Hairline Lowering/Forehead Reduction Beverly Hills
A hairline lowering or forehead reduction surgery is a very unique surgery designed to lower the hairline and reduce the size of the forehead. A high hairline or large forehead can be from many factors. Often times, it is genetic or just the natural position where their hairline starts. Other factors include certain hairstyling that has pulled the hairline back, prior surgeries, or even hair loss. This high hairline can cause one to be self-conscious of their appearance and even change their hairstyle to disguise their forehead. Many patients do not know there is an option for this because the surgery is very unique and specialized. Dr. Attenello is one of the few surgeons around the world that is highly trained and skilled in this exact procedure and has treated many patients who has traveled from around the globe. As one of the very few female surgeons that perform this surgery, she provides a novel perspective that results in the most natural appearing results.
The design of the hairline is crucial to a successful surgery and Dr. Attenello pays extreme attention to the details of this – the direction of the hair growth, the specialized incision to provide the best and often imperceptible scar, as well as the amount that the hairline can be lowered and the forehead reduced. Most patients’ hairlines can be successfully lowered without using a tissue expander and Dr. Attenello can assess this during your office or virtual consultation.
In the majority of cases, the procedure is done in a one-stage surgery with limited downtime and recovery. In a small amount of patients, hair grafts or a tissue expander may be recommended for the patient to provide the best hairline possible. Dr. Attenello is skilled in all facets of hairline lowering and hairline design to ultimately help you achieve your goals.
During the procedure:
Hairline lowering or forehead reduction surgery begins with an outline of the new hairline that is desired. This is the most important part of the surgery and Dr. Attenello takes her time to listen to your goals. The surgery then involves an incision that is designed to ideally make it the least noticeable possible behind the first row of hairs as they grow through. The surgery is performed in a fully accredited surgery center and usually takes between 1.5-3 hours depending on each patient.
After surgery, you will have a light compression dressing placed over the top of your head and this helps with the swelling and any bruising; though swelling and bruising is usually minimal to moderate with this procedure. This light compression is usually removed on the next day. Some numbness is expected behind the hairline and this usually resolves after a few weeks to months. There are sutures along the hairline and these stay in place for about seven days. Several patients feel comfortable to return back to work after a few days and many out of town patients are able to fly back home after 1-2 days. We do advise against strenuous activity for 1-2 weeks.
Before & After Photos:
This patient always felt self-conscious of his large forehead and wanted his forehead to be more in balance with the rest of his facial features. He underwent a hairline lowering procedure (also known as forehead reduction procedure). This is him just after 1 day with minimal swelling and bruising.
Frequently Asked Questions:
Q: Am I a good candidate for a hairline lowering procedure?
A: Depending on your scalp and forehead laxity, a hairline lowering surgery (also known as forehead reduction surgery) may be an excellent option for you. In most patients, this can be done as a single procedure at an outpatient surgery center. This will immediately lower one’s hairline, therefore reducing the size of your forehead. There is minimal downtime with little swelling and bruising, and most patients feel comfortable returning to social settings very soon (some wear a scarf or hat to hide the sutures until they are removed). In a good candidate, the results can be quite natural and beautiful.
Q: I have a high forehead from a receding hairline and male pattern baldness runs in my family, am I a good candidate?
A: A forehead reduction surgery is not the best option for you because it requires a scar along your frontal hairline. In the correct patient, this scar will be hidden by the hairs in the frontal hairline and can be quite imperceptible. But for you (and other males with a history of hair loss), the scar will be noticeable as the frontal hairline recedes and thus make this surgery unfavorable for you. Though scars in this area can be covered with hair transplantation, it is best to achieve your desired hairline results with hair transplantation instead; and this may be your best option, as this does not require a scar along your frontal hairline.
Q: What is the downtime for a hairline lowering procedure?
A: The downtime is quite minimal relatively. Usually patients can return back to their daily household routine the next day. We have several patients that come from out of town and they usually feel comfortable flying back home after 1-2 days. Though we recommend staying for a week so we can take out your sutures as well, we understand that travel plans can be a little tight. Patients who wish to return back to work are usually able to after a few days and can wear a scarf or hat if they choose to hide their sutures.
Q: Are there any other options aside from a hairline lowering procedure?
A: Yes, the other option to lower your hairline and reduce your forehead is hair transplantation. This procedure takes donor hair from the back of your scalp and is placed individually on your forehead to lower your hairline. This can also achieve quite natural and beautiful results. The downside to this option is that you may need two separate procedures to achieve the ideal density and it can take anywhere from 6-9 months for the hair to grow to your desired length. The advantage of this procedure is that this does not require an incision along your frontal hairline.
Q: Do you raise the eyebrows when you have the hairline lowering procedure?
A: This is a great question that we get often. The eyebrows do not get raised when you do a hairline lowering procedure. Because of the technique performed, Dr. Attenello can lower your hairline without changing the position of your eyebrows. If a browlift is desired, then that can definitely be performed at the same time.
Q: What type of anesthesia and where is the surgery performed?
A: Surgery is performed in a fully-accredited surgery center conveniently located in the same building as Dr. Attenello’s Beverly Hills office. We use only the best board certified anesthesiologists to administer the anesthesia and keep you safe and comfortable throughout the entire time.
Q: I have recessions in my temples as well, can you do anything for these?
A: Many patients have a high hairline as well as high recessions in the temples. The recessions in the temples will be improved with the hairline lowering procedure, but sometimes, patients also would benefit from hair transplants to the temples as well. This can be performed at the same time and Dr. Attenello is fully skilled in both of these areas.
Q: Do you have any more before and after photos?
A: Yes! Dr. Attenello values and respects patient privacy and chooses to only post publicly those patients who have given written consent to do so. During your office consultation, she can show you several more before and after photos of those patients who have consented as well.
Q: Will there be a scar?
A: With the technique that Dr. Attenello uses, the incision is performed in such a way where the hairs along the frontal hairline should eventually grow through the scar. In the ideal patient, this scar is virtually undetectable. That being said, healing and scar formation varies amongst patients and some are overactive healers (for example, a history of keloids or hypertrophic scarring). If that is the case, Dr. Attenello will work with you to provide the best scar possible.