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.

What is Scalp Advancement?

A fine incision is made along the hairline from temple to temple. The incision is done in front of the hairline so that we 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, we can to shape the hairline by advancing the scalp in areas where it is receded. A natural result is obtained with much improved hairline shape and position.

At the same time, we commonly adjust 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. You will not need any overnight stay and can return home or to your hotel shortly after the procedure. 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).

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What Happens During The Procedure?

Scalp advancement takes approximately one hour and is performed under general anesthesia. Our surgeons make a very carefully placed incision along the front of the patient's natural hairline. Then, by releasing the tissue under the scalp, the hair can be brought forward to make the forehead look smaller. This can reduce the forehead by 0.5 to up to 2 inches, depending upon patient anatomy. 

Scarring is a concern for some patients, but hair typically camouflages the scar well. Our surgeons can also create an incision that sits just behind the hairline, so hair grows through and in front of the incision once healed in what’s called a trichophytic incision. In certain cases, hair grafting might be an additional way to hide scarring.

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Scalp AdvancementBefore & After

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What is Recovery Like?

Sutures are removed 6-8 days after surgery at a first post-operative visit. 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 have 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.

A Balanced And More Attractive Face

A patient's goal with hairline advancement will determine their results. For patients who seek a more feminine appearance, their new hairline will accomplish just that by shortening the distance between the brow and the hairline and softening their face.

For others who wish to combat hair loss, their results will give them an attractive and revitalized look; they can also expect to look younger. Within about three to six months, the hair in front of the scar will typically grow through for results that look completely natural.

Is Hairline Advancement Right For Me?

Shifting the hairline can benefit people of all genders, as specific modifications can be made to match a patient’s aesthetic preferences. For those who wish to feminize their face, the hairline can be contoured into an oval shape to mimic common hair patterns of women. 
For those who want to look masculine, the new hairline can be designed to have an ‘M’ shape, which is common among men. If the elimination of a receding hairline is the goal, a hairline advancement will help. Overall, this procedure has a high rate of patient satisfaction. 

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Why The Spiegel Center?

The Spiegel Center in Newton, Massachusetts, is a premier destination for hairline advancement, and our team of highly skilled, double-board-certified surgeons has performed this procedure on countless patients over the past two decades. 

Founding physician, Dr. Jeffrey Spiegel, has hand-selected every member of our best-in-class team to provide enhanced, refined, and polished results. To schedule a consultation with The Spiegel Center team about hairline advancement, contact our office today.

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