SCALP ADVANCEMENT (HAIRLINE LOWERING)
Am I a candidate for a scalp advancement?
A high hairline can be a problem for both men and women often being the key factor in determining a hairstyle. Advancing the scalp forward may eliminate the need for hair grafting and is often more natural in appearance. This procedure involves making an incision (called a trichophytic incision) right at the hairline. A trichophytic incision is beveled so that hair can actually grow through it over time camouflaging the incision. The scalp is brought forward into the desired position and often rounded off at the edges. This creates a natural hairline and slightly raises to eyebrows. For men, the hairline may continue to recede, so they will want to ensure that hair loss is stable before undergoing this procedure. In this circumstance there is still a risk of needing hair grafting in the future should hair loss continue albeit fewer grafts. In women, estrogen usually prevents the hairline from changing drastically and undergoing this procedure at any time is generally safe.
What is recovery like after scalp advancement
Scalp advancement has a fairly short recovery time. Immediately after surgery, a compressive wrap is placed around the forehead. It can be removed daily for hair washing and cleaning incisions. There is mild swelling and bruising which descends with gravity down around the eyes and cheeks. The forehead tends to be numb temporarily which minimizes pain. Any clips and sutures are removed one week after surgery, and local wound care will continue for one week further after that. Sunscreen and scar creams are recommended after that time. Hair starts to grow through the incision 2-6 months after surgery.