Some people have excessively high foreheads, which may cause an inconsonance in facial features and how a person looks. Having an excessively high forehead has various reasons, such as genetics, hair loss, or a previous cosmetic surgery such as eyebrow lift. A high hairline limits a person’s options for having different hairstyles, so they often have to choose a hairstyle to cover the forehead in order to minimize the effect of the high hairline on how they look. Whatever the reason, hairline lowering surgery or forehead reduction is the cure. This procedure can give harmony to a person’s facial features by enhancing the forehead.
Hairline lowering or hairline advancement is a cosmetic procedure aimed at reducing the height of the foreheads that are too big.
What is hairline lowering surgery?
Hairline lowering surgery, forehead reduction, hairline advancement, hairline correction, or foreheadplasty lowers the hairline and reduces the height of the forehead so that the forehead will be less dominant in a person’s looks and the size of the forehead will be more in sync with other facial features and proportions. By nature, every person’s temples recess overtime. By a hairline lowering procedure, this natural temple recession is reversed and a natural looking hairline will be created on the forehead. This surgery can be performed on both women and men.
Who is a good candidate for hairline lowering surgery?
Women are generally better candidates than men, especially women with an excessively high forehead. Men can also be good candidates for hairline lowering if they have thick hairline and have no previous history of hair loss. One necessary criterion for forehead correction surgery are people with flexible forehead skin that is easy to be manipulated and stretched forward.
The ideal height of a female forehead according to the beauty standards is 5.5 centimeters.
During the consultation session, the scalp laxity, the distance between the eyebrows and hairline and the overall physical features will be examined and considered in the decision-making process.
What hairline lowering/hairline advancement procedure involve?
In forehead reduction surgery, a portion of the forehead is removed and is shortened up to 2 inches (5 cm), which usually requires only one session of a two-hour procedure.
There two ways for hairline lowering:
- Brow lift surgery (Eyebrow contouring surgery)
- Hair grafting
These two methods are occasionally combined together, with hair grafting done as the second step to the surgical method.
The second step is usually performed when a significant hairline and temple recession has occurred. In this case, it is necessary to transplant hairs from the donor area, which is located at the back or sides of the scalp and is dense in terms of hair growth, into target areas that never had hair follicles. This step needs to be done by a hair transplant specialist.
Hair transplantation or hair grafting is one of the two main techniques for forehead reduction, the other being brow lift.
As we mentioned earlier, sometimes hair transplantation (grafting) can be performed as an alternative to the surgery, to lower the hairline. What this means is that occasionally only the non-surgical step is enough to make the desired changes. But generally, the second step, either done by itself or combined with the surgery, will change the hairline shape into a more oval and rounded shape.
Hairline lowering pre-op recommendations
Before going through with the surgery, the patient must consider taking some precautionary steps in order to avoid complications.
They must avoid taking any anti-inflammatory medicines at least a week before the surgery because they hinder the hairline lowering recovery process. In order to avoid fluid retention and swelling, they must avoid salty foods and alcohol consumption. They must also strictly avoid smoking before the surgery. It is beneficial to eat foods that strengthen the immune system and prepare the patient for the surgery.
How is hairline surgery done?
Hairline lowering surgery is usually performed under local anesthesia or intravenous sedation. Depending on how complex the surgery is, the forehead lowering procedure will take about 1.5 to 2 hours. A maximum of one night stay in hospital is required after the surgery, and on some occasions, the patient is discharged on the day of the surgery.
Is hairline lowering surgery painful?
After the surgery, the patient might have moderate pain or discomfort for about 3 to 5 days.
One must avoid washing their hair for at least two days.
Hairline surgery post-operative care and recovery
The patient can go back to his/ her normal life activities after 1-2 weeks but they need to avoid strenuous exercise and activities such as martial arts, swimming, running, going to the gym or any other contact sports, for 6 weeks. Lifting heavy objects must also be avoided.
In majority of hairline correction surgeries, a protective and support dressing is placed around the forehead in order to control the swelling and minimize the post-op movements. Putting ice on the areas that are swelling or burning helps relieve the pain and swelling. Painkillers can also be taken after consulting with the doctor.
- No smoking and drinking alcohol
- In order to prevent bleeding, no inflammatory medicines such as aspirin should be taken
What are the possible risks and side effects of hairline lowering?
There are always risks associated with any surgery, but even in complex and sensitive facial surgeries, complications rarely happen. Below are some minor and temporary complications that may occur after a hairline lowering surgery:
- Bruising: If it happens it may take 2 weeks to resolve.
- Major bleeding rarely happens.
- Infection: Infection doesn’t happen frequently, and may happen in less than 0.5% of the cases. If it occurs, a course of appropriate antibiotics will be required.
- Facial muscle weakness: This does not commonly happen, but when it does it mostly affects the forehead area, which is temporary and lasts about 6-8 weeks. Permanent weakness rarely occurs.
- Altered sensation in the scalp: This is one of the expected post-op side effects that will probably take 1-2 years to resolve and improve.
- Abnormal scarring, hypertrophic and keloid scars do not commonly happen.
- Temporary or permanent hair loss around the scar: Hair loss after the surgery usually doesn’t have long term effects and grows back up until 4 months after the procedure.
PROs and CONs of hairline lowering surgery:
- Hidden scar: Like any other surgery that leaves a scar, hairline lowering surgery is no exception, but here is the difference. The incisions are placed in the natural hairline and are disguised behind the hairline, to be as hidden as possible. Overtime it becomes more undetectable as hair re-grows in front of the scars and through them. It might only be visible when the hair is wet.
- Appearance: The foreheadplasty will make an oversized forehead look more in sync with other facial features, and gives balance to how a person looks.
- Adaptable to different scalps: If a person is not a suitable candidate for hairline lowering surgery in the first place, an extra step may need to be taken in order to make the patient ready for the procedure. For example, if the surgery needs to be done in separate steps, then the doctor will inflate the scalp by inserting an expander under the scalp for about 8 weeks, until the main and final surgery. In the end, the hairline will be moved down about 2 inches.
An illustration of before and after hairline lowering procedure
- Mild swelling, bruising and redness will happen after the surgery. When the surgery and brow lift are done at the same time, the bruising may affect the eyes as well. Although these might be annoying, but they are uncommon and will resolve in a few days.
- Numbness in the forehead with itching and tingling, which are also common because of a minor non- preventable nerve damage that is done during the surgery and resolves completely after a few short months.
- Decreased mobility: Like a Botox procedure, this surgery will decrease the movements in the forehead, especially if it’s done with brow lift. This is temporary, but for some patients it’s permanent.
- More surgeries or procedures might be needed for men due to progressive nature of hair loss in men.
Hairline lowering in Iran
There are various clinics specialized in hairline correction or hairline lowering in Iran. With professional staff giving their consultations to potential hairline lowering candidates and giving them available options and even the alternatives for hairline lowering surgeries, Iranian cosmetic clinics in cities like Tehran, Mashhad, Shiraz, Tabriz, Isfahan and Kish Island are prepared to offer hairline lowering services to foreign tourists.
Cosmetic surgeries and procedures are really popular in Iran, and many people travel to Iran to benefit from the variety of professional doctors specialized in cosmetic surgery fields, Our doctors and clinics make use of the most up-to-date and modern methods which are coupled with professional expertise to offer the most quality services to patients.
Hairline lowering cost in Iran
Hairline lowering cost is highly dependant on a number of factors, such as the number of steps that the surgery needs to be divided into, and the length that the forehead needs to be moved forward. This type of procedure is not covered by health insurances, but usually, doctors offer some options and facilities to the patients to pay for the surgery, in order to make this type of procedure more affordable for the patients
The cost of a typical one-step hairline lowering procedure with hair grafting in Iran is in the neighborhood of $700 (The cost of a forehead reduction will increase is two steps are taken (hair transplant and brow lift)). This is while the cost of a similar procedure in the United States is over $4000 and in India starts from $1700.