Utah hairline advancement transplant & reverse browlift

Hairline Advancement ~ Reverse Browlift

Hairline Advancement, also known as Reverse Browlift, is a procedure offered in relatively few clinics in America. Fortunately, Dr. Bitner at Utah Hair Restoration with his world-class training is an expert at performing this operation. Indeed, patients travel from all over the county and even outside the United States to Utah Hair Restoration to have Dr. Bitner perform their Hairline Advancement. The results are beautiful and can be appreciated as soon as the operation is done.

Utah Hairline Advancement & Reverse Browlift

The operation is designed for women with a stable hair pattern who have an unusually high hairline or large forehead. Like a brow lift (trichophytic brow lift) an incision is made at the anterior hairline. The angle of the scalpel blade is very important, it must be bevelled as to transect the first few hairs at the anterior hairline. As the name suggests, instead of elevating the skin of the forehead forward, the reverse brow lift goes back, elevating the scalp back to the vertex of the skull. Once the scalp has been elevated, a scalpel blade is used to make tiny relaxing incisions in the galea aponeurotica. Generally, the incisions are made from side to side using great care as to not transect or cut the blood vessels supplying the anterior scalp. Then, the scalp is pulled forward, marking the amount of advancement achieved. Finally, the overlapping forehead skin is removed and the incision is closed. Dramatic advancement of the anterior hairline can be achieved with this procedure, usually between 2 and 3 cm.

Frequently Asked Questions

Can men have this procedure done?

The short answer is no. Generally women without a history of hair loss and a long-standing (since teenage years) history of a high hairline are the best candidates. Men, due to the propensity to eventually recede in almost everyone, precludes them from this operation. There are two exceptions. First, men who have a very strong history of a stable hairline on both sides of the family even into the very late stages of life. Second, men who have already had a hair transplant to the frontal hairline and have achieved excellent density, but would like it brought further down. In this situation, the transplanted hair is expected to be stable over their lifetime.

How does the resultant scar appear?

In the vast majority of patients, the scar heals as a tiny, faint, zig-zag white line that is well hidden and difficult to see. The keys to a virtually invisible scar are to make it irregular and not a straight line. Remember that the frontal hairline grows with small, natural peaks and valleys, not as a straight line. The surgical scar should match the natural hair growth patterns. It is important to realize that the scar will initially be pink and may stay pink for months. Also, the nature of a trichophytic incision requires that the transected hair at the frontal hairline will eventually grow though the scar. It will also take several months for the hair to grow and reach the length of the adjacent hair.

Are followup procedures ever necessary?

Rarely and generally in only two situations. First, the anterior hairline pattern is atypical particularly with deep temple recession. The temples are the most difficult area to bring forward with a hairline advancement and may require some additional hair to fill in this area. Second, the patients skin type produces a scar that is visible. This is almost exclusively a problem associated with dark skin where the scars appear light colored or white. In this situation, a row of transplanted hair can be placed in and through the scar to further disguise the appearance.

Are you a woman and have a very high hairline? Are you embarrassed to pull your hair back because of your large forehead? Are your hair styles limited to those that will adequately cover your forehead? You might be a candidate for a Hairline Advancement/Reverse Browlift. Contact Dr. Bitner at Utah Hair Restoration. He will be able to answer your questions and come up with a solution that will fit your situation. Call or email today! Online, email or Skype consultations are available for out-of-state patients.

If you wish to learn more or schedule a consultation, please contact our office by calling (801) 525-8727 or by submitting the online form to request an online consultation.

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