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Hairline Lowering | Forehead Reduction
Hairline Lowering Surgery, also known as Forehead Reduction, is a cosmetic procedure that is designed to address a high or disproportionate forehead by advancing the hairline, with the intention to create more harmony and balance.

Forehead Reduction | Hairline Lowering in Beverly Hills

An Elegant and Natural-Looking Hairline

Dr. Natalie Attenello is internationally recognized for her expertise in hairline lowering/forehead reduction surgery. As a premier surgeon performing this procedure, she regularly welcomes patients from all over the world who travel to Beverly Hills for surgery with her.

Hairline lowering surgery procedure is best suited for patients whose prominent forehead is due to genetics or certain hairstyles rather than a receding hairline. By advancing the hairline, forehead reduction surgery can enhance overall facial balance and restore confidence, especially when wearing different hairstyles.

As a specialist in facial plastic surgery, Dr. Natalie Attenello truly understands ideal facial proportions and balance. She recognizes the individuality of each patient and does not believe in a “one-size-fits-all” approach. Instead, she takes the time to listen to and understand each patient’s goals. Together with the patient, she analyzes facial features, hairline and hair texture, as well as specific forehead anatomy and laxity, and then creates a new hairline tailored specifically to the individual. The results are transformative yet discreet, optimizing facial balance and overall beauty.

At our Beverly Hills facial plastic surgery practice, double board-certified Dr. Natalie Attenello specializes in hairline lowering, focusing on the subtle details of creating an artistic hairline to achieve a youthful, natural-looking result. Dr. Attenello’s approach is subtle yet transformative, providing understated results that deliver a balanced and proportional appearance.

Reserve your private consultation with Dr. Attenello to discover whether a forehead reduction procedure can help you achieve your aesthetic goals. Contact our Beverly Hills, CA, office at (310) 871-9599 or complete our online form today.

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What Is Hairline Lowering | Forehead Reduction with Dr. Attenello?

Hairline lowering surgery, also known as forehead reduction, is a cosmetic procedure designed to rebalance a high or disproportionately large forehead by advancing the hairline. This is accomplished by making a precise incision along the existing hairline, gently moving the scalp forward, and removing excess skin to create a more balanced and proportionate facial appearance.

After decades of surgical experience and thousands of these procedures, Dr. Natalie Attenello has refined her surgical technique and aesthetic approach to deliver the highest level of results for her patients. During your private consultation, Dr. Attenello will take the time to understand your goals and assess your anatomy and hairline. After gaining a thorough understanding, she will work with you to design and create a new hairline that is truly customized to your individual features.

She begins by outlining a precise incision placement strategically positioned along the frontal hairline. She uses an advanced trichophytic incision technique that encourages forward-growing hairs to grow through the scar, helping to camouflage it. Then, based on your specific aesthetic goals and scalp laxity, she will design a lower hairline and a more proportionate forehead. She evaluates not only the vertical height of the forehead but also its width. In many cases, she may recommend ancillary procedures, such as a Browlift or hair transplantation/restoration, to further refine and balance the results.

This procedure is ideal for patients with a naturally high forehead who do not have active hair loss or a receding hairline. It may also be considered for patients with other causes of a high forehead, such as scarring, traction alopecia, or changes resulting from prior surgeries.

Forehead Reduction Scar: Dr. Attenello’s Approach

Dr. Natalie Attenello uses an advanced trichophytic incision technique designed to promote optimal scar healing. While forehead reduction surgery does result in a scar along the hairline where the incision is closed, Dr. Attenello takes great care to ensure that it is as well concealed as possible. This advanced technique encourages forward-growing hairs to grow through the scar, helping to camouflage it. Dr. Attenello will guide you through proper incision care, including when to begin using scar gel and other important post-operative instructions. In many cases, hair eventually grows through the scar, making it virtually undetectable in ideal candidates.

However, certain genetic or anatomical factors, such as a natural cowlick, a predisposition to hypopigmented or hyperpigmented scarring, or naturally thin hair at the frontal hairline, may make the scar more visible. While most patients heal very well, some may choose to undergo hair grafting or other ancillary treatments to further camouflage the scar and enhance their final results.

View our gallery to see examples of patient scars, as well as before-and-after results, to better understand what to expect.

Enhance Your Youthful Elegance with Dr. Natalie Attenello

Double Board-Certified Female Facial Plastic Surgeon

Restore your refreshed, more youthful look with a deep plane facelift in Beverly Hills, CA. With a focus on maintaining your natural beauty, board-certified plastic surgeon Dr. Natalie Attenello uses advanced techniques to help you rejuvenate your facial appearance with long-lasting results.

When you are ready to take the next step, contact our Beverly Hills office at (310) 871-9599 or complete our online form to schedule your private consultation today. Discover how a deep plane facelift with neck lift can help you look as vibrant as you feel.

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Meet Dr. Attenello

What Are Some Reasons to Seek a Hairline Lowering/Forehead Reduction in Beverly Hills?

With a keen artistic eye for facial balance, Dr. Natalie Attenello focuses on the subtle yet critical details of forehead reduction surgery to deliver balanced, natural-looking results. Dr. Attenello is a premier, double board-certified, fellowship-trained facial plastic surgeon and one of the few female surgeons who consistently delivers superior results with this procedure. With patients traveling from around the globe to see Dr. Attenello, she understands the deep honor and responsibility of caring for patients both nationally and internationally.

Some key benefits of hairline lowering procedures include:

Improved Facial Harmony

A high forehead can distract from the balance of facial features. When something is off-balance, our eyes tend to be drawn to it. Once a proper balance is achieved, we tend not to look at that area and instead focus on the areas of the face that we would like to highlight (such as the eyes or smile). Lowering the hairline helps create improved facial balance, resulting in the forehead being more proportionate to the face.

More Youthful Appearance

Sometimes, a higher hairline can be perceived as a receding hairline, which is often associated with aging. In some patients, reducing the size of the forehead can create a more youthful appearance and allow the hairline to frame the face more effectively.

Greater Styling Versatility

Many patients feel uncomfortable wearing their hair up or feel the need to conceal their upper face with bangs or a headband. A lower, more balanced hairline can provide greater freedom in hairstyling. Patients often feel more confident wearing their hair pulled back or styled in ways that may have previously felt uncomfortable. Many patients also no longer feel the need to constantly maintain bangs or side-swept hairstyles.

Enhanced Confidence and Self-Esteem

A high or receding hairline can be a source of self-consciousness. Achieving a more desirable hairline often leads to increased confidence in both social and professional settings, particularly regarding this aspect of appearance.

Permanent Results

Unlike temporary cosmetic treatments, hairline lowering surgery provides a long-lasting solution for forehead and hairline concerns.

Facial Feminization

The procedure is commonly chosen by transgender women to achieve a more feminine appearance. Female hairlines tend to be lower and more rounded than male hairlines. This can also be done with female patients who feel their hairline naturally appears more masculine and desire a more feminine shape.

Correction of Traction Alopecia

Forehead reduction/hairline lowering can address hair loss caused by tight hairstyles that place prolonged tension on the hair follicles. Over time, this type of traction alopecia can also lead to scar tissue, which may be improved with the procedure.

Improved Hairline Symmetry

The surgery can correct uneven or asymmetrical hairlines, creating a more balanced and harmonious look.

Prior Surgical or Scar Correction

For patients with a high hairline or scars from prior surgeries, this procedure can be a possible solution to improve the area by removing as much as the scar tissue as possible. Choosing Dr. Natalie Attenello for Your Forehead Reduction.

Deciding upon hairline lowering surgery can be an exciting decision, and choosing your surgeon can be a daunting process. Because this is such a highly specialized, niche procedure, many patients travel nationally and internationally to have Dr. Attenello perform the surgery. Dr. Attenello was trained and mentored by the pioneer of this procedure, and has thus also made this a landmark procedure of her practice. She performs several a week and has done over thousands of hairline lowering/forehead reduction surgeries.

The overwhelming majority of patients travel to Dr. Attenello because of her natural aesthetic results and advanced surgical techniques. Dr. Attenello values a very customized and individualized hairline for each patient. She understands that it is not a ‘one-size-fits-all’ surgery, nor is she trying to achieve an extremely small forehead. She strives to maintain the uniqueness of each individual patient, but at the same time, provide improved balance and beauty. She spends her time really understanding the concerns, the goals, and the aesthetic of each patient. Together, she will analyze your hairline, scalp anatomy, scalp laxity, hair texture, and overall facial features to create a unique hairline. Because she also specializes in hair transplantation/hair restoration, she can also provide additional guidance on areas where hair transplantation/hair restoration would either be better or complementary to the procedure.

As one of the few female surgeons in the country, she combines elite training, artistic precision, and a compassionate, patient-first philosophy to deliver exceptional outcomes.

With double certifications from the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery, Dr. Attenello brings unmatched expertise in facial anatomy and rejuvenation. Her mastery of the deep plane facelift, hairline lowering, and other advanced facial rejuvenation procedures ensures her patients achieve results that are both transformative and refined. Because she is able to operate exclusively on the face and neck, many patients choose to get the most comprehensive result by addressing other areas aside from the hairline – such as eyelift/blepharopasty or a deep plane lower facelift and necklift.

With an unparalleled education and an eye for keen, beautiful aesthetics, Dr. Attenello focuses on emphasizing her patients’ natural beauty. Patients consistently praise Dr. Attenello for her personalized care and commitment to enhancing and rejuvenating their unique appearance.

Whether you are seeking surgical or non-surgical facial rejuvenation, Dr. Attenello will design a tailored approach to care based on patient education and empathy.

Is a Beverly Hills, CA Hairline Lowering an Option for You?

Dr. Attenello highly recommends scheduling a personalized consultation to determine whether forehead reduction surgery is the most appropriate treatment option for your needs. During this customized consultation, Dr. Natalie Attenello will listen to your goals and aesthetic concerns and carefully assess your anatomy. If you are deemed a suitable candidate, she will discuss the procedure in detail and address your questions to ensure you have the information needed to make an informed decision.

Forehead reduction can help improve overall confidence and is effective for:

  • Reducing a disproportionately large or tall forehead.
  • Creating more balanced facial aesthetics.
  • Feminizing facial features.
  • Correcting genetic factors.

Good candidates for hairline lowering are seeking a long-lasting facial transformation with natural-looking results and a more balanced overall appearance.

The best candidates are typically:

  • In good overall health.
  • Non-smokers or willing to quit at least four weeks before and after surgery.
  • Bothered by a tall or large forehead.
  • Seeking natural, long-lasting results without looking “overdone.”
  • Have realistic expectations and understand what the procedure can and cannot achieve.

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Beverly Hills Forehead Reduction: What to Expect

Dr. Natalie Attenello understands the subtle nuances of hairline design, including the direction of hair growth, hair texture, and hair density. An artistic hairline is crucial for successful surgery and natural-looking results. With compassion and attentiveness, Dr. Attenello considers it a privilege and honor to perform hairline lowering procedures. From consultation to recovery, she focuses on building a patient-physician relationship based on mutual trust and respect, ensuring patients feel supported and heard throughout the process.

Your Consultation

During your private consultation, Dr. Natalie Attenello will evaluate your scalp laxity, facial anatomy, and skin quality to ensure your aesthetic goals are realistic and achievable. She will explain how forehead reduction procedures are designed to lower the hairline and restore a more youthful, balanced appearance with long-lasting, natural-looking results. She will also review your photos in detail and share a range of before-and-after images from her patient gallery, along with additional reference images during your private consultation.

Your Hairline Lowering Procedure

Dr. Attenello understands both the excitement and last-minute ‘jitters’ that come with any planned surgical or non-surgical procedure. After your consultation, she will schedule a pre-operative appointment with you to again review your goals, aesthetics, and individual anatomy. She will go over in detail the informed consent and procedures, and thoroughly review the pre-operative and post-operative information.

On the day of the procedure, she is there to help quell any feelings or answer any last-minute questions. Together on the day of the procedure, she will analyze and review the surgical plan and anticipated goals.

Hairline lowering procedures can be performed is usually performed under anesthesia, primarily IV sedation, in a fully accredited surgical suite, based on your unique needs. During the surgery, Dr.Attenello takes care to ensure cosmetically inconspicuous incision placement along the natural hairline. She will then lift the hair-bearing skin on the scalp forward to advance to the new hairline position and reduce the forehead size. Excess skin will be excised, the scalp is secured into its new position, and incisions are closed with a meticulous suturing technique. With her keen eye for natural aesthetics, Dr. Attenello ensures each patient receives her undivided attention and delivers beautiful, natural, and refreshed results that are true to each patient’s individuality.

Your Beverly Hills Forehead Reduction Recovery and Results

Recovery from forehead reduction surgery is typically straightforward, with minimal downtime. Immediately following the procedure, a light compression dressing is placed over the top of the head to help minimize swelling and bruising. This dressing is usually removed the next day. Due to Dr. Natalie Attenello’s advanced techniques, bruising and swelling are generally mild to moderate and resolve quickly. Sutures and surgical clips are typically in place for about 6–7 days.

Temporary numbness behind the hairline is common and expected, and it usually begins to improve within a few weeks to months. Sutures along the hairline are removed during a follow-up visit at approximately six to seven days post-operatively.

To ensure a smooth recovery, Dr. Attenello provides detailed aftercare instructions tailored to each patient’s needs, helping minimize downtime and optimize results. Most patients are able to resume work or light daily activities within 1 to 2 days. It is generally recommended to avoid heavy exercise, swimming, and hair salon appointments for about one month. Dr. Attenello will guide you through specific post-operative instructions at each appointment.

Forehead reduction results are typically permanent; however, the natural aging process may lead to future hair thinning or other changes that can affect the hairline or scar over time.

Scarring After Hairline Lowering Surgery

Dr. Natalie Attenello uses refined surgical techniques designed to allow forward-growing hair to grow through the incision line, making the scar virtually undetectable in ideal candidates. However, healing and scar formation can vary from person to person. During your consultation, Dr. Attenello will assess your skin type and healing tendencies to help set realistic expectations. She encourages all patients to maintain regular follow-up appointments so she can guide and monitor their recovery and results.

Enhance Your Elegant Features with Dr. Natalie Attenello

With a focus on enhancing your natural beauty, board-certified plastic surgeon Dr. Natalie Attenello uses advanced techniques to help revitalize the hairline with long-lasting results.

For a private consultation, contact our Beverly Hills office at (310) 871-9599 or complete our online form to schedule an appointment.

Beverly Hills, CA Hairline Lowering FAQs

Forehead reduction surgery is ideal for individuals with a naturally high hairline or large forehead, which may be due to genetics, certain hairstyles, or prior surgeries. If you have sufficient scalp and forehead laxity, you may be a strong candidate for this procedure. Most patients can achieve excellent results with a single outpatient surgery.

During your consultation, Dr. Attenello will assess your anatomy and goals to create a customized surgical plan. Your procedure begins with Dr. Attenello carefully designing your new hairline. She closely examines the direction of hair growth, hair texture, incision placement, and the amount of hairline advancement to ensure natural-looking results and minimal scarring.

Most patients do not require a tissue expander, but in select cases, Dr. Attenello may recommend hair grafts or other procedures to optimize your outcome.

Dr. Attenello performs all surgical procedures at a fully accredited surgery center. The center is staffed with board-certified anesthesiologists and other anesthesia providers and a dedicated team focused on your safety, comfort, and care throughout your entire experience.

Typically, hairline lowering procedures take between 1.5 and 2 hours, depending on your specific needs. In most cases, the procedure is performed as a one-stage surgery that requires limited downtime and recovery.

Recovery after forehead reduction surgery is typically smooth, with minimal downtime. A light compression dressing is placed over the head immediately after surgery to help reduce swelling and bruising, and it is usually removed the following day. Swelling and bruising are generally mild to moderate. Temporary numbness behind the hairline is expected and typically resolves within a few weeks to months. Sutures along the hairline remain in place for about one week.

Dr. Natalie Attenello uses advanced techniques designed to allow forward-growing hair to grow through the incision line, making the scar virtually undetectable in ideal candidates. However, healing varies from person to person. She will also discuss any previous scarring and carefully examine these areas during your consultation.

Most patients feel well enough to resume very light daily activities a few days after surgery. Those returning to light work or social settings typically do so within a few days and may choose to wear a scarf or hat to conceal the sutures during early healing. It is generally recommended to take about one week off from work to allow the body to rest and recover without external strain.

Out-of-town patients often feel comfortable flying home within one to two days after surgery. However, Dr. Natalie Attenello recommends staying in Beverly Hills for about one week to allow for suture removal and follow-up care. Some patients who live relatively close may choose to return home during recovery and then come back for suture removal. Although Dr. Attenello prefers to see patients for the suture removal appointment, if patients are unable to return or stay, sutures may be removed locally at home. Strenuous activities should be avoided for about four weeks to support optimal healing.

As Dr. Natalie Attenello tailors each hairline lowering procedure to fit your unique needs and aesthetic goals, costs may vary by individual. Schedule your consultation with Dr. Attenello to discuss your personalized forehead reduction plan and the associated costs.

Please review Dr. Natalie Attenello’s patient before-and-after photos. As Dr. Attenello values and respects patient privacy, she only publicly posts images of patients who have given consent. During your in-office consultation, she can also show you additional before-and-after photos of consenting patients.

Yes, hair transplantation can be a viable alternative to hairline lowering surgery in certain patients. This procedure involves harvesting donor hair—typically from the back of the scalp—and carefully transplanting individual follicles to the forehead to create a lower hairline. When performed successfully, hair transplants can deliver natural-looking and aesthetically pleasing results.

Unlike forehead reduction surgery, which is typically completed in a single session, achieving optimal density with a hair transplant may require two or more procedures. Additionally, results take time to develop, with new hair growth usually becoming noticeable between 6 and 9 months after treatment. One key advantage of hair transplantation is that it does not require an incision along the frontal hairline.

Dr. Natalie Attenello can help guide and assess each patient to determine whether this option is appropriate. In some cases, she may recommend combining both procedures to achieve the most comprehensive result.

Dr. Attenello offers a variety of additional hair restoration procedures for men and women, including:

Generally, Dr. Natalie Attenello does not recommend hairline lowering surgery for individuals affected by male pattern baldness. Hairline lowering procedures involve making an incision along the frontal hairline, which can leave a scar. In ideal candidates, this scar is well concealed by surrounding hair. However, for patients experiencing ongoing hair loss, a receding hairline may eventually expose the scar, making the procedure less suitable.

Many patients with high hairlines also have significant temple recession. While hairline lowering can improve the appearance of the temples to some extent, some individuals may benefit from combining the procedure with hair transplantation to achieve more balanced results.

For those with male pattern baldness, a hair transplant is often the preferred option. It avoids a frontal hairline incision and offers a more flexible, long-term approach to restoring a natural-looking hairline.

A common question is whether an eyebrow lift is included with forehead reduction surgery. The short answer is no. Dr. Natalie Attenello’s hairline lowering technique is designed to adjust the hairline without altering the position of the eyebrows. If a brow lift is desired, it can be performed at the same time as forehead reduction for a more comprehensive facial enhancement.

Absolutely. Because Dr. Natalie Attenello is a double-board-certified facial plastic surgeon, she specializes exclusively in the face and neck. Many patients seek her expertise for a range of facial procedures, including facial rejuvenation options such as a deep plane facelift and neck lift, as well as eyelid surgery (blepharoplasty).
These procedures can often be performed together, and many patients choose to enhance their overall results by combining forehead reduction with other complementary treatments.

Dr. Attenello will work with you to design a personalized treatment plan tailored to your unique aesthetic goals.

Generally, the results of hairline lowering are considered permanent. However, it is important to note that hairline lowering procedures do not stop the aging process or affect genetics, but rather restore a more balanced hairline.