Is the forehead reduction scar visible?

Will it be visible to people who don't know I had a forehead reduction? I don't want to get a hair cut with bangs to cover the scars. It would defeat the purpose of a forehead reduction.


F, 38, New York

Tags:woman age 35-44 forehead scar reduction

A forehead reduction scar may be placed within the hairline itself, or more commonly just below the hairline.  It is generally well-concealed, but any time an incision is made in the skin there is a chance of it being visible.  Make sure you consult with a qualified surgeon who has experience with this procedure.

When performed by an experienced surgeon, forehead reduction surgery will reduce the appearance of a large or excessively high forehead. Forehead reduction surgery results in a scar as the forehead skin is cut to lower a high hairline. However, an experienced plastic surgeons can skillfully conceal the incision within the hairline rendering any resulting scar almost invisible. When the scar is properly hidden within the hairline, bangs aren’t necessary to hide the incision line.

That said, it’s easier for surgeons to conceal the scar in some patients more than others. Factors that may impact the final results of your hairline advancement include the natural shape of your hairline, the density of your hairline, and scalp laxity.

Patients with a straight hairline often feel their final results look more natural than those with an uneven hairline. Those with a thick hairline also have an advantage in hiding the scarring as their hair density obscures the scar. The elasticity of the skin along the scalp also affects the final results as looser skin around the scalp makes it less likely the eyebrows will be raised into a higher position when the new hairline is created.

The best way to gain an idea of the kind of results you can expect is to make a consultation with a board-certified plastic surgeon who specializes in hairline lowering. During the initial consultation your surgeon will review your medical history and carry out a full examination of your scalp and brow to help determine if hairline lowering is the most appropriate way to achieve your goals.

You may also be a good candidate for another treatment that provides comparable or even better results; for example, a brow lift or hair transplant. Hair grafting avoids the need for making an incision along the hairline and is a less invasive surgical procedure. Hair grafting can also be used to fill out the hairline.

Hairline lowering surgery or scalp advancement reduces the prominence of a high forehead in a single procedure. It’s a surgical technique performed almost exclusively on women, and can shorten the forehead by up to 2 inches and move the hairline forward. It can also be combined with hair transplantation to dramatically change the the shape of the natural hairline and give balance and femininity to facial features.

Many individuals who could benefit from a forehead reduction procedure express concern about the resulting scar. When performed by a board-certified plastic surgeon, a fine incision will be made in the frontal hairline. These are often made irregular so hair eventually grows through it. It is sutured closed, and typically heals in such a way that it’s barely visible, if at all.

Patients with a thicker natural hairline sometimes have the advantage of a less visible scar, but those with thin hair can still enjoy beautiful outcomes. In general, the procedure has a high satisfaction rate and helps restore self-confidence in patients who have long felt self-conscious about their prominent foreheads.

The best way to determine if you’re a good candidate for hairline lowering surgery is to schedule a consultation with a board-certified cosmetic surgeon who specializes in forehead reduction procedures. This surgery requires a certain level of laxity in the scalp and forehead skin, otherwise a tissue expander will be required to stretch the skin prior to the procedure.

You might also benefit from an alternative procedure like a hair transplant or brow lift surgery. A brow lift can simultaneously correct low, drooping eyebrows while giving you a lower hairline by shortening your forehead.

A properly placed and designed incision for forehead reduction should be practically invisible.  The incision is just along the hairline, slightly irregular and angled to allow hair to grow back through the incision.  When this is done by an experienced surgeon the incision is concealed by all but the shortest haircuts.