Surgical Hairline Advancement (SHA)
Lasting, Seamless Results
Achieve a more balanced, harmonious appearance with surgical hairline advancement (SHA). This procedure, offered by Dr. Anthony Bared using the Foundation Aesthetic Hair Restoration Method by Dr. J. Epstein, lowers a high forehead by advancing the hairline. SHA creates lasting, seamless results that reflect the unsurpassed naturalness of Dr. Bared’s aesthetic approach.
Lower the hairline. Improve facial proportions.
Surgical hairline advancement (SHA), also known as forehead reduction, is a precise surgical procedure that lowers the position of a naturally high hairline. By advancing the scalp forward and removing excess forehead skin, SHA reduces forehead height by 1 to 2 centimeters in a single session. Performed by a surgeon trained in the Foundation Aesthetic Hair Restoration Method, the procedure helps create a more proportionate facial appearance while preserving natural hair growth patterns and healing into virtually undetectable dots along the new hairline.
Surgical hairline advancement (SHA) treats:
- A naturally high or disproportionately large forehead
- An unbalanced facial appearance caused by the hairline position
- Low self-confidence related to forehead height
- Scarring from previous hair restoration procedures
- Forehead height concerns in patients with stable hairlines
- Hairline recession not caused by active hair loss
- Hairline irregularities in patients with frontal fibrosing alopecia
How is surgical hairline advancement (SHA) done?
During your consultation, Dr. Bared will evaluate your scalp elasticity, hairline stability, and aesthetic goals to determine your candidacy for surgical hairline advancement. Once a plan is created, the procedure is typically performed under local or general anesthesia. Dr. Bared begins by making a trichophytic incision along your natural hairline, allowing hair to regrow through the incision for a seamless result.
He then carefully mobilizes the scalp, advancing it forward to the predetermined position. A precise strip of excess forehead skin is removed, and the hair-bearing scalp is secured in its new, lower position. Dr. Bared uses meticulous closure techniques to preserve surrounding hair follicles and ensure the incision heals into virtually undetectable dots. The procedure takes less than two hours, and most patients return home the same day with minimal downtime.
Advantages of surgical hairline advancement (SHA):
- Immediate reduction in forehead height
- Permanent, single-session results
- Enhanced facial balance and proportions
- Greater hair density than transplants alone
- Seamless healing with virtually undetectable scars
- Preservation of natural hair growth patterns
- Option to combine with a brow lift for added refinement
- Minimal downtime with rapid return to daily activities
- Customized planning for precise, aesthetic outcomes
- Performed by a surgeon trained in the Foundation method
What is recovery like after surgical hairline advancement (SHA)?
After your SHA procedure, you can expect a relatively quick recovery. You’ll return home the same day with a bandage in place to protect the surgical site. Mild swelling or discomfort may occur in the forehead region, which is typically well-managed with over-the-counter medication. Dr. Bared will provide detailed aftercare instructions to ensure optimal results.
Most patients resume non-strenuous activities within a few days. Sutures are usually removed after one week, and any visible redness or swelling fades significantly over the following weeks. Because Dr. Bared uses a trichophytic incision technique, hair grows through the incision line, allowing it to heal into virtually undetectable dots. You’ll notice the final result taking shape within a few weeks, with continued improvement over the next few months.
Surgical hairline advancement (SHA) aftercare guidelines:
- Keep the surgical site clean and dry for the first few days
- Follow Dr. Bared’s specific instructions for wound care and medications
- Avoid strenuous activity, heavy lifting, and bending over for at least one week
- Sleep with your head elevated to reduce swelling
- Apply cold compresses as directed to manage discomfort and swelling
- Refrain from washing your hair until cleared by Dr. Bared
- Protect the area from direct sun exposure to support optimal healing
- Attend all follow-up appointments to monitor your progress
- Report any unusual symptoms, such as increased redness or pain, to Dr. Bared immediately
Surgical Hairline Advancement FAQs
How much can my hairline be lowered?
On average, Dr. Bared can lower your hairline by 1 to 2 centimeters in a single session. The amount of advancement depends on your scalp laxity, hairline stability, and overall facial proportions. In your consultation, Dr. Bared will assess these factors to determine what’s achievable while maintaining a natural and balanced appearance.
Will I have a visible scar after the procedure?
Dr. Bared uses a trichophytic incision, which allows hair to regrow through the incision line. This helps the area heal into virtually undetectable dots. As the hair grows back and the skin heals, most patients find the scar blends seamlessly with their natural hairline.
Can SHA be combined with other procedures?
Yes, SHA is often combined with a brow lift for patients seeking additional facial harmony. If you are also considering hair grafting for further density or refinement, Dr. Bared may recommend spacing that procedure a few months after your SHA to allow for proper healing.
How long do the results last?
Surgical hairline advancement offers permanent results. Because it involves physically repositioning the scalp, the outcome does not fade over time. However, if you are predisposed to future hair loss, Dr. Bared may discuss long-term strategies to preserve your results.
Meet Dr. Bared: Your SHA Expert
Dr. Bared is a dual board-certified facial plastic and reconstructive surgeon specializing in advanced hair restoration techniques, including surgical hairline advancement (SHA). Trained in the Foundation method, he blends surgical precision with an artistic eye to deliver results marked by facial harmony and unsurpassed naturalness.
With a reputation for excellence and a deep understanding of facial balance, Dr. Bared provides an end-to-end experience that prioritizes your goals and comfort. If you’re ready to lower your hairline and redefine your look, schedule your consultation with Dr. Bared today.
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