Forehead reduction , or hairline lowering as it is also known, aims to reduce the height of the forehead. This procedure is ideal for both men and women who feel that they have a very high hairline and/or a large forehead. The overall objective of forehead reduction is to reduce the amount of space between the eyebrows and the hairline.
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Before the procedure the patient will be anesthetized with either a local or general anesthesia. The surgeon will then mark the forehead indicating the patient’s new hairline. Typically the incision will be in a zigzag pattern to better mimic a natural hairline postoperatively. The skin between the incision and the patient’s hairline will then be excised and the hairline and forehead are advanced forward. The incision will then be sutured. The skin removal method is most effective when the hairline is being advanced 5cm or less from its original position. For patients that need more than 6cm of advancement, a temporary tissue expander will be placed beneath the scalp for 4-8 weeks, and then the surgery will be performed once the skin has grown and stretched. In some cases, your surgeon will recommend that a small amount of hair grafting be performed at a later time to thicken the hairline and optimize results.
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Being in the best possible state of physical and mental health prior to surgery is one of the most effective ways to ensure the best possible outcome.
Here are some tips to help you prepare for surgery:
By carefully adhering to your surgeon’s preoperative guidelines before your forehead reduction procedure, you can do your part to guarantee the best possible results from surgery.
Step 1: After washing the hair, doctor injects local anesthetic to the area, which helps to reduce bleeding during the procedure, this also helps with pain control postoperatively.
Step 2: A zig-zag incision is made along the hairline (this helps to minimize scarring).
Step 3: The scalp is mobilized to the back of the head and pulled forward as much as needed.
Step 4: Two small endotine devices [tiny implants] are placed under the scalp, which are often described as ‘carpet grippers’. These are made from a dissolving suture material and should dissolve away within the first three to four months following surgery. These help to keep the scalp in place as it heals.
Step 5: A section of the forehead skin at the hairline is removed. Dr. Inglefield then sprays a tissue glue, Artiss, to hold the scalp in place. This helps to reduce fluid buildup underneath the scalp as well as to reduce the risk of the scalp sliding backward during the healing process.
Step 6: The incision is closed using deep dissolving stitches and non-dissolving stitches externally along the incision. The non-dissolving stitches are removed in the clinic after 10 days.
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Usually, the most aesthetically pleasing size of a forehead is about one-third of the face. In women with high hairlines, the forehead will make up a disproportionate amount of the face. This atypical lack of balance can create a masculine appearance. More, women may be unable to wear their hair in the style they prefer. While high hairlines in women is usually an inherited characteristic, it can also be the result of a previous cosmetic surgery.
Men with very high hairlines usually inherit them as well, but they may also be the result of male pattern baldness. Those who already have high hairlines who begin losing their hair are not ideal candidates. If hairlines continue to recede, the incision will become visible. These individuals need hair replacement surgery.
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Both men and women with naturally high hairlines or large foreheads make good candidates for hairline lowering procedures. Typical hairlines are 5 to 6.5 centimeters above the eyebrows. Those who have hairlines higher than this and who think it negatively impacts their appearance are pleased with the results of hairline lowering/forehead reduction.
The presence of thick hair and no personal or family history of hair loss is also an important consideration. During his consultations, doctor asks questions about family history. He also examines a patient’s hairline and the quality of their scalp. Good scalp laxity (stretchiness) is important for this type of procedure; those who do not have enough laxity need tissue expansion to achieve the results they desire.
Those who are in generally good health and have reasonable expectations for the procedure make especially good candidates for hairline lowering surgeries.
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Forehead reduction surgery has a very minimal recovery time. Within a day of the procedure, you will be comfortable enough to wash your hair, and you will be able to return to work within a few days. Stitches must remain in place for at least a week before removal to ensure that the new hairline stays in place.
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Similar to any surgical procedure, forehead reduction surgery carries risks. Honest communication with your surgeon about your medical history or any factors that may complicate your surgery or recovery can help to mitigate risks and maximize your results.
Be sure to also follow your surgeon’s advice as closely as possible before and after surgery: he or she will provide guidelines that will help you to safely prepare for the procedure and recover quickly afterwards.
However, some of the complications that can arise as a result of foreheadplasty include:
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It is also realistic to expect that the surgery will have a few after effects such as swelling, bleeding and slight pain around the treated area that will subside in different recovery stages, moderate pain or discomfort is expected for three to five days after surgery.
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Foreheadplasty, Hairline-Lowering Surgery normally takes approximately 1.5 to 2 hours to perform depending on the complexity of the surgery. It is done under general anesthetic as a day-case procedure.
The cost of a forehead reduction in Iran ranges between $3,000-$4,500. This price includes all the related fees such as surgeon's visit, anesthesia, and surgery fees. This is while the same procedure costs from $2,000 to $7,000 in countries like Australia, USA, and the UK.