There are two techniques that Dr. Alexander will perform for lowering the elevated hairline to treat a high forehead: i) surgical hairline advancement, and ii) hair transplantation. Oftentimes, the two techniques are used together in a complementary fashion to provide the most natural-appearing hairline possible.
i) Surgical Hairline Advancement
This is a surgical procedure which shortens the elongated forehead while moving the hairline forward. An incision is made right along the frontal hairline, and the hairline is then advanced forward by removing excess forehead skin. The incision is then meticulously sutured closed, leaving a very fine, virtually imperceptible scar afterwards. The main advantage of this technique is that results are immediate, with sutures being removed at one-week post-surgery. However, this is a more technically involved procedure than hair transplantation, and can only be employed in patients with sufficient scalp laxity.
ii) Hair Transplantation
Hair transplantation is the much more commonly utilized technique for advancing an overly high female hairline and most male hairlines. Performed as a same-day procedure, patients find it to be very comfortable, and essentially painless with a rapid recovery period. Dr. Alexander harvests donor hairs from the back of the scalp, and the donor site typically heals with an imperceptible scar. Fine micrografts are then precisely transplanted into tiny incisions in front of and in between existing hairline hairs, mimicking natural hair growth. The result is a normal, dense, advanced hairline. Most patients are presentable the next day, and able to resume regular activities, including exercise and hair washing, at one week. The transplanted hairs fall out after three weeks, then start to regrow at four to six months; at eight or so months post-treatment, the results are quite noticeable, final results are evident at 12 months and last a lifetime.