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The Hairline Lowering procedure was the “brain child” of Dr. Toby Mayer more than 30 years ago. He even described it in his medical textbook, Aesthetic and Reconstructive Surgery of the Scalp. This book is considered the bible for aesthetic and reconstructive surgery of the scalp including Hairline Lowering. At the same time, he developed an innovative technique that allows the hair to grow through and in front of the incision, so no scar is visible. This technique, called the “Irregular Trichophytic Incision,” has been performed by Dr. Mayer on numerous actors, actresses, and models all over the world. You see the doctor's results daily on camera and on the big screen.

When the scalp is tight, tissue expansion gives the doctors the opportunity to advance the hairline without tension to avoid a visible hairline scar. Some doctors who do not perform tissue expansion make more extensive scalp incisions within the scalp which limits the choice of hairstyles.

Many women have a large forehead secondary to a congenitally high hairline or a hairline that has been elevated after previous cosmetic surgery. Our hairline advancement procedure has been developed to lower that hairline and bring the proportions of the face into balance. With the aging process, the high hairline is accentuated giving women a balding/masculine appearance. The hairline advancement can be performed as an isolated procedure or at the same time as a Hairline Forehead/Brow Lift.

With this technique, an incision is made within the hairline and the scalp advanced after mobilization of the hair bearing tissue. Hair follicles are buried under the skin, and closure at the completion of the operation will allow hair to grow through and in front of that line, giving patients total freedom of hair styling. In some instances where there is not enough elasticity in the scalp to provide adequate advancement, a Tissue Expander can be placed under the hair-bearing scalp. The Expander is slowly filled, and, over time, will stretch the scalp to provide the needed advancement of the hair-bearing scalp and lower the hairline. After several weeks, the Tissue Expander is removed and the hairline is advanced to its correct position, utilizing the camouflage incision at the hairline.



Aging of the forehead can cause the eyebrows to fall with hooding of the upper eyelids, resulting in a full, heavy, tired look that makes the eyes look smaller. Forehead grooves and frown lines accentuate the problem by making a person appear angry or fatigued. In patients with good brow position, removal of only the excess skin of the upper eyelids will provide the ideal result. However, in patients with low eyebrows, the best results will be achieved by elevating the brow position with or without removal of excess upper eyelid skin.

Our technique is designed to give eyes a brighter and more youthful appearance. It does not create an abnormal “surprised” look; rather, one of remarkable facial rejuvenation.

On patients with a very low hairline, a “coronal” forehead lift is performed. The incision is placed within the scalp where it is totally hidden by the surrounding hair. The hairline is raised slightly with this approach making it the ideal technique for women with a low hairline. This, however, represents less than 10% of women.

For the other 90% of women, those who have a high hairline, or those with hairlines in the correct position, we have developed a procedure to camouflage the incision at the hairline. We therefore maintain the hairline in its correct location, or lower it for those with high foreheads.

The forehead eyebrow lift also softens forehead creases and frown lines between the eyebrows.




Orbital Bony Contour (softening the brow bone) procedure is performed under a general anesthetic and takes about 1½ hours.  An incision is made at the hairline, the forehead is loosened down to the brow bone, the brow bone is shaved to reduce its prominence and the forehead is re-attached at the hairline. The type of incision the doctor uses is the “Irregular Trichophytic Incision”, which allows the hair to grow through and in front of the incision. During the closure the forehead skin is raised, the scalp is turned under slightly, burying hair follicles, and after about three weeks the hair starts growing through and in front of the incision.

This is why our hairline closure becomes undetectable unlike other hairline closures. You will have a bandage overnight and sutures at your hairline for six days. When the sutures are removed, you would be free to fly out that day.


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