Hairline Lowering Dallas
Many patients are self-conscious about a high hairline, particularly women. In most cases, this is genetic. Dr. Matthew Richardson specializes in hair restoration surgery and facial plastic surgery. This unique skill set allows us to improve the overall facial balance by lowering the hairline and shortening the forehead. Dr. Richardson is an expert in facial aesthetics and will customize the treatment plan for each individual patient in order to achieve the best possible results. Hairline lowering, also known as hairline advancement, scalp advancement, or forehead reduction, is a very gratifying procedure for patients, as most have dealt with this hereditary condition their entire lives.
Lowering the hairline can be performed in a one-stage procedure or a two-stage procedure, depending on the degree of lowering that is desired and the amount of scalp laxity present. Hairline lowering can also be performed in conjunction with other surgical procedures, particularly brow lifting. A brow lift combined with hairline lowering surgery in a one-stage procedure can result in significant improvement and shortening of the appearance of the forehead.
In a one-stage procedure, a carefully placed and camouflaged incision is made along the hairline and used to advance the hair bearing scalp and shorten the forehead in one surgical procedure. This technique can result in hairline advancements typically in the range of 1.5-2.5 cm and sometimes more. This is the most common method that patients choose, as it is quicker and only requires one procedure. Most patients are satisfied with approximately 2 cm of hairline advancement. In a two-stage procedure, a similar incision is made during the first stage, and a tissue expander is placed beneath the hair-bearing portions of the scalp. Over the course of 6-8 weeks, the tissue expander is slowly filled and stretches the scalp. In the second stage of the procedure, the tissue expander is removed and the hairline is advanced and lowered to a greater degree than in a one-stage procedure. In either the one-stage or two-stage procedure, the patient is left with an irregular scar along the hairline that is usually pink in color initially and then fades over the course of several months. The scar can be camouflaged with makeup once the incision is well-healed (usually 7 to 10 days after the procedure). These incisions placed along the frontal hairline are usually reserved for women as they tend to have a stable frontal hairline and while they may suffer from thinning of the hair, the frontal hairline does not typically recede like it does in a man. For men who desire to lower the hairline, hair transplant is usually the best option, as described below.
Another option for hairline lowering is hair transplant, which can be performed to lower the hairline. Hairline lowering with hair transplant does not require any linear incisions along the hairline, but does not usually attain the same density as a hairline advancement procedure with only one hair transplant session. In most cases, patients will opt for a second hair transplant session about one year after the first session in order to achieve even greater density in the transplanted zone. Once this second session is complete, patients have usually achieved excellent density. The upside of this technique is the lack of any linear scar along the hairline. The downside of the hair transplant hairline advancement is that the entire process takes about two years to see the final result as hair grows slowly and the transplanted grafts after the second session (which is usually performed one year after the first) will take a full year to mature. Click here to learn more about hair transplant procedures.
In some cases, patients will choose to combine the two techniques: they will have the one-stage hairline advancement procedure to move the hairline down a few centimeters, and then come back 6-12 months later to have a few hair transplant grafts placed just in front of, around, and in the scar in order to camouflage it even more. This entirely depends on patient preference, their particular anatomy, and how well they heal after surgery.
Dr. Richardson can discuss these options with you in detail during your consultation and formulate a personalized treatment plan based on your anatomy, goals, and lifestyle.
EMAIL US today or call us at (469) 362-6975 to schedule a consultation and find out more about how we can help you look your best.
These photos are only a few weeks after the procedure. The scar color fades over time and disappears as hair grows through the scar.