What are the different types of hair loss and options to address them?
Diffuse Hair Loss or Thinning
The balding patterns in women differ from those in men; therefore, different procedures are often indicated to address concerns in women versus men. In women, most commonly a diffuse thinning pattern is seen, usually worse at the top and sides of the scalp. Wigs or hairpieces are often used to address diffuse hair loss or thinning.
In some patients, hair transplantation can be implemented to increase hair density in an inconspicuous fashion using a patient’s own, naturally growing hair. Another pattern of hair loss that may be seen in both women and men is loss of hair in the temples as a result of poorly-executed incisions during a facelift. Hair transplantation can often be utilized in this scenario to improve the thickness and appearance of hair in the temples, as well as help camouflage a visible incision. Please see our Hair Transplantation procedure page for additional information.
High Hairline or Long Forehead
Another type of “hair loss” (may also be where your natural hairline is) may be found in patients with a long (high) forehead or high hairline. In these cases, the distance between the hairline and the upper border of the eyebrows is greater than desired. In most patients, this distance should be roughly 1/3 of the vertical length of the face, which generally corresponds to a distance of 5-7 centimeters. This aesthetically-pleasing proportion tends to draw an observer’s eyes towards the areas of the face that, by our society’s standards, are thought to convey beauty: the eyes and the lips. When there is a high hairline, the face can appear elongated and draw attention away from these features and towards a long forehead.
Also, as aging occurs and the brows begin to droop, the high forehead (long forehead) or high hairline becomes even more pronounced. Hair stylists recognize this and invariably style the hair with bangs. In mild cases, this is often effective in framing the face in attractive proportions. However, in people with very high hairlines, optimal hairstyling techniques may not lead to sufficient improvement in appearance. In these patients, a hairline lowering procedure can lead to a dramatic improvement in their appearance. Additionally, in patients who are also bothered by heavy or droopy eyebrows, it is possible to perform a brow lift as part of the same procedure.
What does a Hairline Lowering (or Advancement) procedure do?
This is a relatively quick procedure that leads to a dramatic improvement for patients. It is performed most commonly in women, since men may go bald in the area of the incision. In very select cases, it may also be performed in men.
In patients who have a high forehead (high hairline) who are unable to achieve a satisfactory result from hairstyling alone, this procedure represents an effective solution with an extremely high patient satisfaction rate. As mentioned above, a brow lift procedure can easily be performed concurrently to raise heavy or drooping eyebrows. Ultimately, this procedure can better frame your face and impart a more youthful, well-rested appearance.
What can I expect after surgery?
Hairline lowering is most often a simple, one-stage operation that allows patients to appear in public within 2-3 days of the surgery with a new, lower hairline and full-length hair. Mild to moderate swelling and bruising are expected and may take up to 7-10 days to resolve. If the scalp is very tight and/or more than 3 centimeters of advancement is needed, a two-stage procedure may be most appropriate to avoid over-tightening the scalp and subsequent hair loss. During your one-on-one consultation with Dr. Sidle, he will discuss your concerns and help you decide which procedure will give you the best possible result.
Why choose Dr. Sidle for hairline lowering surgery?
Experience Matters. As a double board-certified Facial Plastic Surgeon at Northwestern with special expertise in rejuvenation of the eyes and face, Dr. Sidle can provide you with an individualized plan to restore a more youthful appearance to your face. Call our office for a one-on-one consultation.
All post-operative instructions can be found on the Patient Resources page.