Correction of the High Female Hairline

In a retrospective review of 29 female patients, a hairline-lowering procedure using an irregular trichophytic incision and a posterior scalp advancement flap was found to be effective and safe, with an average hairline advancement of 2.1 cm and high patient satisfaction. The procedure had minimal complications, including one major effluvium, one minor effluvium, and one scar revision. The technique, which allows hair to grow through the scar, resulted in no serious long-term complications, although patients experienced hypoesthesia for 6 to 12 months postoperatively. For cases requiring more than 3 cm of advancement or with limited scalp mobility, a staged procedure with a tissue expander was used. The study concluded that this hairline advancement technique is a valuable tool for facial plastic surgeons, offering rapid and satisfactory results with few significant complications.