What is a forehead reduction

Forehead reduction surgery, also referred to as hairline lowering or scalp advancement, is a procedure designed to decrease the space between the hairline and eyebrows by shifting the scalp forward. This adjustment lowers the hairline, creating a more proportionate facial structure.

By repositioning the scalp, the surgery enhances balance and symmetry, resulting in a fuller, more natural-looking hairline. Compared to traditional hair transplants, this method often achieves a higher density in a single procedure, delivering noticeable and lasting results.

How much does a forehead reduction cost

In the USA, a forehead reduction will on average cost between $5,862USD - $14,362USD. There are several factors which will have an effect on the procedure, these include the surgeon's expertise, where you're having the procedure performed, how much skin is being removed and if you're having the procedure combined with any other procedures at the same time.

In Australia, prices for this procedure are typically between $5500AUD and $18000AUD depending on the complexity of the procedure and factors mentioned above.

In Mexico, prices are generally lower than in Australia, Canada and the US making it an appealing destination for Americans and Canadians to travel to for this procedure. The cost will usually be between $2000USD - $3000USD. Turkey is another affordable option for those wanting an affordable destination to have this procedure with prices usually falling between $3500USD - $7000USD.

It should go without saying that cost isn't the only factor to consider when selecting a surgeon for this procedure. Selecting a reputable, skilled board certified surgeon is crucial, especially when wanting a natural result without noticeable scars.

How is a forehead reduction performed

Forehead reduction surgery usually takes between one and three hours, depending on the surgical approach and individual treatment plan. Patients receive either local anesthesia with sedation or general anesthesia, depending on the complexity of the procedure and the provider’s preference.

The process begins with the surgeon marking the planned new hairline before making an incision. The hair-bearing scalp is then carefully loosened and advanced forward by one to three centimeters. To ensure the hairline remains in its new position, a fixation method is used, such as Endotine clips. After repositioning the scalp, any excess forehead skin is removed to achieve a more balanced appearance. The incision is then closed with two layers of stitches or surgical clips, providing structural support during healing. A pressure dressing is applied for the first 24 to 48 hours to help minimize swelling and promote proper healing.

If the scalp lacks the elasticity needed for a smooth advancement, a tissue expander may be placed beneath the skin. Over a period of four to eight weeks, this expander is gradually inflated to stretch the scalp, allowing for adequate flexibility. Once the necessary expansion has been achieved, the surgeon removes the device and completes the hairline lowering procedure.

How to prepare for a forehead reduction

There isn't too much in the way of preparing for a forehead reduction with the main focus being on optimizing your health. It's a good idea to quit smoking and limit alcohol intake in the lead up to having the procedure. Your surgeon should also go over your skin care regime and will let you know what products to stop using prior to surgery and what to possibly start. They should also go over what you can expect regarding your recovery.

What are the risks and possible side effects of a forehead reduction

Forehead reduction surgery is generally considered a safe procedure, with most patients experiencing a smooth recovery. Some bruising and swelling are common during the healing process, but the majority of individuals find the recovery to be manageable, with minimal complications.

However, like any surgical procedure, it does come with potential risks. These may include infection, temporary or prolonged numbness around the incision, bleeding, noticeable scarring, discomfort, asymmetry, and, in rare cases, permanent hair loss at the incision site. During your consultation, your provider will discuss these possible complications and outline strategies to minimize risks, ensuring the best possible outcome.

How long is recovery from a forehead reduction

Most patients experience little to no downtime after treatment, though minor side effects such as pinpoint bleeding, redness, and mild swelling may occur immediately afterward. These reactions are a normal part of the skin’s inflammatory response to the micro-injuries caused by the procedure and typically subside within one to two days.

During recovery, gentle skincare can help support healing. Using a mild cleanser, keeping the skin hydrated with a quality moisturizer, and applying a mineral-based sunscreen are all recommended. A physical sunscreen with at least SPF 30, containing titanium dioxide or zinc oxide, is ideal for protection without the risk of irritation that some chemical sunscreens may cause when absorbed into the skin’s microchannels.

Makeup can generally be worn the day after treatment, but it’s important to remember that the skin will be more sensitive. Any products applied will penetrate more deeply than usual, so choosing gentle, non-irritating formulations is advised.

It’s also beneficial to discuss post-treatment skincare with your provider to determine whether it’s best to avoid certain potent active ingredients—such as retinoids, vitamin C serums, or exfoliating acids—for a few days, or if their enhanced absorption might actually be advantageous during the healing process.

How long do results from a forehead reduction last

The results of hairline lowering surgery are long-lasting. It's not often to use the word permanent when talking about the human face and body as we're always changing but results from this surgery are the next closest thing. Once the hairline has been repositioned, it remains in its new, lower placement permanently. Even years after the procedure, patients typically retain the same hairline position they achieved immediately following surgery.

It's important to note though that your hairline can be affected by hair thinning which could affect the look of the procedure after some years. Therefor it's important to ensure measures are taken if you do suffer from hair loss prior to having the procedure. Topical treatment such as minoxidil can be particularly helpful as well as finasteride which is usually taken orally.

Are scars visible from a forehead reduction

A scar from a forehead reduction surgery is inevitable but it is typically well-concealed beneath the hairline. Since hair follicles are positioned under the incision, new hair growth should naturally cover and obscure any visible scarring.

If post-surgical hair growth does not sufficiently hide the scar or if unexpected hair loss occurs, hair grafting can be an effective solution to further blend the area and create a more seamless appearance.