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Dear Dr Epstein
I have recently met Monica P who had a hairline lowering procedure with you in 2007; she lives in London and we could meet up. It was great to see her and to listen to a real story - and i was surprised because i didn't expect such a good result. I think the density is almost perfect in her transplanted area and it looks so natural even though she only had one procedure. The scar is almost invisible and i am impressed now simply because i don't tend to trust photos on websites and would question everything coming my way but now i have to admit that you did achieve something so good with her hairline.
Monica is very happy with the result and with her new hairline and it is great to see a patient who is so happy with the result. I still have an appointment booked with Dr Bessam Farjo in London in November 2010 - he has such a long waiting list that i could only book an appointment for a consultation at that time. I would like to hear his opinion as well before embarking on the surgery.
There is no other UK based hair transplant surgeon whom i would consider and I will get back to you when i decide. Thank you
Best wishes
G
The hairline advancement/lowering procedure can lower the overly high hairline whether due to genetics, hair loss, or prior surgery such as browlifts. Most commonly it is performed on women, where the high forehead can be shortened. In addition, it is possible to actually change the shape of the hairline, making it more oval or rounded by filling in the upper temporal/side regions, creating a more feminine appearance. This is a procedure in which Dr. Epstein specializes, performing them on average two to three times weekly, mostly on patients who travel in for the procedure.
There are two techniques that can be used to advance the hairline. The most common, because it has many advantages, is with hair transplants. In this technique, as many as 2400 or more hair grafts can be placed in a single procedure with natural appearing results. Performed usually under a mild oral sedative, this four to six hour procedure is essentially painless, as is the recovery period. These grafts, each containing one to three hairs, are placed in the natural direction of growth, into very tiny incisions both in front of as well as between the existing hairline hairs in order to increase density. Most patients are fully presentable by three to four days with a hat or scarf, and allowed to resume normal activities, including exercise and hair washing, at five days. The transplanted hairs fall out after three weeks, then start to regrow at four months- requiring a total of eight or so months before the results are quite noticeable. The hairs can grow not only in areas that once had hair, but also in areas where hair never grew. The donor hairs come from the back of the scalp, which continue to grow for a lifetime. To provide a natural appearance, the hairs are transplanted primarily one and two at a time, with the finest hairs up front, the natural way the hairline hairs grow. There are few risks with the procedure. The donor site, from where the hairs are removed, typically heals as a less than 2 mm wide incision, easily concealable with existing hair in the area.
The other hairline advancement technique is a surgical procedure that involves shortening the forehead while surgically moving the hairline forward. An incision is made right along the front of the hairline, and sometimes along with shortening the forehead, the eyebrows can be raised up, if desired, so that a browlift is performed. The result is a fine line incision scar along the hairline which typically heals up to be barely if at all visible, plus is typically designed by Dr. Epstein to have hairs growing through it. This is definitely a bigger procedure than transplanting with hair grafts, but can be quite effective and produce rapid results. Most patients are presentable at five to seven days, and the sutures come out at around a week.
In fact, for most patients, hair grafting is the procedure of choice. It avoids the need for making an incision along the hairline, and is a much less involved surgical procedure. Another advantage of hair grafting is that Dr. Epstein is able to achieve better rounding out of the hairline, especially filling in and lowering the sides. The main advantage of the surgical advancement procedure, however, is that there is an immediate result with unsurpassed density in just a single procedure. In addition, as soon as two months after a surgical advancement procedure, hair grafting can be performed to round out the hairline and conceal any fine line scars that can result.
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Before and After one hairline advancement procedure 2,000 grafts. Before picture showing markings for surgery.
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Before and After one procedure 1,500 grafts to restore hair loss as a result of prior
browlift and facelift, including restoration of the sideburns.
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Before and After one procedure 1,800 grafts to repair a distorted hairline after
brow lift surgery.
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Before and After a hairline advancement procedure 2,525 grafts and an eyebrow
transplantation procedure.
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Before and After 2800 grafts hairline advancement procedure on a 16 year old born with a very high hairline.
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Before and one week after surgical hairline advancement.
This is a one stage procedure capable of advancing the hairline in women with high hairlines.
In this case, by over 1 inch. Dr. Epstein specializes in these procedures.
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If you have any questions about our Miami hair transplant clinic or any of our Foundation for Hair RestorationT facilities, or about hair transplants, follicular unit grafts, or anything else, please don't hesitate to contact our office.
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