This procedure can be performed as a stand alone procedure or as part of your total facial feminization surgery.
Hairline lowering surgery, also called forehead reduction, is performed to lower the position of the hairline.
Procedure hairline lowering surgery in one stage
- Surgical drawing—The surgical drawing is made
- General anesthesia
- Incision—An incision is made along the hairline. The incision is made just inside the hairline, in an irregular fashion, to avoid a straight scar. Straight scars are more conspicuous than irregularly curved ones. The blade is also held in such a direction that about six weeks postoperatively the hair starts growing through the scar, making it almost invisible.
- Removal—A section of forehead skin at the hairline is removed.
- Mobilisation—The scalp will be mobilized to the back of the head and pulled forward as much as needed. Normally 1-1.5 cm of advancement is no problem.
- Fixation—The scalp is fixed to the bone using Endotines to prevent it from pulling back. This device is made of bioabsorbable material and dissolves over time.
Recovery hairline lowering
- The day of the procedure—The day of the procedure and the day after the patient might experience slight pain or discomfort that can be well managed with the painkillers we will provide you with.
- The first week—During the first week there might be a bit of swelling and bruising but not very noticeable. If staples have been used they will be removed after 7 days. For patients from abroad, they can return home the same day. The staplescan be removed in their home country by a general practitioner. The stitches used are self absorbable.
- Subsequent weeks—
- Sutures—After 2–3 weeks the absorbable sutures at the hairline will fall out.
- Scar—The scar will remain red and elevated for a period of 2–6 months. After about 6 weeks small hairs will start growing through the scar making it less visible.
- Numbness—All patients experience numbness of the front of the scalp. The sensation returns in a 3-12 month period. Sometimes there is an itching sensation during the recovery period.
- Temporary loosing of hair—There can be some shedding of the fine hairs in the front of the scalp within 2-4 weeks after surgery. This is called an “effluvium”. The hair normally comes back after 3 months. We sometimes suggest the use of 5% Minoxidil to the front of the hair bearing scalp after surgery. This can lessen the possible fallout and promote a more rapid growth of hairs that might have been shed and those that will be growing through the incision.
- Full recovery—Full recovery is to be expected after 12 – 18 months when the scar will have reached it’s full maturity. A visible scar exists, but it is usually too faint to even notice after one year.
Complications hairline lowering surgery
- General hair thinning— This complication has been reported by 1% of patients.
- Scar—Sometimes the tension on the incision is so big, a visible scar exists. In that case a scar revision surgery has to be performed.
- Diminished scalp sensation—It is possible the scalp sensation is diminished permanently. The patients who mention this don’t experience this as a problem.
FAQs before hairline lowering surgery
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.
You will have to wait for 4 weeks, then you are free to have a sauna!
Many patients experience temporary hair loss. On average the hair grows back in about 6 months.
Yes, of course. We perform Facial Feminization Surgery on all women. Every woman is welcome at our clinic!
You can dye your hair again after 6 weeks.
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 hairline lowering surgery
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.
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.