Hairline Restoration is also sometimes called hairline lowering or forehead reduction. It is a method for people who have always had what we traditionally call “a high forehead” or high hairline. Men who are experiencing hair loss at the hairline should consider Follicular Unit Extraction (FUE) rather than hairline restoration.
This procedure can be performed on both men and women, but the hairline design is different between the sexes and requires both technical skill and artistic sensibility on the part of your surgeon.
Women with high foreheads or “widow’s peak” hairlines may prefer a more feminine and youthful hairline that is lower on the forehead. The NeoGraft® hair restoration system allows for individual hairs to be removed from the donor site on the back of the head and transplanted onto the hairline.
The Hairline Restoration Process
The procedure usually takes a few hours and is performed using a local anesthetic and mild sedation. Markings are made in the hairline to assist the surgeon in placing the hairs after they have been extracted from the donor sites at the back of the head.
The NeoGraft® system precisely and accurately removes each hair from the donor area using tiny circular incisions that heal on their own. Each hair is then transplanted on the hairline with meticulous attention to proper direction to make sure that the hairline will look natural.
NeoGraft® is minimally invasive and does not require the use of a scalpel, sutures, or staples. Therefore, healing takes place faster, and the NeoGraft® leaves no linear scar like the hair restoration methods of the past.
Additionally, with NeoGraft®, the procedure is virtually painless. The scalp is numbed while you remain awake.
Recovery from Hairline Restoration
After the procedure, most patients take oral pain medications (narcotic) for the night after surgery and then quickly move to other non-sedating medications such as Tylenol, Advil, Aleve, etc. We provide enough pain medication for about a week, but most people do not need that much.
You may experience some numbness and itching in the donor and transplant areas, but most patients are able to return to work within two days of hairline restoration. Some bruising and crusting are also normal in the treated areas, but crusts/scabs can be covered by your hair style and usually fall off on their own within 7-10 days. A great deal of healing takes place within a week.
We will ask you to elevate your head on pillows for the first few nights. If this makes it difficult for you to sleep, we can provide sleep medication. We will provide you with specific instructions for washing so that you do not disturb the grafts.
After about two weeks and for a couple of months, the transplanted hair will be shed because the hair follicles will have entered a dormant phase. The absorbable sutures will begin resorption at about two weeks as well. This means that your hairline will look as it did prior to surgery for a short period of time. Patience is required with this procedure, as the final results take some time to appear.
In the third month through the sixth month, the transplanted hair will begin to grow again. It will be very fine at first, and in the 5-10-month period, more hair growth continues. At about eight months, the hair growth will thicken. It takes a year or more for the final appearance from the procedure to show.
Transplanted hair is permanent, and most people do not require further hairline restoration procedures.