There are lot of differences in male and female hairlines. A male hairline tends to have temporal receding and a M pattern. A female hairline is more rounded and circular. Hairline advancement is the procedure for treating the receding hairlines, which is suitable for individuals who have large forehead due to various reasons like genetic factors, hair loss, or as a result of prior surgery. A high hairline can affect the self-confidence of an individual while also limiting the hairstyles that he/she can wear.
Hairline advancement can also reduce the size of the forehead by moving down the location where your hair grows. This procedure is almost always performed during female feminization surgery. The procedure allows an individual to advance his hairline up to a certain distance on the basis of other variables like scalp laxity, patient preference, and pre-operative hairline height
Hairline advancement is performed to balance the overall facial proportion. The process is suitable for:
Hairline advancement includes the surgery that takes place on the forehead. A small part of forehead skin next to the hairline that is generally not more than 2-3 cm thick is removed. After removing the excess skin, the hair-bearing part of the scalp is mobilized, advanced and remaining part is stitched back, which results in the lowering of the hairline. There may be a scar that can be hidden by hair grafting later on.
Most patients are discharged the next day after the surgery. The patients can resume office work after a week and a half. As the procedure involves an incision, great care is needed to keep it clean and infection-free. The patient may receive post-operative instructions on how to reduce pain, swelling, and risk of infection post-surgery. There are silicone gels available which help in fading out of the scar.
There are very few complications of this procedure like bleeding, infection or suture gaping. However, the complications can be significantly reduced by choosing the right plastic surgeon for the procedure.
There can be other problems related to scar-like widening, hypo/hyperpigmentation, visibility with future hair loss, and the need for hair grafting to camouflage the incision site. Scars are impossible to avoid. However, the extent of visibility of the scar depends on many factors like the texture of the skin and color of the skin. During the recovery time, the patient needs to take excessive care to avoid the scar to become more prominent. When taken good care, the scar can reduce its visibility in half or one year.
With the increased use of tissue expanders and advancement in rotation flaps, the cosmetic outcome of the procedure has improved remarkably. New advances in the technique have improved the outcomes of cosmetic appearance for hairline advancement. Technical advancement has made the procedure simple and easy to perform with less recovery time.
Dr. Parag Telang uses a trichophytic incision which heals much better than a linear incision. He marks the incision on the forehead in his consultation for the patients to see. He discusses the procedure with his clients in advance and answers all their queries with compassion and empathy. Dr. Parag always makes his patients his top priority. His sensitivity, understanding, and support are an integral part of patient care. His commitment to excellence is what makes him a great plastic surgeon.
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