Lowering the female hairline: two options in treatment

Patient 1 year after surgical hairline advancement and 7 months after hair grafting. She first underwent SHA to advance the hairline, then 5 months later had a transplant of 650 grafts to round out and soften the hairline.

Before (left) and 2 years after SHA (right), performed as a single procedure. (This procedure is available for viewing.)

Before marked (left) and after (right) SHA.

Before SHA, prior to the insertion of the balloon expander. The expansion was necessary due to the inadequate scalp laxity to achieve the desired 5-plus cm of hairline advancement.

Patient with the balloon fully expanded, 8 weeks after its insertion, concealing the stretched out scalp with a loose head dressing. This photo was taken on the day the scalp was expanded.

Patient 6 months after SHA, showing the much lower hairline achieved with tissue expansion in this highly motivated patient with tight scalp.

Before hair grafting (left) and after (right) one procedure of 2,100 grafts to advance the hairline by transplantation.