Frontal Region Reduction with Pre-Hairline Incision: Experience and Indications

    José Nava Rodrigues Neto, Diogo Borges Pedroso, Flávia Roberta Paes Vasconcelos, Ricardo Cintra Júnior, Marina de Souza Borgatto, João Pedro Pontes Câmara Filho
    TLDR The procedure is effective for reducing the forehead despite potential for visible scars.
    The study reviewed the outcomes of 31 patients who underwent frontal region reduction with a pre-hairline incision from 2005 to 2011. Indications included brow ptosis, fine and sparse frontal hair, congenital long forehead, or extensive forehead wrinkling. Over an average follow-up of 1.5 years, all patients experienced temporary paresthesia, resolving within a year, and three developed postoperative seromas, managed with aspiration. Despite the potential for a more visible scar, all patients felt the benefits of hairline reduction outweighed the drawbacks. The procedure was recommended for those with specific forehead and hair characteristics seeking reduction.
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