Forehead Reduction Surgery (Frontal Hairline Advancement)

 655. <Forehead Reduction Surgery (Frontal Hairline Advancement)>

This procedure reduces the vertical height of the forehead, but the actual surgical dissection happens at the scalp, not the forehead itself. The scalp is lifted from the crown toward the back of the head and then advanced forward, allowing the forehead skin to be removed without undermining the forehead itself.

Depending on scalp elasticity and thickness, around 1–2 cm of reduction is possible, with an average of 1.5 cm. However, this is not recommended for patients with crown hair loss, as it may worsen thinning due to reduced blood supply.

To keep the hairline natural, the incision is made in a zigzag pattern, angling backward to preserve more hair follicles. During the process, some nerves like the supratrochlear and supraorbital nerves may be cut or stretched, causing temporary or permanent numbness on the scalp—which is a common side effect.

If you can’t accept numbness, hair transplantation may be a better option—but this comes with its own tradeoffs, like lower density. There’s no zero-risk procedure. A good surgery begins with a full understanding and acceptance of its pros and cons.

The surgery takes about 1 hour under sedation. Sometimes, you may notice a subtle brow lift effect afterward, and it can also be combined with forehead fat grafting. This surgery is ideal for people with a long or wide forehead, helping create a better facial balance by adjusting the upper third of the face.

[Forehead reduction is a surgery that reshapes the upper face.]

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