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Hairline lowering during foreheadplasty
1Marten Clinic of Plastic Surgery, San Francisco, Calif., USA.
Plastic and Reconstructive Surgery
|January 23, 1999
Summary
A new surgical technique combining a pretrichial incision with a posterior scalp advancement flap effectively lowers hairlines. This forehead rejuvenation procedure significantly improves appearance and patient satisfaction while minimizing risks.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation
- Aesthetic Surgery
Background:
- High hairlines are a common concern for patients seeking forehead rejuvenation.
- Existing foreheadplasty techniques (coronal, endoscopic) can elevate the hairline, worsening the appearance.
- A pretrichial incision alone shortens the forehead but does not lower the hairline.
Purpose of the Study:
- To evaluate the efficacy of a combined pretrichial incision and posterior scalp advancement flap for true hairline lowering.
- To assess patient satisfaction and complication rates associated with this technique.
Main Methods:
- A retrospective review of 27 foreheadplasty procedures using a pretrichial incision and posterior scalp advancement flap.
- Procedures were performed over a 5-year period on patients aged 35-71.
- Evaluation of aesthetic improvement and patient satisfaction.
Main Results:
- Significant aesthetic improvement was observed in all patients.
- High patient satisfaction was reported across all cases.
- No serious complications were encountered during the study period.
Conclusions:
- The combined pretrichial incision and posterior scalp advancement flap technique effectively lowers the hairline, creating a more youthful facial proportion.
- This method offers a valuable option for forehead rejuvenation, with benefits often outweighing the potential for a more visible scar.
- The procedure is associated with high patient satisfaction and a low risk of serious complications.