Hairline Lowering

Find a High Hairline Solution at our practice in Englewood, NJ

There’s no reason why you should have to simply accept a high hairline. At Dr. Kevin Ende, M.D.'s clinic in Englewood, NJ. , you can discover a high hairline solution to suit you. A normal hair transplant can lower your hairline, but a hairline lowering procedure will provide immediate results. To match the density of a hairline lowering procedure, you would need more than one hair transplant session. A hairline lowering procedure can help you to achieve facial harmony. Contact Dr. Kevin Ende to book a consultation.

All about hairline lowering

The first step when considering a hairline lowering procedure is to check your scalp flexibility. Pull on the scalp near the hairline to see if it moves forward and is not stuck in place. You can then take facial thirds measurements to find the ideal hairline placement. Some patients choose to take a makeup pencil and draw in their ideal hairline and then email a picture to Dr. Ende.
Facial thirds are the distance from the hairline to the mid brow, which should be the same as the distance from the nose to the brow and the nose to the chin. Usually, the hairline is lowered to about 6- 6.5cm from the brows.

General anesthesia is not necessary for most patients undergoing a hairline lowering procedure. An irregular trichophytic incision just behind the first 2 rows of hair is the start to performing a natural hairline lowering procedure. This hairline incision allows for hairs to grow back through the scar. The bulbs that remain will sprout a new hair relatively quickly.
FAQ's

  • What are common Hairline Lowering side effects?

    Most patients do experience numbness to the central front of the scalp.  This is expected and resolves within 6 months in most patients.  Shock hair loss is a rare side effect that causes temporary hair loss along the frontal hairline.  Dr. Ende saw this many years ago, but has not seen this complication since the use of perioperative Kenalog.  If shock hair loss does occur during a hairline lowering procedure, the hair typically regrows at the first hair cycle (about 3 months postoperatively).  Hairline lowering is not performed under general anesthesia in most patients, which reduces the anesthetic side effects.  Infections may occur as with any operation, but infections in the scalp are exceedingly rare.  Infection rates are well below that seen with facial surgery. 

  • How long do I have to hide at home after a Hairline Lowering?

    Most patients experience very little bruising and swelling with a standard hairline lowering procedure.  Hair styling is usually enough to cover the sutured area, but a clean hat is also fine.  Most patients feel well enough to go out in the general public within 2 days of the procedure. 

  • When does the scar disappear after a Hairline Lowering?

    As with any surgical incision, the area remains red for the first 4-8 weeks.  Hairs grow through the scar to disguise it as early as the first week after a hairline lowering surgery.  Most of my postoperative pictures are taken at 8 weeks at which time most of the healing has taken place and the scar is barely perceptible. 

  • When does Dr. Ende perform Hairline Lowerings?

    Dr. Ende has the staff and facility to perform a hairline lowering procedure on several days of each week.  Unlike most other surgeons who have 1 operative day per week, Dr. Ende has several surgical days each week.  Check with Dr. Ende’s consultant for surgical availability

  • Hairline Lowering vs. Hair Transplant vs. Both?

    Most patients undergoing a hairline lowering procedure do not undergo additional procedures on their scalp.  Some patients require hair transplants to the corners or wish to add density to other areas on the scalp.  Hair transplants can be performed after your hairline lowering procedure.  Most patients who present to Dr. Ende for a hairline lowering consult, elect to undergo the hairline lowering procedure.  However, Dr. Ende will present both hairline lowering and hair transplant options to you during your consultation. 

  • I have an unstable high hairline. I am slowly losing hair in the front. Am I a candidate for a hairline lowering?

    Patients who undergo a hairline lowering procedure and lose additional hair along the hairline will most likely elect to undergo a hair transplant procedure in the future to disguise the scar.  Alternative treatments to lower the hairline in these patients would be hair transplants.  The procedure is best for those with a high stable hairline.

  • How far can you lower my hairline?

    The farthest that I have ever lowered a hairline was 10 cm with the use of an expander.  Most patients can have their hairline lowered 2-3 centimeters without the use of an expander. 

  • Is the Hairline Lowering procedure safer if you don’t lower my hairline too much?

    The hairline lowering is performed the same no matter how far the hairline is to be lowered with the one stage procedure.  Dr. Ende has never reported a major complication with this procedure and does not believe the lowering a hairline more will make complications more likely. 

  • Are you aware of any problems that can occur as a result of a Hairline Lowering?

    There is a consent form that must be signed prior to a hairline lowering that reviews just about every conceivable thing that could go wrong.  With that said, Dr. Ende has never seen most of the items on the consent form ever happen in his patients.  The problems that Dr. Ende has seen have all been temporary such as shock hair loss.  But Dr. Ende has not seen shock hair loss in the last 10 years since using Kenalog during the operation. 

  • Why should I choose Dr. Ende to perform my hairline lowering? Can’t my local plastic surgeon or hair transplant surgeon perform this procedure?

    Dr. Ende has more experience with this procedure than anyone on the East Coast.  There is certainly a learning curve involved with this operation in terms of obtaining an adequate amount of lowering as well as achieving a natural looking result.  That learning curve occurred a long time ago for Dr. Ende with this operation.  In addition, Dr. Ende has a true passion for hairline lowering surgery, which is clearly apparent to every prospective hairline lowering patient upon meeting or speaking with him. 

  • Should I do a Brow-Lift at the same time as my Hairline Lowering?

    The best time to do a browlift would be at the same time as a hairline lowering.  Most of my younger patients simply do not need a brow lift.  Patients 40 and over often combine browlifting with the hairline lowering.  There is an additional cost to have the browlift performed, but would cost less than doing it separately at a later date.  The brow lift does add additional healing time to the procedure and there is typically more swelling and bruising than with a hairline lowering alone.

  • How much does a Hairline Lowering cost?

    Due to the popularity of hairline lowering in Dr. Ende’s practice, the price of a hairline lowering with Dr. Ende has remained stable for the past 7 years at $17,000 inclusive of the operating room fee, surgical fee, and preop and post op appointments.  Browlifting, hair transplants, and additional procedures performed at the same time or later would have additional cost.  There are no discounts on hairline lowering procedures offered. 

  • How long do I wear the bandage after a Hairline Lowering?

    The bandage comes off the next day.  You do not have to wear the bandage at all after that, but simple wound care still needs to be performed with your sutures.

  • When can I wash my hair after a Hairline Lowering?

    When can I wash my hair after a hairline lowering?

  • When can I dye my hair after a Hairline Lowering?

    You should wait 4 weeks after your procedure to dye your hair.  Doing this too early can cause damage to the incision line even after the sutures are removed.

  • What is so great about a Hairline Lowering?

    The hairline lowering is a reliable way to lower one’s hairline with an incredibly high satisfaction rate.  One of the advantages of hairline lowering over hair transplant is the density that you get along the actual hairline.  The procedure is also shorter than hair transplant and the results are much faster.  After performing this procedure for so long, Dr. Ende has seen so many total life-transformations from just one procedure. 

The hairline lowering procedure lasts for about an hour and involves a reverse browlift. If requested, a brow lift can be performed during a hairline lowering procedure.

The hairline lowering incision is closed in layers. We leave very fine sutures along the hairline to avoid a noticeable scar. Endotines are used to provide a lasting result. The hairline lowering bandage is removed the day after the surgery and most patients never have significant bruising or swelling. Hairline lowering sutures can be removed in 5 to 7 days by your local physician. If you want a receding hairline solution that works, contact Dr. Kevin Ende, M.D. in Englewood, NJ.

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