Q: Dr. Eppley, I am interested in a frontal hairline advancement. I have no issues with hair loss. My hair hairline simply dips back into in the middle and that’s where I drew a line if that was eliminated on my picture. I have some breakage on the edges from hats and headbands, but nothing permanent. It grows back instantly. Is this possible? I know you are the best at this procedure so I thought I would ask you.
A: Thank you for sending your picture. Where a hairline advancement works the best is exactly where your hairline issue is….in the center of the frontal hairline. Given where you have put the markings for the desired hairline edge I think is a very achievable goal. Scalp elasticity always determines how much the hairline can be moved but a 1 to 2 cm forward movement is possible in most people. It is at the sides of the hairline advancement, the temporal region, where a hairline advancement has the least effect…unless the incision is placed right at the edge of the hairline which would usually not be desirable for most patients. This is a procedure that has a very quick recovery so expect to be back into a normal life within 7o to 10 days after surgery.
Dr. Barry Eppley