Is the hairline incision for a forehead lift visible to others?

I know that forehead lift incisions are hidden behind the hairline, but will the scar be completely covered by hair? Am I at risk of losing my hair along the wound from the surgery?


F, 54, Connecticut

Tags:woman age 55-64 forehead incision lift hairline

After my procedure, I realized that the incision is along the contour of my hairline to hide the scar. However, if you are a male, then balding makes it hard to hide the scar sometimes as you age. The mid forehead lift will work well but the scar is more visible so it is not often performed. You might not be a good candidate for this procedure, and it may be worth looking into all the options that are available to you before choosing this one. An endoscopic brow lifts or an endoscopic forehead lift might be better suited to your needs.

This is a good question! Honestly, any good cosmetic surgeon is going to make sure that scarring is hidden behind the hairline. I don't think you'll have to worry about a disfiguring visible scar following a procedure done by a qualified and reputable doctor. However, hairlines recede over time for some people. It's genetic. Whereas, some people maintain a full head of hair their entire life, others are bald by 30. It depends on your current age range. Older people whose hairlines have not receded yet, don't really need to worry about it receding any time soon. You could consider what the tendency has been for your older family members regarding receding hairlines. Obviously, if your hairline recedes, your scar will be more visible.

How you have the surgery performed will determine if you can see the scar or not. There is one type of forehead lift that is performed called an endoscopic forehead lift where a thin tube with a camera on the end is used. This form of forehead lift has small incisions made through the hairline, which allows the skin to breathe. It does have visible hairline scars usually at the top, but it can be somewhat hidden with bangs. The other type is called a “coronal incision.” This type is one big incision from ear to ear across the top of the head. The forehead lift is completed, and then the incisions are closed. This type has a scar also but it is well concealed with the patient’s hair. In some cases, there has been reported hair loss along the incision site. For that reason, I personally would choose an endoscopic forehead lift just because I would not want a huge scar across my entire head.

It all depends on the quality of the work performed by your doctor. The first week post surgery is terrifying because you have visible sutures and staples in your head. After my surgery, I felt a bit like Dr. Frankenstein's monster and I didn't leave the house for a few days. I chose a forehead lift specialist and I made it extremely clear that I wanted my hairline incisions to be invisible. My surgeon did an awesome job. I do not have any visible scarring, I'd have a hard time pointing out my own incision line, and my hairline did not drift backwards like I feared. Also, I can part my hair in any direction and there isn't any marks or blemishes in my hair that I feel like I have to hide.

Well, surgical practices are going to vary. I think that at this point, most surgeons can make a clean incision without shaving the hair, but I would check with your plastic surgeon to make sure that this is true. A friend of mine went to see a plastic surgeon to have some injuries from a car accident repaired and they didn't shave any of his hair off even though incisions were made above his hairline. There's basically zero visible signs that he went under the knife. I wouldn't worry too much about the scarring thing. A lot of people are concerned about looking like gross or something after the procedure, but the truth is plastic surgery technology has advanced and the small incisions are hard to notice. There's also a host of products--creams and gels and stuff to minimize the appearance of scarring.