Highlights:

• Establishing better balance in the face with forehead reduction surgery (1:11)
• The differences between brow lift surgery and forehead reduction surgery (2:44)
• The scar and recovery from forehead reduction surgery (3:22)
• The forehead reduction procedure itself (5:20)
• How much forehead can be reduced? (7:34)
• Hair transplant surgery as an alternative to forehead reduction surgery (8:29)
• Can you combine a forehead reduction and a brow lift? (10:10)

Links:

Dr. Jason Hall, MD

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Transcript

Dr. Hall: Welcome to The Trillium Show, where we help you make the changes you want to see in your body, in your mind, and in your life. I’m your host, Dr. Jason Hall.

Dr. Hall: So, today we’re going to talk about a procedure that not a lot of people know much about. And it is a procedure that has probably one of the highest patient satisfaction ratings of any procedure that we do. That procedure is forehead reduction or hairline lowering. Now, hairline lowering, or forehead reduction surgery, is exactly what it sounds like. It is a procedure that is designed to shorten an elongated forehead and effectively turn a 5 head or a 6 head into a 4 head—sorry for the bad joke.

With forehead reduction surgery, this is something that can really be life-changing for people who need it and who undergo this procedure. When we talk about forehead reduction surgery, much like every other cosmetic surgery procedure that we do, what we’re really talking about is establishing better balance of the face between the upper, the middle, and the lower thirds of the face. When we as plastic surgeons look at someone’s face and as we’re talking about things that we can do to help reestablish balance, what we’re really doing is dividing the face into thirds, vertically. And so, your upper third is hairline to eyebrows, middle third is eyebrows to the bottom of the nose, and lower third is bottom of the nose to the chin.

And when one or multiple of those vertical thirds are out of balance, it can throw off the balance of the entire face. That’s why when we’re kind of talking about things like rhinoplasty or genioplasty—chin implant surgery—that a lot of times, those procedures tend to go together. Because if the nose is a little bit too large, and the chin is a little bit too small, changing one doesn’t necessarily improve things as much as improving the overall balance of both of them. And what forehead reduction surgery does is forehead reduction surgery helps to make that upper third—so from the eyebrows to the hairline—shorter and bring it into balance with the rest of the face, if it is the part that is causing an imbalance or disharmony. Forehead reduction surgery and brow lift surgery is really almost two sides of the same coin if you want to think about it like that.

One of the differences is that with brow surgery, a lot of times modern brow lift surgery is done with an endoscope, and with forehead reduction or hairline lowering, we have to do that in an open technique. So, we make an incision and then shorten the forehead that way. A question that comes up often in the consultation is how is that surgery done and, kind of, what does it look like during healing? And one of the big drawbacks to forehead red