Technique: Surgical Hairline Advancement
This surgical procedure, in which Dr. Epstein is one of a handful of surgeons to specialize in performing, involves the making of an incision along the front of the hairline, through which the entire frontal scalp is brought forward and the excess forehead skin excised. The incision heals as a fine line scar designed so that hairs actually grow through it.
Usually performed under twilight sedation, recovery is quite easy, with sutures removed at one week and most patients presentable the very next day. In most cases, Dr. Epstein is able to advance the hairline by 20 to 24mm, or around one inch, but he routinely exceeds this amount due to his extensive experience that allows him to obtain the greatest amount of lowering. In the occasional patient,balloon tissue expansion is performed to maximize the lowering of the hairline, particularly in highly motivated patients who want the procedure but have a relatively inelastic scalp. Dr. Epstein may also use this technique in cases of scalp reconstructions such as after trauma.