Forehead Reduction/
Hairline Lowering in Fort Myers

Achieve a more balanced and proportionate facial appearance with hairline lowering, also known as forehead reduction. This procedure treats a disproportionately high forehead by advancing the hairline. At Garramone Plastic Surgery, Dr. Ralph Garramone and Dr. Nick Garcia perform this surgery using the Foundation Aesthetic Hair Restoration Method by Dr. J. Epstein—an approach known for its innovation, precision, and unsurpassed naturalness of results.

Your Hairline Lowering/Forehead Reduction in Fort Myers

Hairline lowering, also called forehead reduction or surgical hairline advancement (SHA), is a procedure that reduces the height of the forehead by moving the hairline forward. It is ideal for individuals with a naturally high hairline or disproportionately large forehead. The surgery involves removing a section of the forehead skin and repositioning the scalp to create a more balanced facial appearance. When performed using the Foundation Aesthetic Hair Restoration Method, the results are precise and heal into virtually undetectable scars.

Is Hairline Lowering/Forehead Reduction the Right Choice for Me?

During your consultation, your surgeon, either Dr. Garramone or Dr. Garcia, will take the time to understand your goals, evaluate your facial proportions, and assess the flexibility of your scalp and the stability of your hairline. Using the Foundation method, these factors help determine whether you're a strong candidate for hairline lowering in Fort Myers. If the procedure is right for you, we’ll create a personalized treatment plan to deliver beautifully balanced, lasting results.

Generally speaking, you may be the right candidate for hairline lowering if you have:

A naturally high or disproportionately large forehead
A stable hairline with no ongoing hair loss
Scarring from previous hair transplants along the frontal hairline
Frontal fibrosing alopecia in eligible female patients
A hairline that sits too far back following prior procedures
Facial imbalance caused by excessive forehead height

A handsome man in his 30's wearing a turtleneck with a nice thick head of hair

Crafting Your Bespoke Treatment Plan

At Garramone Plastic Surgery, your treatment plan is bespoke. Dr. Garramone and Dr. Garcia take a highly individualized approach, considering your hairline shape, scalp flexibility, facial proportions, and aesthetic goals. Using the Foundation method, they meticulously design a plan that balances artistry with surgical precision. Whether your treatment involves hairline lowering alone or is combined with a brow lift or grafting, every detail is tailored to ensure results that feel authentically yours, both in form and function.

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Why Choose the Foundation Method for Scalp Hairline Advancement (SHA)?

Performed by board-certified plastic surgeons: Unlike general hair restoration providers, the Foundation method is performed by surgeons who are also experts in facial aesthetics. Dr. Garramone and Dr. Garcia bring their plastic surgery expertise to every hairline design to ensure your results harmonize with your facial structure.
Maximizes precision with advanced surgical techniques: The Foundation method uses refined surgical techniques that minimize tension on the scalp and promote faster, more secure healing. Every incision is placed with artistic intent, and hair follicles are carefully preserved for regrowth. This contributes to results that heal into virtually undetectable lines.
Customizes every procedure to the individual: Your face is one of a kind—your hairline advancement should be, too. The Foundation method emphasizes a bespoke approach, adjusting everything from incision shape to the degree of advancement based on your specific anatomy and goals. This ensures an outcome that looks seamless.
Enables combination treatments for enhanced outcomes: When appropriate, the Foundation method allows for complementary procedures—like brow lifts or frontal bone contouring—to be performed simultaneously. This streamlines your treatment and recovery while amplifying your overall aesthetic results.

Your Hairline Lowering/Forehead Reduction Procedure

At Garramone Plastic Surgery, your hairline lowering/forehead reduction in Fort Myers is performed under general anesthesia and typically lasts 90 to 120 minutes. Dr. Garramone or Dr. Garcia begins by making a trichophytic incision within the natural hairline, beveling the incision to preserve hair follicles for future growth through the scar. The scalp is carefully undermined, depending on your scalp thickness and laxity. Once adequate advancement is confirmed (typically 1 to 3 centimeters), the scalp is advanced to the new, pre-marked hairline.

To secure the new hairline position, our surgeons use Endotine® bioabsorbable fixation devices, which dissolve over 4 to 6 months, providing internal support during early healing. Redundant forehead skin is precisely trimmed, and the incision is then closed in multiple layers using deep, tension-reducing sutures for optimal scar minimization. You’ll return home the same day with a wrap over the forehead, and detailed aftercare instructions will be provided to support healing.

Meet Your Doctors

Dr. Ralph R. Garramone and Dr. Nicholas A. Garcia, leading plastic surgeons at Garramone Plastic Surgery in Fort Myers, FL, specialize in forehead reduction surgery. Dr. Garramone, board-certified with over 20 years of experience, and Dr. Garcia, with aesthetic training from the University of Pennsylvania, provide natural, elegant outcomes. Forehead reduction, or hairline lowering, advances the hairline to reduce forehead size, improving facial harmony. Conducted in their accredited, state-of-the-art facility, the procedure is customized to each patient’s goals, ensuring precision and satisfaction. Their expertise and personalized care establish them as top cosmetic surgeons in Southwest Florida.

Dr. Garramone’s commitment to Excellence

For over two decades, Dr. Ralph Garramone has brought exceptional precision and artistry to patients throughout Fort Myers, Naples, and the surrounding areas, helping them feel more aligned with their ideal appearance. His expertise in hairline lowering, paired with the advanced techniques of the Foundation method, ensures outcomes that are beautifully balanced and technically outstanding.

Every Fort Myers hairline lowering procedure is fully customized to your anatomy, scalp flexibility, and goals. Never a cookie-cutter approach. Whether you're seeking to correct a naturally high hairline or achieve greater facial harmony, Dr. Garramone will design a surgical plan that reflects your vision. To learn more about hairline lowering in Fort Myers, FL, or to schedule your consultation, contact Dr. Garramone’s office today at (239) 482-1900.

Hairline Lowering/Forehead Reduction FAQ

How much can the hairline be lowered in a single procedure?

In most cases, the hairline can be advanced 1 to 3 centimeters during a single hairline lowering surgery. The exact amount depends on factors such as your scalp laxity, hairline shape, and overall facial balance. During your consultation, your surgeon will assess these variables to determine what’s safely achievable while maintaining natural proportions and stability.

Will the scar be visible after surgery?

The incision is placed using a trichophytic technique along the natural hairline, which allows hair to grow through the scar for improved concealment. With proper healing, the scar typically heals into a fine line that becomes virtually undetectable over time. If desired, additional hair grafting can be used to further camouflage the incision line for an even more refined appearance.

How long will the incision scar remain visible?

While most scars fade significantly within six to twelve months, visibility can vary based on skin type, healing ability, and adherence to aftercare instructions. In many cases, the scar is concealed by hair regrowth.

Can this procedure be combined with other surgeries?

Yes, hairline lowering or forehead reduction is often combined with a brow lift to raise low-set or sagging brows, eyelid surgery, frontal bone reduction, or facial feminization procedures to address forehead prominence and enhance overall harmony and efficiency in healing. These are planned in advance to ensure optimal aesthetic integration.

How long does recovery take?

Most patients return to normal daily activities within 5 to 7 days. The sutures are typically removed after one week, and light exercise can be resumed shortly thereafter. Residual swelling and bruising usually resolve within 2 to 3 weeks.

Are there non-surgical alternatives to forehead reduction?

There are no non-surgical options that lower the hairline permanently, but certain hair restoration techniques like hair grafting or scalp micropigmentation can create the illusion of a lowered hairline.

What are the risks associated with forehead reduction surgery?

As with any surgical procedure, risks include infection, scarring, nerve injury, numbness, bleeding, asymmetry, or hair loss near the incision. Choosing a board-certified plastic surgeon greatly reduces these risks.

Does forehead reduction affect facial expressions or brow movement?

When performed by an experienced surgeon, forehead reduction typically does not impact facial expressions or brow mobility. Care is taken to avoid nerves and preserve muscular function.

How soon can I wash my hair after surgery?

Most patients are advised to wait 3 to 5 days before gently washing their hair with surgeon-approved products. Dr. Garramone will provide specific post-op care instructions based on your healing progress.

Will I need to shave my head before surgery?

No, full head shaving is not required. Only a narrow section of hair near the incision site may be trimmed to allow for precision during the procedure.

Is forehead reduction surgery permanent?

Yes, once the hairline is surgically advanced and the skin is sutured in place, the results are permanent. However, future hair thinning due to aging or genetics can still occur.

Can men undergo forehead reduction surgery?

Yes, forehead reduction can be performed on men who meet the criteria for scalp laxity and are not prone to progressive hair loss that would compromise results.

Forehead Reduction/ Hairline Lowering in Fort Myers