What It Is

Hairline lowering, also known as forehead reduction surgery, is a cosmetic procedure that reduces the height of the forehead by moving the hairline closer to the eyebrows. This is achieved either through scalp advancement surgery (pulling the hair-bearing scalp forward) or through hair transplantation. The goal is to create a more balanced facial proportion and a softer, youthful appearance.

In Korea, hairline lowering is performed by plastic surgeons and hair restoration specialists, often with advanced techniques that prioritize natural hair density and hidden scars.

Why It’s Done

Patients consider hairline lowering when they have:

• A high or receding hairline that makes the forehead appear large
• Genetic traits such as a naturally tall forehead
• Gender-affirming goals, as forehead reduction is common in facial feminization surgery
• A desire for improved facial balance and confidence

This procedure is particularly popular in Korea, where emphasis is placed on harmonious and natural facial proportions.

Alternatives

Depending on patient needs, alternatives may include:

• Hair transplantation: Fills in the upper forehead or temples with transplanted follicles
• Scalp advancement with brow lift: Combines forehead reduction with lifting of the brows
• Hairstyling options: Non-surgical methods to conceal a high forehead
• Wigs or hairpieces: Temporary cosmetic solution

Preparation

Preparation before hairline lowering surgery includes:

• Consultation: Measurement of forehead height and discussion of goals
• Scalp flexibility test: Determines whether scalp advancement is possible or if hair transplant is better
• Medical evaluation: Blood tests and anesthesia clearance
• Lifestyle changes: Avoiding smoking and alcohol for 2–4 weeks before surgery
• Medication review: Stopping blood thinners and supplements that increase bleeding risk

How It’s Done

Hairline lowering can be done in two main ways:

Scalp Advancement Surgery

• Performed under general anesthesia
• An incision is made along the natural hairline
• The scalp is gently loosened and advanced forward
• Excess forehead skin is removed, and the incision is closed with fine sutures hidden along the hairline
• Often combined with a brow lift for enhanced results

Hair Transplantation

• Performed under local anesthesia with sedation
• Follicles are harvested (usually from the back of the scalp) and transplanted to the forehead area
• Creates a gradual, natural-looking new hairline
• Best for patients with stiff scalps or male-pattern hair loss

The procedure typically lasts 2–4 hours, depending on technique.

Recovery

Recovery depends on the chosen method:

Scalp advancement:

• First week: Swelling and mild discomfort at the incision site
• Stitch removal: Usually in 7–10 days
• Healing: Scars fade gradually and are hidden within the hairline
• Return to activities: Most patients resume light activities within 1–2 weeks

Hair transplantation:

• First week: Small scabs at transplant sites
• Hair shedding: Transplanted hair often falls out within weeks before regrowth
• New growth: Starts around 3–4 months, with final results visible after 9–12 months

Possible Complications

While safe, risks may include:

• Infection or bleeding
• Scarring along the hairline (minimized with careful technique)
• Asymmetry of the hairline
• Numbness or tingling in the scalp (usually temporary)
• Hair loss around the incision site (shock loss, often temporary)

Treatment Options in Korea

Diagnosis

• Facial proportion analysis to determine ideal forehead-to-face ratio
• Scalp flexibility testing for surgical planning

Medical Treatments

• Pain relief and antibiotics after surgery
• Scar care with ointments or laser treatment if needed

Surgical or Advanced Therapies

• Scalp advancement hairline lowering for immediate forehead reduction
• Hair transplantation for patients with tight scalps or hair loss risk
• Combination approach: Scalp advancement followed by hair transplantation for perfect density and shape

Rehabilitation and Support

• Scar management for scalp advancement patients
• Regular follow-ups to monitor healing and hair regrowth
• International patient services including translation, hospital navigation, and telemedicine aftercare