2009
DOI: 10.1001/archfacial.2008.528
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Correction of the High Female Hairline

Abstract: Advancement of the female hairline by incorporating an irregular trichophytic incision and a posterior scalp advancement flap is an effective and safe technique that has been used by the senior author for more than 2 decades. The average advancement was 2.1 cm in this study. The technique is immediately effective, well tolerated by patients, and associated with minimal complications. Although it is associated with a potentially visible incision, this technique can be used to make the scar virtually invisible.

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Cited by 38 publications
(31 citation statements)
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“…When pulling and securing the scalp flap by using Endotine ® , it is possible to perform suturing in the state with nearly no tension when suturing the galea aponeurotica layer by layer. It was also identified that the scars were not stretched, as there was no tension on the suture line for a few months during the follow up observation period [14].…”
Section: Elevated Endotinementioning
confidence: 99%
“…When pulling and securing the scalp flap by using Endotine ® , it is possible to perform suturing in the state with nearly no tension when suturing the galea aponeurotica layer by layer. It was also identified that the scars were not stretched, as there was no tension on the suture line for a few months during the follow up observation period [14].…”
Section: Elevated Endotinementioning
confidence: 99%
“…Frontal scalp incision should be made within the fine hair of the anterior scalp approximately 4-5 mm behind the true hairline beveling toward the scalp [7,12,13]. Then, the incision can be transitioned into the scalp in the temporal areas and turned inferiorly toward the root of the ears, where an incision is made parallel to the hair shafts.…”
Section: Hairline Advancementmentioning
confidence: 99%
“…Then, the incision can be transitioned into the scalp in the temporal areas and turned inferiorly toward the root of the ears, where an incision is made parallel to the hair shafts. The scalp can be extensively undermined in the subgaleal plane back to the occiput, and if necessary, several parallel releasing incisions through the galea every 1.5-2.0 cm can assist scalp advancement and tension free closure [7,12,13]. Galeotomies are made through the galea just enough to expose underlying scalp fat and to preserve the blood supply to the scalp [7,12,13].…”
Section: Hairline Advancementmentioning
confidence: 99%
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“…6,7 It is important to assess scalp laxity to assess how far the scalp may be advanced. Tight scalps can be difficult to mobilize and may require more than one operative procedure to attain the desired amount of advancement.…”
Section: Scalp Advancementioning
confidence: 99%