A hairline that measures its mid-point between 5 cm and 6 cm above a line drawn across the brows is what most classify as a typical and desirable female hairline. A mature male hairline usually is 6-8 cm above the brows.
An excessively large or high forehead can detract from the otherwise proportional features. An excessively high forehead can be due to hair loss, genetic factors, or from prior surgery such as a coronal brow lift or rarely an endoscopic brow lift. An excessively high forehead or high hairline can make an individual feel more conscious and limit which hairstyles to wear to help camouflage the large forehead. Forehead reduction surgery or hairline lowering surgery can be used to reduce a large forehead and an excessively high hairline in both men and women.
The surgery involves excising a strip of forehead skin right in front of the current high hairline. This results in an incision that is slightly behind the hairline. The hair eventually grows back within the scar, and it, therefore, helps minimize the appearance of the scar. Scar healing varies from patient to patient. In a few patients scars can look virtually imperceptible within a few weeks, on average it might take somewhere around 3-6 months for the scar to get to this point in most people.
Good candidates for hairline lowering surgery or forehead reduction include women with a large forehead or a high hairline or who otherwise have thick hair. Men with a significantly high hairline or disproportionate forehead can also be good candidates for this surgery given they have a thick hairline and no genetical history of hair loss. Men who have had a new hairline created with hair grafting and want their new hairlines to be at a lower level are also good candidates. Individuals with thin hair can have great results especially if the forehead reduction is used in combination with a little amount of hair grafting. This surgery can also help elevate brows in patients that have low or heavy brows, to a more natural and attractive position, but the hairline lowering surgery by itself does NOT affect the position of your eyebrows.
Hairline lowering surgery can at times be combined with hair grafting. It is done especially in men to lower the hairline. In women, the one stage forehead reduction is usually performed alone and does not usually need any hair grafting unlike in men, but hair grafting in them can be used at the same time to shape the hairline and also to give it a rounder look.