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Hairline Lowering Surgery

Hairline lowering surgery are requested by men and women for various reasons, including as a feminisation procedure, developmental high forehead, or as a follow-up surgery after a brow lift.

What does the surgery involve?

Hairline lowering is a surgical procedure that involves creating an incision at the front of the hairline, which also extends into the hair at the sides just inside the hairline, this specific part of the incision is hidden. This incision is specially angled to permit the hairs at the front of the patient’s hairline to grow naturally through the scar tissue; minimising the chance of a visible scar once the wound has healed.

Once the incision has been made the scalp tissue is raised and gently stretched to allow the hairline to be lowered. Some of the forehead skin can be removed, usually around 2cm, although the maximum amount of skin that can be removed using this specific technique varies from patient to patient.

Hairline lowering procedures can be combined with other facial surgery including brow lifts, or forehead reshaping procedures.

Hairline lowering surgery typically takes 2 hours to complete and normally involves an overnight stay in hospital. Following the surgery, small plastic drains are placed into the wound overnight, and there is a head dressing placed which would remain on overnight following the surgery.

What can I expect following surgery?

The following day the drains are removed along with the head dressing, and the hair is carefully washed. As with most facial surgery, some bruising and/or swelling is to be expected. If hairline lowering surgery is combined with other facial rejuvenation surgery – like a brow lift – some bruising around the eyes could also occur. The initial recovery time is around 7-10 days so you will need to be off work as there is often bruising and swelling.

Around a week after hairline lowering surgery, patients are required to have the sutures from the scalp removed. Initially, the hairline scar can appear red and a little lumpy; although it may take anywhere from 6-9 months, the scaring will gradually reduce and fade. As the scar is in front of the hairline it is usually easily covered with the hair and generally is well accepted, but there will always be a small visible scar.

As some of the smaller nerve endings need to be cut during the procedure it’s possible to find a small area of the scalp has persistent numbness or altered sensation following hairlinelowering surgery.

What risks and complications are associated with hairline lowering surgery?

As with all surgical procedures there are risks of complications following hair line lowering surgery. It’s important to remember, complications that are common to most surgical procedures are bleeding, infection and asymmetry although normally, antibiotics are given during and following surgery to reduce the risk of infection.

Following hairline lowering surgery it’s usual to find decreased forehead mobility initially due to the post-surgical swelling. If combined with other forehead surgery or brow lift procedures this can be more pronounced. Combining hairline lowering surgery with a brow lift can also create a risk that the branch of the facial nerve to the muscles that move the forehead can be damaged. This is rare (and usually a temporary problem) but very occasionally can be enduring. Hair loss at the site of the incision or behind it can occur as well. This can take a few months to recover.

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