What is it?

Forehead reduction surgery, also known as frontal reduction surgery or hairline lowering surgery, is an aesthetic procedure designed to reduce the size of the forehead and correct asymmetries in the frontal region. The surgery involves removing a portion of skin and tissue from the upper forehead, near the hairline, to lower the height of the forehead and reposition the hairline.

This procedure is indicated for individuals with a naturally high forehead caused by genetics, ageing, or other factors, who wish to achieve better facial harmony and proportion. It can also be performed alongside other facial aesthetic procedures, such as a brow lift or blepharoplasty (eyelid surgery).

The procedure is performed under general anaesthesia or local anaesthesia with sedation, involving incisions along the hairline to remove excess skin and tissue. Recovery time varies depending on the technique, but most patients can return to normal activities within one to two weeks. The plastic surgeon will assess each patient’s condition and determine whether forehead reduction surgery is the most suitable option.

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Who is it for?

Forehead reduction surgery is suitable for individuals who have a high or disproportionate forehead and want to achieve better facial balance and proportion. Indications include:

• Naturally high forehead due to genetics.
• Forehead elongation caused by ageing or brow descent.
• A prominent forehead compared to other facial features.
• Facial asymmetry affecting the forehead region.

Candidates should be in good overall health and have realistic expectations about the results. A thorough evaluation with a qualified plastic surgeon is essential before proceeding.

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Scars

Scar placement and visibility depend on the technique used and individual healing characteristics.
Typically, the incision is made along the hairline, extending from temple to temple. The resulting scar is concealed within the scalp and usually fades over time, becoming less noticeable.

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Technical Description

Forehead reduction surgery typically follows these steps:

1. Anaesthesia: General or local anaesthesia with sedation is administered.
2. Incision: The surgeon makes an incision along the hairline, from one temple to the other.
3. Tissue Removal: A strip of forehead skin and tissue is removed according to the desired reduction.
4. Eyebrow Adjustment: In some cases, the eyebrows may be repositioned for improved aesthetic balance.
5. Closure: The incision is sutured carefully.
6. Postoperative Monitoring: The surgeon follows up to ensure proper healing and satisfactory results.

Strict adherence to postoperative instructions is vital to ensure good healing and minimise complications.

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Type of Anaesthesia

Two main types of anaesthesia are used, depending on patient preference, health, and procedure extent:

• Local anaesthesia with sedation: The forehead area is numbed while the patient remains relaxed and conscious.
• General anaesthesia: The patient is fully asleep and unaware during the surgery.

The anaesthesiologist monitors vital signs throughout the entire procedure.

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Results and Benefits

• Reduced forehead height: Creates more balanced facial proportions.
• Improved self-confidence: Many patients experience a boost in self-esteem and satisfaction with their appearance.
• Long-lasting results: Forehead reduction provides permanent improvement unless significant cranial or soft tissue changes occur over time.
• Enhanced facial harmony: Achieves a more proportionate and symmetrical facial profile.

As with any surgical procedure, there are potential risks and complications, which should be discussed in detail with a qualified and experienced plastic surgeon.

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Recovery

Recovery varies depending on the surgical technique and patient response, but generally includes:

• Swelling and bruising: Common around the forehead and eyes for several days.
• Pain or discomfort: Manageable with prescribed medication.
• Rest and limited activity: Patients should avoid strenuous activity for several weeks.
• Return to normal routine: Most patients resume daily activities within 1–2 weeks, avoiding vigorous exercise for 4–6 weeks.
• Follow-up visits: Regular postoperative appointments are essential to monitor healing progress.

Most patients can return to work after about one to two weeks, depending on comfort and recovery speed.

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Postoperative Care

• Rest: Minimise movement and rest for a few days after surgery.
• Medication: Take prescribed painkillers and anti-inflammatories as directed.
• Hygiene: Keep the incision clean and dry; avoid hot or prolonged showers.
• Diet: Maintain a balanced diet to support healing. Avoid hard foods that strain facial muscles.
• Sun protection: Avoid direct sunlight on the incision for at least two months to prevent pigmentation.
• Follow-up visits: Attend all postoperative check-ups for evaluation and care adjustments.

Following medical advice carefully ensures a safe recovery, optimal scar healing, and aesthetically satisfying long-term results.

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