Scalp Advancement

A beautiful, youthful hairline is attractive on both men and women. Many people contact Dr. Spiegel to achieve a more balanced and good-looking hairline that compliments the overall face shape and keeps the patient looking young. Deep temple recession or long foreheads can be reduced easily during a short surgical procedure to advance the hairline as much as possible – in some cases advances over an inch can be achieved.

A fine incision is made along the hairline from temple to temple. The incision is done in front of the hairline so that Dr. Spiegel can preserve all of the hair you have while advancing the scalp and hairline to a more attractive position. The incision mimics that of a natural hairline so that it will fade away after surgery.

At this point Dr. Spiegel is able to shape the hairline by advancing the scalp in areas where it is receded. A natural result is obtained which typically eliminates the need for any fat grafting in the temporal area. At the same time, Dr. Spiegel commonly adjusts the eyebrows to a natural, but more youthful position in relation to the new forehead – although this is not required. The look is subtle and not overly pulled; rather it gives patients a beautiful result highlighting their eyes and new, smooth forehead with a lower, natural looking hairline.

Following surgery, a soft dressing is placed around the forehead and left in position overnight. The dressing is then replaced with an ace bandage for 7 days after surgery. The bandage reduces swelling and helps protect the area. Most patients spend one night in the hospital and return to their home or hotel the next day. Pain is commonly mild and well managed with prescription pain medication. Showering and gentle washing of the hair are permissible but must be done with care. It is important to towel dry and comb your hair towards the incision line (so as not to stretch it) and to only use a blow-dryer on the “cool” setting (unheated).

Sutures are removed 6-8 days after surgery at a first post-operative visit with Dr. Spiegel. Most patients feel well enough to return to work 7-8 days after surgery; however, if the surgery is combined with multiple procedures then it may be advisable to wait two weeks before returning to work. Strenuous activity (causing sweating or rise in blood pressure) and light exercise should be avoided for at least two weeks. More vigorous exercises like yoga, pilates and running should be avoided for 6 weeks.

Infection after surgery is extremely rare; however, antibiotics are used to avoid any potential problems. Swelling and bruising on the forehead and around the eyes is common. The majority of this swelling and bruising will last under two weeks; however, it is normal to having some minor swelling even after several months. After one week cover-up makeup is allowed to mask any residual bruising.

We are very excited about the unique and powerful rejuvenation procedures we offer and the remarkable results we are able to offer. We encourage you to call or email with any questions you may have. The ability to achieve your goals is closer than ever.

Scalp Forehead Advancement Gallery