Shaping the Hairline for Facial Balance

The position and shape of the hairline play a powerful role in how the face is perceived. A higher or more recessed hairline can draw attention to the forehead and contribute to dysphoria for many patients. Hairline advancement is a surgical solution that lowers the hairline itself, allowing the face to feel more balanced, open, and aligned with your gender identity.

At FFSNYC, hairline advancement is planned as part of the broader facial structure, not as an isolated procedure. Our surgeons focus on proportion, symmetry, and natural scarring so results blend seamlessly over time.

What Is Hairline Advancement Surgery?

Hairline advancement is a surgical procedure that lowers the position of the hairline by advancing the hair-bearing scalp forward. Unlike hair transplantation, which adds density follicle by follicle, hairline advancement physically moves the scalp to reduce forehead height in a single procedure.

This technique is commonly performed as part of Facial Feminization Surgery, but can also be done on its own. It is especially effective for patients seeking a meaningful reduction in forehead height or correction of temporal recession and widow’s peaks.

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Before & After

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Why Choose FFSNYC for Hairline Advancement?

Hairline advancement requires a deep understanding of scalp anatomy, facial balance, and scar management.

At FFSNYC, our surgeons regularly perform complex craniofacial procedures and apply that expertise to hairline surgery. We carefully evaluate scalp laxity, hair density, forehead shape, and long-term goals before recommending this procedure. Patients choose FFSNYC for our experience with gender affirming care, our multidisciplinary approach, and our commitment to natural, refined outcomes rather than aggressive changes.

Hairline Advancment Before & After

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Surgical Approach to Hairline Advancement

Incision Placement

The incision used for hairline advancement in NYC can be placed either just behind the hairline or directly at the front of it. When the goal is to lower the hairline, the incision is typically made along the existing hairline so excess forehead skin can be removed while the hair-bearing scalp is advanced forward.

Incision placement is planned carefully to follow natural contours and support discreet healing.

Scalp Release and Advancement

The scalp skin itself is relatively tight, limiting how much the hairline can move. To safely advance the hairline, the deeper scalp tissue beneath the skin is released. This deeper layer allows the scalp to move forward more freely, particularly at the temples and widow’s peak areas.

Once released, the hair-bearing scalp is advanced to its maximum safe position while determining how much forehead skin can be removed without excessive tension.

Managing Bleeding and Safety

The scalp is highly vascular, meaning it contains many blood vessels. To reduce bleeding during surgery, medications are used to temporarily constrict blood vessels, and surgical techniques are applied to carefully control the operative field.

These steps improve safety, visibility, and healing during the procedure.

Closure and Scar Management

Excess tension during closure can lead to thicker scars, so careful technique is essential. The incision is closed in layers using buried, resorbable sutures beneath the skin, followed by fine sutures or staples at the surface.

When staples are used, they are typically removed within one week. This layered closure supports thin, blended scars and efficient healing.

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How Much Can the Hairline Be Lowered?

In most patients, approximately one-half inch to one inch of hairline advancement can be safely achieved. The exact amount depends on scalp flexibility, tissue characteristics, and individual anatomy.

Our surgeons prioritize safety and scar quality over aggressive advancement. In some cases, hairline advancement may be combined with hair transplantation to further refine shape or add density along the hairline.

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Patient Testimonials

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Dr. Reitzen is just simply severely competent - not to mention she has impeccable active listening skills coupled with a bed side manner that makes you feel like you’re speak...

Dr. Bastidas is a great Doctor who explained everything to me. He put me at ease about my reconstructive surgery on my face and that I will look like myself. I totally trust him....

Dr. Reitzen is fantastic. She was consistently incredibly respectful and professional from the very first appointment. All my friends want to have their surgeries done with it beca...

Dr. Bastidas is very kind and did a fantastic job with my procedure, as well as my daughter’s procedure. The office is very quick to reply as well! Highly recommend!

Dr. Reitzen was incredible and so kind. I always felt comfortable at our appointments and the surgery was done perfectly. Her and her staff were communicative, responding rapidly t...

I had a very pleasant experience with Dr. Bastidas. Highly recommended!

Dr. Reitzen is extremely knowledgeable & confident in what she does. Her bedside manner is incredible and she made me comfortable throughout my process of getting a rhinoplasty...

Amazinggggg team!! I love Dr Bastidas! He did my FFS surgeries. 

Dr. Reitzen is an exceptional doctor, possessing all the qualities one would expect: caring, compassionate, empathetic, thorough, skilled, and knowledgeable, with excellent bedside...

It’s very comfortable and very clean place. the people are incredibly, friendly excellent service. I am very happy to have decided on this specific place and to visit Dr Bast...

I cannot say enough wonderful things about Dr. Reitzen and the exceptional care I received. From my very first consultation, she was incredibly attentive, taking the time to listen...

Excellent service and great experience. I am very happy to have decided to visit Dr Bastidas, he is an excellent surgeon. Thank you very much Dr Nicolas Bastidas and nurse Robin!...

Excellent doctor and physician assistants. Amazing results! Highly recommend"

Dr. Bastidas and his staff are amazing. The personal care and attention is unmatched by any doctor or office. Normally you have one or the other where the doctor is nice and staff ...

Hairline Advancement for Gender Affirming Care

For many patients, hairline advancement is one of the most emotionally impactful components of gender affirming surgery. Lowering and rounding the hairline can soften the upper face, reduce forehead dominance, and significantly change overall facial perception.

This procedure is often performed alongside forehead reduction or brow contouring to create cohesive, harmonious results across the upper face.

Long-Term Results and Expectations

NYC Hairline advancement results are immediate and permanent. Once healing is complete, the new hairline position remains stable over time.

Scars continue to soften and fade over several months. With proper planning and aftercare, the incision typically blends well into the hairline and is difficult to detect once hair regrows.

Patients with a history of keloid or hypertrophic scarring should discuss this during consultation, so preventive strategies can be implemented early.

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Frequently Asked Questions

Am I a good candidate for hairline advancement?

Candidates typically have sufficient scalp laxity and good hair density. A consultation helps determine whether hairline advancement, hair transplantation, or a combination approach is most appropriate.

Will the scar be visible?

The incision is placed carefully along the hairline and closed with techniques designed to minimize visibility. Most scars fade significantly over time and are well concealed by hair growth.

Can this be combined with other facial procedures?

Yes. Hairline advancement is commonly combined with forehead reduction, brow procedures, or other Facial Feminization Surgery components for cohesive results.

How long does healing take?

Initial healing occurs within a few weeks, but scar maturation continues for several months. Most patients feel comfortable returning to normal routines relatively quickly.

Is hairline advancement permanent?

Yes. Once the hairline is advanced and healed, the result is permanent and does not rely on transplanted hair follicles.

Schedule Your Consultation for Hairline Advancement in New York City

If you are considering hairline advancement as part of your facial plan, our team can help you understand your options. Schedule a consultation at FFSNYC to discuss anatomy, goals, and a personalized approach designed for natural, lasting results.

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