When to Consider Scalp Advancement

  • Sheldon Kabaker
  • Mario Marzola
  • Sahar Nadimi
  • Damkerng Pathomvanich


The scalp advancement or hairline lowering procedure described in this chapter may well be the only surviving “scalp reduction” operation from yesteryear. Well described in the text and accompanied by many photographs, the reader will find it easy to understand and hopefully be enthused to explore it further. It affords incomparable, massive relocation of frontal hair follicles to a more forward position in the space of 1 to 2 h producing a “wow factor” not possible with hair transplants. While it is more of a surgical procedure than transplants, it can be done safely in most operating rooms. However spending time with a mentor before starting is always good advice.

It should be in the armamentarium of all hair restoration surgeons who have a well-equipped OR and have surgical ability beyond transplants. When female patients present with a congenitally high, non-receding hairline, with a loose scalp and a desire to have it lowered, this procedure should be considered. Hair transplants are not the only option. The authors highly recommend this scalp advancement procedure in such cases.


Scalp advancement Scalp reduction Female with a congenitally high hairline Interbrow region Subgaleal plane 


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Copyright information

© Springer Japan KK, part of Springer Nature 2018

Authors and Affiliations

  • Sheldon Kabaker
    • 1
  • Mario Marzola
    • 2
  • Sahar Nadimi
    • 1
  • Damkerng Pathomvanich
    • 3
  1. 1.Dr. Sheldon S. Kabaker Aesthetic Facial Plastic Surgery and Hair TransplantationOaklandUSA
  2. 2.Norwood Day SurgeryNorwoodAustralia
  3. 3.DHT ClinicBangkokThailand

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