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Hairline Lowering vs. Hair Grafts: Understanding Your Options for a Better Hairline 

Hairline Lowering vs. Hair Grafts: Understanding Your Options for a Better Hairline 

Having a full, well-defined hairline is a significant aspect of facial aesthetics. For those concerned with a receding or high hairline, there are two primary solutions: hairline lowering surgery and hair grafts. Each procedure has its own set of benefits, considerations, and ideal candidates. This blog will delve into the details of both options, helping you make an informed decision on which might be best for you. 

Hairline Lowering Surgery 

Hairline Lowering

What is Hairline Lowering Surgery? 

Hairline lowering surgery, also known as forehead reduction surgery, involves surgically moving the hairline forward. This procedure is typically performed under general anesthesia and takes about 2 hours. During the surgery, an incision is made along the natural hairline, the forehead skin is lifted, and the scalp is advanced forward. The excess forehead skin is then removed, and the incision is closed. 

Benefits of Hairline Lowering Surgery 

  1. Immediate Results: One of the most significant advantages of hairline lowering surgery is the immediacy of the results. Once the surgery is complete, the new hairline position is immediately apparent. 
  2. Permanent Solution: The results are long-lasting, with no need for repeat procedures. 
  3. Ideal for High Foreheads: This surgery is particularly beneficial for individuals with high foreheads or those who desire a more proportionate facial structure. 

Considerations for Hairline Lowering Surgery 

  1. Surgical Risks: As with any surgical procedure, there are risks such as infection, scarring, and complications from anesthesia. 
  2. Downtime: Recovery time can vary but typically involves a few weeks of downtime. Patients may experience swelling, bruising, and discomfort during this period. 
  3. Scar Visibility: While surgeons aim to minimize visible scarring, there is always a risk that scars may be noticeable, especially in individuals with thin or fine hair. 

Hair Grafts 

Hairline Lowering vs. Hair Grafts

What are Hair Grafts? 

Hair grafting, or hair transplant surgery, involves transplanting hair follicles from one part of the body (usually the back of the scalp) to the thinning or receding areas of the hairline. There are two primary techniques: Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE). 

  • FUT involves removing a strip of scalp from the donor area, from which hair follicles are extracted and transplanted. 
  • FUE involves extracting individual hair follicles directly from the donor area and transplanting them. 

Benefits of Hair Grafts 

  1. Less Invasive: Compared to hairline lowering surgery, hair grafts are less invasive with minimal scarring, especially with the FUE technique. 
  2. Lower risk of scarring: Hair grafts may be a good option for those that are afraid of having a scar from hairline lowering surgery. With FUE, no large incisions are made, so there is minimal risk of scarring. 

Considerations for Hair Grafts 

  1. Multiple Sessions: Multiple sessions are usually required to achieve the desired density and coverage. After only 1 session, the hair at the hairline can be less dense than the surrounding scalp, leading to an unnatural appearance.  
  2. Cost: Hair graft procedures can be expensive, and costs can add up with multiple sessions. 
  3. Recovery Time: While less invasive, hair grafting still requires recovery time, including managing minor scabs and ensuring proper hair growth post-surgery. After hair grafting, the hairs shed and take time to regrow. There is a period of time where the hair near the hairline is much shorter than the rest of the scalp.  

Choosing the Right Procedure 

Dr. Saxon generally recommends hairline lowering surgery for women with a high hairline and have no active medical conditions causing hair loss. A small number of hair grafts can be added at a later date to fine tune the hairline shape or camouflage the scar if it is visible. If the need for hair grafting arises, patients often need much fewer grafts, and a good result can be achieved in one session. Overall, this approach is much more cost-effective with less downtime.  

Hair grafting is usually a better choice for younger men who have a high likelihood of the hairline continuing to recede. If hairline lowering is performed and hormonal effects continue to cause hair loss over time, the scar will become very visible. Hair grafting is then needed to continue to maintain an ideal hairline.  


Both hairline lowering surgery and hair grafts offer effective solutions for enhancing the hairline. The choice between the two depends on individual goals, the extent of hair loss, and personal preferences regarding surgical procedures and recovery time. Dr. Saxon can help determine the best approach for achieving a natural, aesthetically pleasing hairline during your consultation. Regardless of the chosen method, advancements in hair restoration continue to provide individuals with more options to regain confidence and improve their overall appearance. 

Click here to visit our Hairline Lowering page. 

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