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Forehead reduction surgery. Hairline lowering paris. Scalp advancement

Forehead reduction surgery also called hairline lowering is a cosmetic surgery of the forehead which is also called scalp advance, scalp reduction or hairline advancement.

Dr Ralph Abbou is one of the leading surgeons of the world for forehead reduction surgery and has developed his own surgical technique.

Dr Ralph Abbou is specialized in cosmetic facial surgery and treats patients from all over the world for forehead reduction.

Hairline reduction surgery reduces the height of the forehead by lowering the implantation of the hair (hairline lowering) by removing a strip of skin from the forehead : to treat a forehead that is too large, too domed or a big forehead.

The procedure achieves more balanced facial proportions and increases hair density at the forehead.

My surgical technique can reduce the height of the forehead by 2 to 3 cm depending on the elasticity of your scalp (scalp laxity).

This fact sheet was written by Dr Ralph ABBOU who is a cosmetic surgeon in Paris specializing in forehead reduction surgery. Dr Ralph ABBOU performs forehead reduction procedure several times a week for patients from all over the world. 

Discover also our expertise in hair transplantation  in Paris for men and women.

For inquiry please message us on whatsapp 00 33  7 56 86 66 55.   

For patients who do not reside in France, we can organize your intervention and your accommodation in Paris. 

Before after forehead reduction surgery. Hairline lowering Paris 

What is a hairline lowering?

Hairline lowering is a plastic surgery procedure that reduces the forehead and allows the hairline to be lowered for a maximum of 2 to 3 cm.

My technique allows an advancement of the frontal line without hair transplants. The degree of advancement of the hair is determined by the will of the patient and by the laxity and flexibility of the scalp

Scalp advancement surgery is a useful procedure for facial rejuvenation with almost immediate results in a single operation.

The results are very satisfactory.

Long faces are often concerned with a large forehead.

The reduction of the forehead by lowering the forehead line makes it possible to treat curved foreheads because the lowered hair will cover the upper part of the forehead.

What are the goals of forehead reduction surgery ?

This procedure can reduce the height of the forehead, lower the hairline to treat a forehead that is too tall, too big or a bulging forehead.
If the elasticity of the scalp is satisfactory, scalp advancement surgery will give you :

  • A faster hair restoration result than hair transplants, which require a multi-step treatment and a growth time of about six months before obtaining a satisfactory result.
  • An almost invisible scar a few months after surgery.

Who is forehead reduction surgery for?

For all patients who:

  • Have too much forehead height
  • Have baldness or frontal hair loss
  • Are complexed by a forehead that is too high
  • Always style their hair forward to conceal the height of the forehead
  • Have a domed forehead or a large forehead with a prominent frontal bone.

What is the procedure for forehead reduction surgery ?

Before procedure

  •  A medical consultation to analyze your face and plan your forehead reduction
  • An anesthesia consultation
  • A preoperative assessment
  • Smoking cessation

Process of the operation

The operation is performed under general anesthesia in the operating room.

This cosmetic surgery procedure lasts from one to three hours depending on your case difficulty

It consists of :

  • Removing the upper part of the forehead skin that does not contain hair
  • Transferring the scalp forward to replace an area without hair with an area that contains hair.
  • This reduces the height of the forehead and lowers the scalp.
  • There is no need for a hair donor area like for hair transplantation.
  • To reduce the height of the forehead, the reference technique is the scalp advancement flap.

Here are the steps of this intervention :

  1. General anesthesia in the operating room
  2. Incision at the junction between the hair and the forehead to minimize the visible scar
  3. Dr Ralph ABBOU removes a strip of skin from the forehead by 2 to 3 cm and then closes it by moving the hair downwards, which reduces the height of the forehead by 2 to 3 cm.
  4. Placement of a compression bandage for 24 hours. This dressing is removed the day after the operation.

The surgical outcomes

The consequences are not painful :

  • The evolution can be marked by ecchymoses (bruises) and edema which will last about 5 days.
  • The scar is visible for the first few weeks and will gradually fade over several months.

The final result of the scar will be judged one year after the intervention.

It is possible to improve the result of the scar thanks to the Urgotouch laser.

Recovery is different for each person :

  • Most people can resume normal activities the next day,
  • Although there may be pain, redness, swelling and bruising.

1. Most patients take a week of recovery to let swelling and bruising subside before returning to work, but some are able to work from home or even go to work or school a few days after surgery.

2. By wearing a headband or hat or by combing your hair forward to hide the sutures. I recommend avoiding strenuous activities for the first week.

3. You will be prescribed pain medication to ease any discomfort during the first few days of your recovery.

4. To minimize swelling and bruising, you will need to keep your head elevated, even when sleeping. Using multiple pillows for support will help the healing process. Your surgeon will give you instructions on keeping the incision clean.

5. The stitches are removed one week after the operation.

6. Most of my patients can go home the same day or the day after the procedure without any dressings and be fully presentable a day or two later. There is usually little or no swelling or bruising around the eyes.

7. It takes about six months for the incision site to fully heal and fade, but most patients can style their hair to hide the incision while it heals.

What are the prices of forehead reduction surgery ?

Surgical intervention Price
Forehead reduction surgery. Hairline lowering  From 6000€ 

This rate varies depending on the following elements:

– Surgical difficulty (elasticity of the skin, anatomical specificity, height of the forehead, bone malformation)

-Operating time (between 1 and 3 hours of intervention)

-Need for tissue expansion

-Mode of hospitalization.

This forehead reduction price includes the fees of the surgeon, anesthetist and clinic fees. Partial coverage by social security is possible in the event of after-effects of facial burns, after cancer, after trauma or in the event of facial malformation.

This price includes the fees of the surgeon, the anesthetist and the clinic fees.

Also read

Who are good candidates for forehead reduction surgery?

The best candidates for hairline lowering surgery have : 

  • A high forehead
  • Good scalp elasticity
  • No thinning hair
  • A desire to change the proportions of their facial features.
  • “The procedure is ideal for patients who find it difficult to conceal their high forehead with their hairstyles”

Many male and female patients present with a receding hairline. This frontal hair loss can start very young. Others are patients who have always had a large forehead and want to reduce the forehead to match the rest of their face. This surgery is best for people born with a high hairline, not for those trying to combat hair loss due to male or female pattern baldness.

Does forehead reduction or hairline lowering achieve a natural result?

Yes, the reduction of the forehead allows to obtain a lowering of the hairline and to harmonize the proportions of the face in a completely natural way. The scar is almost invisible one year after the operation.

Below is an example of a scar from the lowering of the frontal line 7 days after the operation.

Cicatrice réduction du front chirurgie esthétique pariss

How to stop having a big forehead?

  • Scalp advancement operation or hairline lowering
  • Hair transplant

What is the average size of a forehead?

Ideally, the height of the forehead corresponds to a third of the height of the face. That is, a distance between the eyebrows and the implantation of the hair of between 5 and 7 cm on average.

Is the scalp reduction scar visible ?

You will have a scar after scalp advancement surgery, but it should be easily hidden under your hair. The hair follicles are buried under the incision, so the hair grows in front and effectively hides the scars If your natural hair growth after surgery does not hide the scar as much as you would like, hair transplantation can help camouflage it further. The secondary transplant is very rare and not necessary in practice.

How long do the results of hairline lowering last ?

The front hairline, once lowered, remains in its lowered position for life. The results are stable and final.

How to shrink your forehead without surgery ?

Hair transplants are an act of aesthetic medicine that allow you to shrink your forehead without surgery.

How to shrink your forehead with cosmetic surgery ?

It is possible to narrow your forehead thanks to hairline lowering surgery or lowering of the forehead line.

How to treat a bulging forehead ?

Scalp advancement surgery treats a bulging forehead by covering the bulging area with your hair.

% commentaires (4)


I m contacting you from London for a forehead reduction
How to proceed to organize my operation with Dr Abbou ?
best regards,

Dr Abbou

Hello please contact us on the phone 00 33 1 53 81 44 45 or email [email protected] to plan your forehead reduction procedure in Paris

best regards


Hello, i m living in switzerland and i m interested in forehead reduction to reduce my forehead
How can i schedule a consultation with Dr Abbou ?
best regards

Dr Abbou

Hello you can schedule your consultation with Dr Abbou for forehead reduction in Paris directly on our website or by phone 00 33 1 53 81 44 45
Best regards


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