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Also known as Forehead Reduction, Forehead Contouring or Scalp Advancement, Hairline Lowering Surgery allows patients to lower their frontal hairline and is most common among women with high hairlines, often the result of hair loss.
The procedure usually takes a couple of hours and is performed under general anesthetic as an outpatient. The new hairline is marked on the forehead, the surgeon will cut away this excess skin and the scalp is lowered to the new hairline. Incisions are strategically placed so as to minimize the visibility of the scar, making it virtually undetectable as it's covered by hair. It's common to combine hair lowering surgery with Facial Feminization Surgery (FFS).
It is an outpatient procedure performed under local or general anesthesia. Before the operation begins, the surgeon draws an anticipated post-operative hairline. The surgery is performed according to this and an incision is made along the hairline. The excessive scalp is cut and removed and the rest is stretched to the new hairline. If this is not enough, tissue expanders are used to make it to the new hairline level. Sutures are used to fix the scalp to the bone and incisions are stitched with bandages being applied over the top. The incisions are placed where the hair can regrow, making the scars invisible. With further growth of the hair, scars will completely disappear from view.
Hairline lowering surgery is an outpatient procedure that takes around 1.5 to 2 hours to complete in the operation theatre. After the effects of the sedation subside, you are allowed to leave. Still, you should aim to stay in Phuket for at least 6 days post-op. During this period, you will have a follow-up with the surgeon to check everything is healing as expected and the sutures are removed, usually after 5 to 6 days - this is when you're given the all-clear to travel home.
It will take between 3 to 6 months to allow the regrowth of hair through the scar, which is important as it hides the scar. Recovery time varies from person to person and some people can get back to their normal routine even after 2 days. 6 to 7 days are usually required to get back to normal activities and you may find some swelling and bruising over your forehead in the early days. Pain is managed with painkillers and all symptoms subside after a couple of days. A numbing of the forehead is common and normal feeling usually returns after 3 to 5 days.
The following are some useful aftercare tips:
The success rate is very high for hairline lowering procedures and the side effects are minimal, but it's worth considering that the scar may be visible with certain hairstyles. Hair Transplantation could be applied to further reduce the appearance of any scarring. As hairline lowering surgery becomes more popular, more females, particularly, are opting for the procedure and to date, no deaths have been reported. Hair thinning from Shock Loss can occur immediately after the operation, but this is only temporary.
Surgery is not the only option. Consider these methods before opting for surgical treatment: