Forehead reduction

Hairline lowering surgery (forehead reduction)

Forehead Contouring Reduction Surgery

The hairline is an identifying trait for gender, and accentuated by age. Forehead reduction/contouring, also called hairline lowering is an important procedure of facial feminization surgery.

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FAQs about forehead reduction

Gender of the hairline

Male hairline

  • Hairline is higher
  • M-shape

Female hairline

  • Hairline is lower
  • Inverted U-shape

The female hairline is variable in position. Ideally would be a hairline 5 to 6.5 cm above the brows and usually beginning at the point where the scalp slopes from a more horizontal position to a more vertical position.

In males the average hairline is higher than the average in females.

Another difference is the shape of the hairline. A man usually has receded corners above the temples that give it an “M” shape. Conversely, the female hair pattern is oval shaped, smoother and full around the facial edge.

Male aging pattern

  • Receding hairline

Female aging pattern

  • Overall thinning

An additional difference between male and female hairlines comes with the age. There is a typical male pattern of baldness with a recession of the hairline. How many women do you see walking around with a receding hairline? While biological women sometimes do suffer from hair loss, it is usually an all-over thinning of the hair from the entire scalp and isn’t specifically targeted to one area.

Indication forehead reduction

Hair transplants

  • Only the widow peaks have to be filled. No overall lowering is needed.
  • After a surgical forehead reduction often there are still some widow peaks left that can be filled with transplants (less transplants needed)
  • Covering of the forehead reduction scar—Mostly the scar from forehead reduction becomes as good as invisible after 1 year. There are patients though where the scar remains visible. This can always be hided by some implants placed over and before the scar.

Surgical forehead reduction one stage procedure

  • Flexible scalp—The flexibility of the scalp determines how much the hairline can be advanced. The hairline will be advanced as much as is possible to close the wound without tension. Normally this gives an advancement of 0,5 to 1 cm. With a very flexible scalp advancements until 2 cm are possible.
  • Forehead recontouring—If a forehead recontouring is performed and the incision is made behind the hairline the problem would be that to lift the exces skin after removal of the frontal bossing, a strip of hair baring skin has to be removed. This will cause the hairline to recede more. That is why we mostly recommend to do the forehead reduction procedure as well if you have a forehead recontouring. The lowering effect can be minimal, but at least the hairline doesn’t go up.

More info on hairline lowering in one stage

Surgical Hairline lowering with tissue expander

  • Large advancement—There would be a lot tension on the wounds if the hairline would be advancement more then 1,5 cm. This would cause a wide scar. With a balloon implanted on the back of the head that is gradually filled with fluid, new hair baring skin is created. This new skin allows for the tension free removal of the non hair baring skin to lower the hairline. With an expander a tension free hairline lowering until about 8cm is possible. 
  • Large widow peaks
  • Very tight scalp

More info on expander assisted forehead reduction

Want to get a personal quote?

You have 3 options to receive your personal quote from Dr Bart van de Ven:

1 – Pictures evaluation (50 euro)

Dr Bart van de Ven will make a personal analysis of your face and give his surgical opinion of which procedures you need to feminize your face. He will send you a quote for these procedures and a simulation of the FFS result based on the pictures you upload. The payment of the 50 euro is processed by Paypal (you don’t need a Paypal account to pay with Paypal). You can upload the requested pictures as instructed in the form.

Request your quote and simulation based on pictures only

2 – Pictures evaluation + Skype consultation (100 euro)

The Skype consultation combines the pictures evaluation with a Skype consultation.

  • After booking your Skype consultations you will receive an email with instructions to send your pictures.
  • Before the actual Skype consultation, Dr Bart van de Ven will make a personal analysis of your face and give his surgical opinion of which procedures you need to feminize your face. He will send you a quote for these procedures and a simulation of the FFS result based on the pictures you upload.
  • During the consultation, Dr Bart van de Ven will answer all of your questions and explain the procedures suggested.
  • The available hours are the same as the Antwerp consultation below (every Monday and Wednesday afternoon, and Friday morning, Brussels time).

Book your Skype consultation

3 – Live consultation (50 or 100 euro depending on the location)

Book a live consultation with Dr Bart van de Ven in Antwerp or one of the other cities he will be visiting. During your appointment, you will be able to address Dr Bart van de Ven with all of the questions you may have and he will give you his professional opinion on the procedures you might want or need. This is what you can expect from your FFS consultation. He will also make professional pictures and send a simulation of the FFS result based on the pictures after the consultation.

  • Antwerp, 50 euro, Belgium (every week):
    • every Monday and Wednesday afternoon, and Friday morning
  • London, 100 euro (every 3 months): Upcoming dates: 
    • Saturday September 21, 2019
    • Sunday September 22, 2019
    • Saturday January 11, 2020
    • Sunday January 12, 2020
  • Munich, 50 euro (every 2 months): Upcoming dates: 
    • Saturday October 5, 2019
    • Sunday October 6, 2019
    • Saturday December 14, 2019
  • Berlin, 50 euro (every 2 months): Upcoming dates: 
    • Saturday October 19, 2019
    • Sunday October 20, 2019
    • Saturday November 30, 2019
    • Sunday December 1, 2019
  • Vienna, 50 euro (every year): Upcoming dates:
    • Saturday November 16, 2019
  • Stockholm, 50 euro (every year): Upcoming dates:
    • Saturday May 30, 2020

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Worldwide consultations: 55.924586, 10.195313

All quote- and consultation fees are fully donated to the charity organisation of Dr Bart van de Ven.

Just want a general idea of costs?

Example of the cost of Jessica’s FFS



FAQs before forehead reduction

Sometimes I get asked to model during a photoshoot. How long should I wait to book one after my FFS?

That is a very difficult one. It depends very much upon your healing and we can’t give you any guarantee about how long it takes before you look good enough for a photoshoot.
It could be 4 months, but it could also be a year. Of course it also depends on the amount of work that has been done.

When can I have sauna again after my FFS?

You will have to wait for 4 weeks, then you are free to have a sauna!

What does this procedure cost?

There are 3 options to receive a financial and operative proposal. You can either send us pictures and receive a quote and an FFS simulation, or you can book a Skype or a live consultation with Dr Bart van de Ven during which you will also receive a quote and FFS simulation.

How do I get my FFS price request?

Click here if you want to get a general idea of FFS prices.

What are the chances that I will experience hair loss after the operation?

Many patients experience temporary hair loss. On average the hair grows back in about 6 months.

Can I get this surgery if I’m a cis woman?

Yes, of course. We perform Facial Feminization Surgery on all women. Every woman is welcome at our clinic!

Is it possible to have hair replacement done at the same time as the procedure to give a female hairline?

If you have just a hairline lowering it basically is possible to do hair transplantation at the same time. But practically this is not possible as Dr van de Ven doesn’t do hair transplantation himself. This is done by the hair transplantation clinic, which uses a different operating theatre.

FAQs after forehead reduction

How long does it take until the sutures in my hairline dissolve?

The white skin sutures dissolve in 1 or 2 weeks. If they would still be in the skin after 2 weeks they will easily break when you pull with your fingers.

When can I start dying my hair again?

Before you can start stain your hair again after a forehead recontouring the incision should have healed 100%. If the incision was made a few cm inside the hair (no hairline lowering) this will take about 6 weeks. In case you had a hairline lowering this might take longer (up to 4 months).

You still have another question? Feel free to ask! We will answer your question and if generally applicable add it to the FAQ of this page.

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