Our hairline acts as a natural framework for our face. A high hairline leads to a prominent forehead, which can be out of proportion with the rest of the facial features. This can weigh heavily on a person’s self-esteem. Patients who are self-conscious about their high hairline often try to camouflage it by wearing certain hairstyles, or a hat. Everyday situations like windy weather, going for a swim or having a photo taken can suddenly turn into stressful moments of frustration, as they hope that their high hairline will not involuntarily become visible. Unfortunately, many people who are self-conscious about their high hairline, are unaware of an effective procedure that can put an end to their worries. It is time to enjoy every day, and leave those long-lived frustrations behind.
What is the goal of hairline lowering?
Hairline lowering, also known as forehead reduction is a surgical procedure that aims to correct an overly high forehead by bringing the hair-bearing tissue of the scalp forward. It reduces the height of the forehead and thereby improves the overall balance of the facial proportions.
What are the benefits of hairline lowering?
Hairline lowering is both an effective and efficient procedure that can significantly improve the overall balance of a face. The results last a lifetime. It leads to instant gratification, as patients are able to see the difference immediately after surgery.
How much reduction is possible?
Usually about 2-2.5cm of hairline lowering can be achieved, however this depends greatly on scalp laxity. Following an assessment and measurements taken during your consultation, we will be able to establish the degree of hairline lowering. It is important to take into consideration the overall proportions of your face when planning the new hairline. Mr. Bran will be able to help you identify an ideal and realistic position.
Before your hairline lowering procedure
Everybody’s anatomy is unique and requires a detail-oriented approach. During your consultation we will review your medical history and assess your area of concern – your hairline. In order to assess if you are suitable for a hairline lowering procedure, Mr. Bran will conduct a physical examination of your scalp and measure areas of your face. The typical female hairline follows the principle of equal thirds and starts between 5 to 6.5cm above your eyebrows. A hairline that starts above this height can cause the face to appear out of proportions.
THE PRINCIPLE OF EQUAL THIRDS
Since the Renaissance artists used the principle of equal thirds as a guide of proportions for creating appealing, and well-balanced faces. A harmonious face can be subdivided into three horizontal sections, that are all the same height:
- The lower face (from your chin to
the base of your nose)
- The middle face (from the base of your
nose to the level of your eyebrows)
- The upper face (from your eyebrows
to your hairline)
A disproportionally high hairline, leads to a prominent forehead that can divert attention from one’s otherwise balanced facial features.
Apart from a meticulous examination in order to analyse your personal anatomy of the forehead and your facial proportions, we put great emphasis on understanding your personal feelings about your forehead and what kind of an improvement you feel most comfortable with. Appreciating your personal aesthetics and managing your expectations is key to any surgical planning for Mr. Bran. Based on the clinical findings and the goals for your appearance you are hoping to achieve, he will then be able to elaborate a realistic plan. Mr. Bran will then also explain how the procedure is performed, possible risks of surgery, what to expect during your recovery period as well as answer any question you may have.
During your consultation we will take photographs of the area of concerns for your medical record. Depending on your age and health we might require additional tests
You may consider yourself a good candidate when you have:
- realistic expectations
- good scalp laxity (mobility of the hair-bearing skin on top of your head)
- no family history of hair loss
- female with a high hairline and thick hair and high density along the hairline
Men with a naturally high hairline or large forehead can also be good candidates, however they should have thick hair without a personal or a family history of hair loss.
- unrealistic expectations
- male pattern hair loss
- patients who had a previous coronal brow lift
Preparing for your hairline lowering procedure
Preoperative assessment is critical in order to select appropriate patients for hairline lowering. Apart from a physical examination you will have a discussion about your current and past medical conditions, and any medication you are currently taking or have recently taken. You will be asked about allergies, particularly drug allergies. If required, an anaesthetist will see you before your surgery. Depending on your medication, you might be asked to stop or change certain drugs for a duration of time.
You should not take any Aspirin, or non-steroidal anti-inflammatory drugs such as Ibuprofen in the week before your surgery.
In order to optimize your healing, we strongly advise all our patients to stop smoking at a minimum of 2 weeks prior to your surgery and refrain from cigarettes or any other nicotine containing products for 2 weeks after their procedure. Smoking significantly impacts your post-operative recovery and doubles the risk complications such as delayed wound healing, poor scars and altered results.
RISKS HAIRLINE LOWERING
In accordance with the Montgomery judgement, the following risks and side-effects are associated with hairline lowering surgery:
|PAIN||Moderate discomfort is expected; suitable pain medication will be provided.|
|BRUISING||Occasionally, may last for 2-3 weeks. Avoid Aspirin / Ibuprofen.|
|SWELLING||Swelling will occur. It can take 6-12 months to fully resolve.|
|BLEEDING||Major bleeding is rare. Haematoma (blood collection – risk is less than 0.1%) may require re-operation or drainage.|
|INFECTION||Occasionally, mild infection. Rarely serious infection. If required, appropriate antibiotics will be prescribed.|
|Some diminished sensation is expected around the scar and to the scalp. It can take 6-12 months to return to normal.|
|SCARRING||With any incision there is a risk of delayed healing and poor scarring, which can lead to hypertrophic scarring or keloid formation.|
|Rare. Caused by compromised blood flow to the tissue. Causes discolouring to scalp. Immediate review by your surgeon is required.|
|HAIR LOSS||Some hair loss around the scar and /or shedding of hair throughout is expected. This temporary loss is referred to as shock loss (telogen effluvium). Major hair loss or permanent hair loss is rare. May require revision surgery or treatments.|
|Uncommon, typically affects the forehead. Temporarily lasting approximately 6 weeks. Permanent weakness is rare.|
|DEEP VEIN |
|This is a clot that forms in the deep veins of the lower limbs causing pain, inflammation, and swelling. This will require immediate medical attention.|
|This is a clot which has travelled to the lungs causing chest pain and shortness of breath. This will require immediate medical attention.|
What is the recovery after hairline lowering?
We advise our patients to allocate enough time for their recovery. In the first 7 to 10 days you should expect some swelling around your forehead, which may descend to your temples and cheeks. Bruising is rare. Removal of sutures is usually scheduled between days 7 and 10 (depending on your skin type and details of your procedure). You can return to work after about 2 weeks. You are to refrain from any vigorous activity or exercise for 4 weeks. Exercise increases your blood pressure, which in turn can increase swelling, or worse bleeding.
The sensation of your scalp will be reduced, but will return after several months. It is normal to experience itchiness and tingling sensations along the scalp once the sensation starts to return. This is a sign of the nerves recovering.
You will be able to enjoy the new, lowered position of your hairline immediately after surgery. Once the swelling has settled and the scar has healed well, your forehead will appear well-balanced with your face. Previous worries like windy weather, going for a swim or having a photo taken will belong to the past. Your result is permanent.
What can complement a hairline lowering procedure?
In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.