Hairline Advancement in Miami, FL

The first technique, the Surgical Hairline Advancement or Hairline Lowering Surgery, is a more-surgical procedure that involves shortening the forehead while moving the hairline forward. Dr. Epstein is one of the most experienced surgeons in the world in performing this procedure. An incision is made right along the front of the hairline, then the hairline is brought forward, and the excess forehead skin is removed, with the incisions then sutured closed. The result: a fine line incision scar along the hairline which typically heals up to be barely if at all visible, and is designed so that hairs grow through it. This is a more complicated procedure than transplanting with hair grafts, but can be quite effective and produces rapid results. Most patients’ recovery lasts five to seven days, and the sutures are taken out after this one week period. It is truly impressive how this 90 minute long procedure can dramatically achieve a lower hairline, thick and natural appearing.

Before

Demonstration of the anticipated amount of lowering

Marking out

Actual result at one week

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 it permits 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.

Second Technique for Advancing the Overly High Female Hairline: Hair Grafting

The more common technique for advancing the overly high female hairline and most male hairlines is hair transplantation. In this technique, as many as 2,400 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 eight hour long 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 the very next day 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.

One day after 2000 grafts to round out and lower a hairline