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Forehead Reduction Surgery with Hairline Advancement
Jorge Espinosa1, Luis Solís1, Roxana Cobo2
1Department of ENT and Facial Plastic Surgery, The Face & Nose Institute, Bogotá, Colombia.
Facial Plastic Surgery : FPS
|December 27, 2023
Summary
Hairline reduction surgery effectively reduces forehead size, enhancing facial harmony. While scalp hypoesthesia is common initially, it resolves within two months, leading to high patient satisfaction.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Rejuvenation
Background:
- A high forehead can disrupt facial proportions.
- Hairline advancement surgery offers a solution to reduce the forehead's vertical height.
- Improving facial aesthetics is a primary goal in aesthetic surgery.
Purpose of the Study:
- To describe the anatomy relevant to hairline advancement surgery.
- To detail the surgical technique for aesthetic forehead reduction.
- To evaluate patient outcomes and satisfaction following hairline reduction surgery.
Main Methods:
- A retrospective study of 21 patients undergoing hairline advancement surgery between 2019 and 2023.
- Detailed description of the surgical procedure and anatomical considerations.
- Assessment of forehead reduction length and patient-reported outcomes, including sensory changes.
Main Results:
- The average forehead reduction achieved was 22.48 ± 2.64 mm.
- Scalp hypoesthesia was reported by 100% of patients post-operatively.
- All cases of hypoesthesia resolved completely by the 2-month follow-up mark.
Conclusions:
- Hairline reduction surgery is a safe and effective procedure for reducing forehead size.
- The technique yields significant aesthetic improvements and high patient satisfaction.
- Temporary scalp hypoesthesia is an expected, transient side effect.

