlines usually inherit them as well, but they may also be the result of male pattern baldness. Those who already have high hairlines who begin losing their hair are not ideal candidates. If hairlines continue to recede, the incision will become visible. These individuals need hair replacement surgery.
Good Candidates for Hairline Lowering or Forehead Reduction Procedures
Both men and women with naturally high hairlines or large foreheads make good candidates for hairline lowering procedures. Typical hairlines are 5 to 6.5 centimeters above the eyebrows. Those who have hairlines higher than this and who think it negatively impacts their appearance are pleased with the results of hairline lowering/forehead reduction.
The presence of thick hair and no personal or family history of hair loss is also an important consideration. During his consultations, Dr. Fleming asks questions about family history. He also examines a patient’s hairline and the quality of their scalp. Good scalp laxity (stretchiness) is important for this type of procedure; those who do not have enough laxity need tissue expansion to achieve the results they desire.
Those who are in generally good health and have reasonable expectations for the procedure make especially good candidates for hairline lowering surgeries.
Hairline Lowering Process
Dr. Fleming uses his innovative Irregular Trichophytic Hairline Incision to perform his hairline lowering procedures. Dr. Fleming was the pioneer of this technique over 30 years ago and has used it in thousands of hairline lowering, forehead contouring, and brow lift procedures.
With this technique, Dr. Fleming makes an incision within the soft hairs at the hairline so that the scalp can be lowered. During this time, the forehead skin below the old hairline is removed and a new, lower hairline is established. Hair follicles are buried under the skin closure during the completion of the surgery so that hair will grow in front of the incision and effectively hide scars. If the scalp is not lax enough, the surgeon can sometimes use a tissue expander to slowly stretch the scalp over time. This stretching normally takes several weeks, and the expander is removed once the scalp reaches the proper volume.
During the hairline lowering process, Dr. Fleming can also elevate the brows if necessary. Low brows can be genetic or can be the result of the aging process. Brows can be elevated through the same incision that is made to lower the hairline.
Orbital Bony Contouring
Another forehead concern that often occurs concurrently with a large forehead is excessive fullness of the forehead bones above the eyebrows. If the patient expresses concern about these bones during the consultation process, Dr. Fleming will often recommend an orbital bony contouring be performs during the hairline lowering procedure. Through the same incision he uses for the hairline lowering surgery, Dr. Fleming can contour and reduce the size of this orbital bone to make it a more pleasing shape. This added procedure does not cause more scarring because it is done using the same incision at the hairline.
Hair Replacement Surgery
In some cases, hair replacement surgery can also be used to reduce the size of the forehead. Dr. Fleming can perform hair replacement using hair transplants or the Fleming Mayer Flap technique to increase fullness at the hairline, frame the face, and reduce the size of the forehead. Dr. Fleming helped pioneer the now popular Fleming Mayer Flap. While surgeons created straight hairlines 30 years ago, today, Dr. Fleming adds a few micrographs at the hairline to soften it, creating a natural appearance.
Hair transplantation is a good option for those who have male or female pattern baldness or a history of hair loss. It can correct patchy or thin hair and effectively address thinning hair in the temple area. Hairline lowering surgery provides more dramatic results than hair transplants because it gives the patients normal thickness and texture. It’s also more effective in balancing the proportions of the face.
The Healing Process After A Procedure
Healing from a hairline lowering varies depending on whether or not work was done on the orbital bone or a simultaneous brow lift was also done. In most cases, the surgery itself takes one to two hours and recovery time is a week to ten days. Most patients can return to work within a week, though they should avoid strenuous activities and heavy lifting for six weeks.
After the surgery, swelling and inflammation will occur at the site of the surgery. Pain medications and ice packs can help alleviate pain and reduce swelling. Temporary numbness may also occur around the incision but this will resolve. Not smoking or drinking before surgery and during the healing process will speed the recovery process.
Consultations for Forehead Reduction/Hairline Lowering in Beverly Hills, California
Do you have a naturally high hairline or believe your forehead is too large? The best way to find out if you are a good candidate for hairline lowering surgery and complementary procedures such as orbital bone contouring or a brow lift is to schedule a consultation with Dr. Fleming. During your consultation, he will go over your health history and ask about your goals for hairline lowering surgery as well as perform an examination of your scalp and hairline. You can ask any questions you have about preparing for, undergoing, or healing from the procedure at this time and can ask to see before and after pictures of others who have undergone this procedure.
If you are looking to restore balance to your face and improve your hairline, contact the Beverly Hills Institute office of Dr. Richard Fleming at (310) 278-8823 to schedule a personalized consultation and find out if hairline lowering surgery is right for you.
Hairline Lowering Frequently Asked Questions
For women, a good candidate would have a high hairline, which is secondary to an inherited physical characteristic or a complication of previous poorly performed cosmetic surgery.
In men, progressive male pattern baldness is treated with hair replacement surgery, including hair transplants and the Fleming/Mayer flap.
The results of the hairline lowering procedure are permanent in women. Some women will experience slight thinning immediately behind the hairline as a part of the normal aging process.
The hairline sutures are removed six days after surgery. The hairline will be red for at least six weeks as hair grows through the incision. Actually, the longer the better because this means more hair is growing through the incision providing an even better result. A small amount of makeup will hide this temporary change in color.
Using the Irregular Trichophytic Hairline Incision, hair transplants are rarely needed.
In individuals with a tight scalp, an expander is placed under the hair-bearing tissue of the frontal scalp. An expander is a deflated silicone balloon, which is slowly injected with saline over 6 to 8 weeks to stretch the overlying tissue. This will allow the hairline to be lowered to the desired location.
No, the entire expander is placed under the scalp through a 2-inch incision at the existing hairline. This incision, which ultimately will be removed when the hairline is lowered, is hidden with the hair the patient usually styles.
For young ladies who inherited a high hairline, it is best to be physically mature before having this surgery.