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FACIALTEAM, World Leader in Facial Feminization Surgery

Forehead Reconstruction with Simultaneous Hair Transplant

April 9, 2015

Why settle for a hairline scar that needs a second surgery when Forehead reconstruction with Simultaneous Hair Transplants solves the issue in a single operation?


FFS Surgery – Comprehensive No-scar approach to forehead reconstruction and hairline feminization


There is no doubt of the importance a global analysis of the upper third of the face (as a whole) when assessing the specific feminization needs of any patient.  Forehead reconstruction and simultaneous hair transplants address this issue with a no-visible scar and single surgery approach.


Within the upper third of the face, the two main elements to focus on are the forehead and the hairline. As we know, the hairline may have gender markers, especially regarding the shape; so we generally see hairlines with the typical M-pattern in males (often a result of recession in the “peaks”) and more homogeneous and rounded format in females (See Figure). In our experience, we have observed a significant number of patients who would further enhance their overall forehead reconstruction results if an improvement in the hairline shape was also performed.

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Unfortunately, currently it is common practice for many FFS surgeons to lower the hairline, aimed at reducing the height of the forehead by advancing the scalp. This is based on the false belief that female foreheads are shorter than males when, in fact, our clinical experience and investigative research by Alexandra Hamer of Virtualffs.co.uk have proven quite the opposite to be true.  According to Ms. Hamer´s  thesis based on her analysis, “The average length of the female forehead, proportionally speaking, is actually higher than that of the average male.” 

Facial Gender analyst and expert in virtual simulation, Alexandra Hamer, explains that it is the M-shape of the male hairline that generates this erroneous conclusion, since the presence of entries (widow´s peaks) contribute to the illusion that the male forehead is wider and taller.   (SEE FIGURE. Credit:   www.VirtualFFS.co.uk)


Therefore, taking into account the previously stated premise, our team began to offer simultaneous treatment of the forehead and hairline shape, but trying to avoid the traditional surgical hairline lowering because of its many disadvantages: a visible scar along the hairline and the inability to close entries adequately, which lead to lacking results far from the female prototype. To read more about the differences between surgical lowering and redefinition by hair transplants, click here.

With the desire to offer higher quality results for our patients, the multidisciplinary team of specialists in craniofacial surgery and hair transplants of FACIALTEAM developed a combined approach that unifies the forehead reconstruction with the redesign of the hairline by hair transplants in one operation. Therefore, patients may now completely feminize the upper facial third–forehead, brow and hairline– in a single surgery, without any added risks to the patient (since hair transplantation is performed with sedation, thereby eliminating prolonged general anaesthesia). The results have proven to be exceptional as well as natural. (FIGURE: FFS + SIMULTANEOUS HAIR TRANSPLANTS, BEFORE & AFTER)

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Move the central arrows back and forth to view the before and after photos.


For more specifics related to forehead reconstruction and simultaneous hair transplant methods available and how we developed this “combined” protocol with the crown approach, see the section on FOREHEAD RECONSTRUCTION AND IMMEDIATE HAIR TRANSPLANT.


[themify_quote]FACIALTEAM, the leading surgical group at the vanguard of facial feminization surgery, has developed a hidden approach in the scalp to access the frontal-orbital (forehead) region. The employment of this modified method has eliminated the need for visible scars at the hairline level, except in very specific cases where a hairline lowering is rarely indicated. This new approach allows for a highly natural and more aesthetically-pleasing result[/themify_quote]


As part of our continuing pursuit for excellence and the desire to offer our patients the best in quality results, in recent years we have implemented a new unified treatment of the entire upper-third of the face. All forehead reconstruction patients, but especially those affected by hairline recession or hair loss (Norwood androgenetic alopecia I, II, III) may now also opt to simultaneously change their hairline shape with the FUS hair transplant technique, including correction of tell-tale “peaks” to for a more comprehensive feminization of the upper facial area.

FFS - Comprehensive No-scar approach to forehead feminization
The strip removed in the crown approach for forehead reductions contains a mass amount of high-quality hair units which may be transplanted in patients who also need to feminize the hairline shape.

This is performed in a singular operation: immediately after the sculpture and forehead reconstruction procedure, during which a microscopic team split the follicular units harvested advantageously from the standard scalp strip removed in crown incisions (see photo), so no other strip removal is required. Once the patient is transferred from general anesthesia to mild sedation, the hair units prepared in a nutrient medium to ensure their vitality are then inserted in the marked areas. The fragmentation is a meticulous process performed by experienced and well trained lab techs, which requires the use of appropriate technological instruments such as optical image amplification and backlight systems in order to accurately and efficiently assemble the follicular units.

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The hair transplant specialist meanwhile conducts the micro-follicular pre-planning to ensure a greater volume in the “peaks” and designs the new hairline depending on the needs of the patient (volume, shape, height), see Figure. The appearance of the face plays an important role in the anatomical distribution for the new hair pattern, which is determined for a natural-looking hair line, with differences according to gender. Women usually have more closed and less angular hairline corners as well as softer, more linear curves at the temples, all of which give women a characteristic appearance of a more rounded, smaller forehead than men. The technique of capillary Micro transplant in Facial Feminization permits the transformation of a natural design, for a more feminine look in accordance with the prevailing criteria in women. Correcting a frontal alopecia (hair loss or partial baldness), closing entries, and lowering the hairline base when indicated are, among others, some of the technical resources the capillary surgeon may employ to achieve optimal hairline shape, height and density according to the patient needs.


Thus, in a single surgical session, in which lies the true novelty of this dual philosophy developed by the specialists of Facial Team, the patient may receive not only the reconstruction of the forehead and brow areas but also a comprehensive redesign of the hair line of the highest quality parameters to ensure our patients the most innovative feminization treatment currently available worldwide for the upper facial area.