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Stability of Hairline Lowering Using Small Footprint Soft Tissue Anchoring Devices.

Cyrus W Abrahamson1, Hasan Pracha1, Jaymie A Bromfield2

  • 1Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

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|October 21, 2025
PubMed
Summary

Hairline lowering using the Endotine Forehead-mini effectively reduced the upper facial third in patients. This aesthetic procedure demonstrated sustained results with minimal risks, improving facial harmony.

Keywords:
aesthetic procedurehairline loweringoutcomessoft tissue anchor

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Area of Science:

  • Plastic Surgery
  • Aesthetic Medicine
  • Facial Aesthetics

Background:

  • Facial aesthetics are influenced by the "facial thirds" principle.
  • Hairline recession and large foreheads can disrupt facial balance.
  • Hairline lowering offers a solution to improve harmonious facial aesthetics.

Purpose of the Study:

  • To evaluate the outcomes and stability of hairline lowering.
  • To assess the efficacy of the Endotine Forehead-mini device.
  • To analyze results in a single-surgeon cohort in the United States.

Main Methods:

  • Retrospective review of 100 patients undergoing hairline lowering (2011-2024).
  • Measurement of upper facial third ratios preoperatively and postoperatively.
  • Assessment of hairline lowering stability over time.

Main Results:

  • Achieved a statistically significant reduction in the upper facial third percentage (medially and laterally).
  • Hairline lowering results were stable from the first follow-up through 12+ months.
  • Complications included transient alopecia (14%), need for additional surgery (10%), and scalp irritation (5%).

Conclusions:

  • The Endotine Forehead-mini facilitates substantial and sustained hairline lowering.
  • The procedure is associated with minimal risks when performed by experienced surgeons.
  • This technique can effectively restore facial balance disrupted by hairline recession.