Forehead reduction or hair transplants?

[monecel]

My upper third is larger than ideal (like 37%+ of my facial thirds) and I have some pretty mild hair thinning. Because I have a deep bite my lower third is lacking in height meaning while the thirds aren't ideal themselves, my actual total face shape right now is fine. However because I want to fix my deep bite then it would increase my total facial height and the longer face would be more noticeable. For that reason I am considering options to lower my hairline.

I'm mostly considering hair transplants as it is less invasive and also could correct minor temporal loss. Some people mention that you can't (or shouldn't) transplant hair over the forehead muscles because it looks unnatural, however I have about a centimeter below my current hairline that does not move when I make facial expressions, so I think I have a decent margin for transplant area if that is the choice (I would likely do 8-10mm below my current hairline).

Is there any major benefit of doing forehead reduction surgery over hair transplants in my case?

 

[Doctor Egor]

If you want to assess both thinning and the forehead than just get a full on transplant! You might kinda obliterate your donor area but its only a concern if you refuse to take meds after... HT would be the optimal solution ıMO.

 

[jeoyw9192]

My upper third is larger than ideal (like 37%+ of my facial thirds) and I have some pretty mild hair thinning. Because I have a deep bite my lower third is lacking in height meaning while the thirds aren't ideal themselves, my actual total face shape right now is fine. However because I want to fix my deep bite then it would increase my total facial height and the longer face would be more noticeable. For that reason I am considering options to lower my hairline.

I'm mostly considering hair transplants as it is less invasive and also could correct minor temporal loss. Some people mention that you can't (or shouldn't) transplant hair over the forehead muscles because it looks unnatural, however I have about a centimeter below my current hairline that does not move when I make facial expressions, so I think I have a decent margin for transplant area if that is the choice (I would likely do 8-10mm below my current hairline).

Is there any major benefit of doing forehead reduction surgery over hair transplants in my case?

Deep bite contributes to a shorter lower third?

 

[monecel]

Deep bite contributes to a shorter lower third?

Yes

 

[tony10]

Surgical forehead reduction can be done during for example a bimax, depending on which doctor or if he is willing to bring in another doctor. No problem.

Surgical reduction way you can potentially make the scar fully invisible with lasers and what not. And if you continue to bald, it will be in a natural pattern.

For lowering hairline with a transplant, you will use a lot of valuable grafts that you might need in the future. And if you continue balding, it will be behind your new transplanted hairline, which will look VERY unnatural obviously. And you will have to keep getting touch up transplants everytime a balding gap appears between native and transplanted hair.

If you are on meds it might turn out fine tho.

 

[Jgns]

agreed with tony id get a forehead reduction and then a transplant to save up on hair grafts while being on a nuclear med stack hair is life, no hair no life habibibi

 

[LackEmpathyTherefor]

Surgical forehead reduction can be done during for example a bimax, depending on which doctor or if he is willing to bring in another doctor. No problem.

Surgical reduction way you can potentially make the scar fully invisible with lasers and what not. And if you continue to bald, it will be in a natural pattern.

For lowering hairline with a transplant, you will use a lot of valuable grafts that you might need in the future. And if you continue balding, it will be behind your new transplanted hairline, which will look VERY unnatural obviously. And you will have to keep getting touch up transplants everytime a balding gap appears between native and transplanted hair.
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If you are on meds it might turn out fine tho.

So you think hairline lowering is more recommended as a first line solution for big upper third?

I know my hair will not bald more cuz iam on a nuclear stack but idk how invasive hairline lowering is? Also no downtime with buzzed hair ?

Edit: Some of those results look a bit weird or underwhelming. Not sure how much it can be lowered.
Also I feel like hair transplant has the advantage that you can completely redesign the hairline shape. Basically losing the Norwood shape you’d have before treatment

 

[tony10]

So you think hairline lowering is more recommended as a first line solution for big upper third?

I know my hair will not bald more cuz iam on a nuclear stack but idk how invasive hairline lowering is? Also no downtime with buzzed hair ?

Its really case dependent. If you feel confident you will not lose significant hair at hairline, then surgical lowering mogs.
And no need to buzz it for surgery, keep your hair medium length to cover the scar until it heals. And then get some type of treatments to make the scar invisible.

 

[Nahorscend]

Forehead reduction is superior in every way except the scar which is an issue only if you lose hair there. Potentially you can get a small hair transplant just to cover the scar more and then commit to meds, or you need to have good hair genetics.

It's not ideal to do a hair transplant to reduce your upper third, for two reasons. First, the survival rate/efficacy is lower for forehead skin than scalp skin. Second, this means you will nuke the donor area, especially considering you might need more grafts later to also cover balding behind the transplanted line. And if you don't have balding genes then just get the forehead reduction anyway.

There are many doctors who do forehead reduction plus a small hair transplant to fill in the temples and cover the scar better. This seems ideal to me.

 

[LackEmpathyTherefor]

Forehead reduction is superior in every way except the scar which is an issue only if you lose hair there. Potentially you can get a small hair transplant just to cover the scar more and then commit to meds, or you need to have good hair genetics.

It's not ideal to do a hair transplant to reduce your upper third, for two reasons. First, the survival rate/efficacy is lower for forehead skin than scalp skin. Second, this means you will nuke the donor area, especially considering you might need more grafts later to also cover balding behind the transplanted line. And if you don't have balding genes then just get the forehead reduction anyway.

There are many doctors who do forehead reduction plus a small hair transplant to fill in the temples and cover the scar better. This seems ideal to me.

Which reputable surgeons have consistently given good results doing this combined procedure ? How much would u pay ? How about in Thailand, Türkiye, Brazil etc

 

[Nahorscend]

Which reputable surgeons have consistently given good results doing this combined procedure ? How much would u pay ? How about in Thailand, Türkiye, Brazil etc

Gal Aharonov in Beverly Hills does it combined and is extremely good I think, but costs at least $15k. Greg Bran in UK, same cost. That's probably the absolute top end in quality and cost in the world.

I have looked at various Turkish surgeons but all the names I see have many bad reviews especially surrounding integrity. I think south or southeast Asia should have many good ones, don't know names though. Should probably cost no more than $3000 there.

I think you don't need to worry as much about surgeon quality with this as with bimax, rhino etc. The surgeon skill mostly comes down to how invisible they can make the scar. You need someone who at least uses trichophytic closure of the incision but I think most modern surgeons do that. You can also stage the hair transplant 6 months later with another provider which is ideal for graft survival anyway.

 

[LackEmpathyTherefor]

Gal Aharonov in Beverly Hills does it combined and is extremely good I think, but costs at least $15k. Greg Bran in UK, same cost. That's probably the absolute top end in quality and cost in the world.

I have looked at various Turkish surgeons but all the names I see have many bad reviews especially surrounding integrity. I think south or southeast Asia should have many good ones, don't know names though. Should probably cost no more than $3000 there.

I think you don't need to worry as much about surgeon quality with this as with bimax, rhino etc. The surgeon skill mostly comes down to how invisible they can make the scar. You need someone who at least uses trichophytic closure of the incision but I think most modern surgeons do that. You can also stage the hair transplant 6 months later with another provider which is ideal for graft survival anyway.

alright i'll look into that