Hairline Advancement

Hairline advancement

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.

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.

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hairline advancement FAQS

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.

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.

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 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.

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 patient Testimonials

#1 Rated Facial Plastic Surgeon in Utah

*Based on RealSelf.com reviews with physicians having at least 50 reviews of surgical results (specifically excluding Botox or filler results). Please visit realself.com
Dr Bitner and his professional staff were wonderful to work with. I had amazing results with my procedure (hair transplant). They made themselves available every step of the way and made sure I knew what to expect at every interval of the process.
Dr. Bitner was fantastic. Everything was professional and smooth from start to finish. He has the ability to visualize the end result, and make this procedure work for the individual. I love the result!
Highly recommended. The nurse and staff is remarkable as is Dr Bitner. I was extremely impressed with the degree of information they give to prepare you for the procedure. You know exactly what to expect at all times in the process, and are all very available to address questions as they may arise. I was also very impressed with the access I had to Dr Bitner. Very different from surgery I have had at the hands of others before. The procedure went better than expected. Very happy with the outcome.
It has now been six months since my surgery and I am very pleased with the results. My hair is much thicker and fuller than I thought it would be. The hair has grown in gradually which I like so it's not just an overnight change, but when I look at old pictures of myself I can tell a big difference. Very Happy!
After meeting with a number of Doctors, I chose Dr. Bitner to perform my hair transplant. My main concern was how natural it would look. I did not want to have the "wall" of hair up front that I had noticed in many of the recipients photos online and in person that I saw. Dr. Bitner described his technique of mixing in single grafts up front to break up the hairline so that it had more of a natural transition. He is a true artist! I am now one year post surgery and my results are amazing! I wish I would have done it years ago, but I am glad I waited until I found the right Doctor. I highly recommend him to anyone considering this type of procedure!
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