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If you’ve ever felt like your forehead takes up too much real estate, you’re not alone—and you’re not stuck with it. At The Spiegel Center in Boston, hairline lowering surgery (also known as scalp advancement) is helping people reshape their facial proportions and boost confidence without dramatic changes.

Whether you’ve always had a naturally high hairline, have seen it creep upward over time, or are seeking a more traditionally feminine look as part of facial feminization surgery, this powerful yet subtle procedure can create lasting, natural-looking results. And in the hands of world-renowned facial plastic surgeons like Dr. Jeffrey Spiegel and Dr. Jacob Tower, you can expect precision, artistry, and results that look like you—only more balanced.

Let’s take a closer look at hairline lowering surgery, how it works, and why it’s quickly becoming one of the most in-demand facial procedures in Boston.

What Is Hairline Lowering Surgery?

Hairline lowering surgery, or scalp advancement, is a surgical procedure designed to reduce the vertical height of the forehead by moving the hairline forward. This results in a shorter, more proportionate forehead and a more harmonious facial appearance overall.

At The Spiegel Center, Dr. Spiegel and Dr. Tower perform this procedure with careful attention to your hair growth patterns and facial symmetry. An incision is made discreetly along the natural hairline, the scalp is gently advanced forward, and the excess skin is removed. The result? A natural-looking, lower hairline that beautifully frames your face.

Because the incision is hidden along the hairline and closes with advanced techniques, the scar is minimal and typically camouflaged once healed.

Why Is Hairline Lowering Suddenly So Popular?

Thanks in part to celebrities like Chrissy Teigen speaking openly about their experiences with cosmetic procedures, hairline lowering is finally getting the attention it deserves. But here’s the truth: at The Spiegel Center, Dr. Spiegel and Dr. Tower have been performing this procedure with exceptional outcomes for years.

With more people spending time on video calls and social media, facial balance is top of mind. A high hairline can make the face look longer or more masculine, even when that’s not how you feel. Hairline lowering surgery offers a fast, effective, and permanent fix.

This procedure is especially popular among women with naturally high foreheads, patients undergoing facial gender-affirming care, and individuals who want more proportional features without the need for implants or fillers.

Hairline Lowering vs. Hair Grafting

Hairline lowering surgery and hair grafting are both great options, but they serve different purposes—and sometimes they’re combined for optimal results.

  • Hairline lowering surgery creates immediate results by physically advancing the scalp forward.
  • Hair grafting involves transplanting individual hairs to build density or adjust the shape of the hairline over time.

At The Spiegel Center, Dr. Spiegel and Dr. Tower will guide you through your options and recommend the best approach for your goals and anatomy.

Who Is a Candidate for Scalp Advancement?

You may be a good candidate for hairline lowering if you:

  • Have a naturally high hairline or large forehead
  • Have adequate scalp flexibility (laxity)
  • Are not experiencing active hair loss in the area
  • Want a more balanced or feminine facial appearance
  • Are seeking gender-affirming surgery or improved facial harmony

During your consultation at The Spiegel Center, our expert surgeons will evaluate your goals, hairline, and scalp mobility to determine if you’re a candidate for this life-changing procedure.

What to Expect During Recovery

Hairline lowering surgery is performed on an outpatient basis. Most patients return to normal routines within 7–10 days. Swelling and numbness are common in the first week but improve quickly, and sutures are typically removed about a week after surgery.

You’ll notice a difference in your hairline immediately after the procedure—and as healing progresses, your final results will continue to improve. Most importantly, your new hairline will look like it’s always been there.

Why Choose The Spiegel Center for Hairline Lowering in Boston?

When it comes to your face, experience matters. Dr. Spiegel and Dr. Tower are both double board-certified facial plastic surgeons who specialize exclusively in facial aesthetics. Patients travel from around the country—and the world—for their expertise in scalp advancement and other facial procedures.

At The Spiegel Center, you’re not just another case. You’re the focus. Every detail of your treatment is customized to your anatomy, your goals, and your lifestyle. And because our team performs more facial aesthetic surgeries than nearly any other practice in the region, you can trust that you're in the most capable hands.

Ready to Lower Your Hairline with Boston’s Best?

If you’re ready to finally address a high forehead or are exploring your options for scalp advancement surgery, we invite you to schedule a consultation with Dr. Spiegel or Dr. Tower at The Spiegel Center.

📍Located just outside Boston, we proudly serve patients across the U.S. and beyond.

Your perfect hairline may be closer than you think. Let’s talk.


Meet Our Doctors

Dr. Jeffrey Spiegel


Dr. Jeffrey Spiegel

With special expertise in all aspects of facial plastic surgery, and a particular skill for revision surgery, it’s clear why Dr. Spiegel is one of the most celebrated facial plastic surgeons in the world. If you are seeking the best possible results, or have a uniquely challenging problem, you’ve found the right doctor.

Learn More About Dr. Jeffrey Spiegel

Dr. Onir L. Spiegel


Dr. Onir L. Spiegel

Dr. Onir (pronounced “oh-near”) has years of experience in facial aesthetics and treats some of the most recognizable and famous faces. Dr. Onir started her career in oral health, earning doctorate degrees from both New York University and Boston University. She has been the recipient of numerous awards for her cutting-edge medical research as well as her technical skills in dentistry.

Learn More About Dr. Onir L. Spiegel

Dr. Jacob Tower


Dr. Jacob Tower

A board-certified specialist in facial plastic surgery, Dr. Jacob Tower brings a thoughtful approach and an artistic eye to New England’s premier plastic surgery practice, The Spiegel Center in Newton, Massachusetts. In addition to being an in-demand surgeon, Dr. Tower is an assistant professor at the Boston University School of Medicine, a sought-after lecturer, and an expert in facial plastic surgery.

Learn More About Dr. Jacob Tower
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