When to Consider Scalp Advancement

The document discussed the scalp advancement or hairline lowering procedure, which was a modern adaptation of the older "scalp reduction" surgeries. This procedure allowed for significant relocation of frontal hair follicles to a more forward position within 1 to 2 hours, creating a dramatic effect not achievable with traditional hair transplants. It was recommended for female patients with a congenitally high, non-receding hairline and a loose scalp who desired a lower hairline. The authors emphasized that this surgical option should be considered by hair restoration surgeons with the necessary skills and facilities, as it offered an alternative to hair transplants.