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
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    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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