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Enhancing Facial Proportion with Vision and Expertise

At Beck Aesthetic Surgery in Charlotte, NC, we specialize in transformative procedures that align with your personal identity and aesthetic goals. Performed with precision and artistry, this procedure can restore confidence and improve overall balance by shortening the forehead and lowering the hairline.

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What is Brow Reduction (Foreheadplasty)?

Brow reduction, or foreheadplasty, is a surgical procedure that shortens the vertical height of the forehead by advancing the scalp forward to lower the hairline. During the procedure, Dr. Joel Beck makes a carefully placed incision along the natural hairline, lifts the forehead skin, and repositions the scalp forward before securing it and closing the incision. This procedure is sometimes combined with a brow lift or hair grafting to optimize results.

Why Patients Choose Brow Reduction Surgery

The decision to undergo brow reduction is deeply personal and often transformative. For example:

  • Some patients seek this procedure as part of a gender-affirming facial transformation. A lower hairline and softened upper facial contours can play a decisive role in feminizing facial features and helping individuals feel more aligned with their identity.
  • Others choose brow reduction to reverse the effects of hairline recession or to restore a more youthful, balanced profile.
  • This surgery is also ideal for those who have always felt self-conscious about a prominent forehead or simply want their outer appearance to reflect better how they feel inside.
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Benefits of Brow Reduction

  • Lowers a high or receded hairline
  • Reduces the vertical height of the forehead
  • Enhances femininity in gender-affirming facial surgery
  • Improves confidence and self-image

Are You a Good Candidate?

You may be a good candidate for brow reduction if you:

  • Feel your forehead appears disproportionately long
  • Are bothered by a high or receding hairline
  • Are undergoing facial feminization surgery (FFS)
  • Have good scalp elasticity to allow for advancement
  • Are in overall good health and a non-smoker
  • Do not have a history of poor wound healing or significant keloid scarring
  • Have adequate hair density at the hairline to help conceal the incision
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Dr. Beck and his team are wonderful to work with! Everyone is so welcoming and friendly. I truly enjoy every time I visit. I cannot say enough about the team.

What to Expect During Your Consultation

Your consultation is a time for honest dialogue and expert guidance. We’ll listen to your concerns, review your goals, and use advanced imaging tools like VECTRA® 3D to simulate potential results. Dr. Beck will evaluate your facial proportions, scalp flexibility, and medical history to determine if brow reduction is right for you.

We’ll also discuss the cost, which varies depending on the complexity of your case and whether it’s performed alongside other procedures. Together, we’ll build a custom plan that respects your individuality.

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The Brow Reduction Experience

Brow reduction surgery is typically performed under general anesthesia at our fully accredited Waverly Surgery Center and lasts about 1.5 to 2 hours. An incision is made along the hairline, and the scalp is advanced and secured in a more forward position. Dr. Beck takes meticulous care to ensure a discreet, natural-looking scar concealed by hair.

After a short observation period, most patients return home the same day, though overnight recovery options are available.

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Recovery and Results Timeline

  • Days 1–5: Swelling, tightness, and mild discomfort are expected; these are managed with medication and rest.
  • Week 1: Sutures are typically removed, and bruising starts to resolve.
  • Weeks 2–3: Patients begin to return to work and social activities.
  • Week 6+: Final results become more apparent as swelling fully resolves and incisions fade.

Alternative or Related Procedures

  • Brow Lift
  • Facial Feminization Surgery (FFS)
  • Hair Transplantation
  • Eyelid Surgery (Blepharoplasty)
  • Facelift

FAQ's

Will the scar be visible?

How long do results last?

Is there a non-surgical alternative?

Does it hurt?

Will my hair grow normally at the incision site?

Is brow reduction only for women or trans patients?

How soon can I return to work?

Are there risks?

What if I have limited scalp laxity?

Will the scar be visible?

The incision is placed at the natural hairline and typically heals discreetly. Dr. Beck takes great care to optimize healing and minimize visibility.

How long do results last?

Results are long-lasting. Once the hairline is advanced, it typically maintains its new position permanently.

Is there a non-surgical alternative?

There is no non-surgical way to lower the hairline. Hair grafting may improve hairline appearance, but it doesn’t shorten forehead height.

Does it hurt?

Some tightness and discomfort are common initially but are easily managed with medication.

Will my hair grow normally at the incision site?

Yes, in most cases. Hair typically regrows through the incision area, camouflaging the scar.

Is brow reduction only for women or trans patients?

Not at all. Anyone with a high hairline seeking facial balance may benefit from this surgery.

How soon can I return to work?

Most patients resume light activities within 7–10 days, depending on their healing and comfort.

Are there risks?

Risks include infection, numbness, scarring, asymmetry, or hair loss at the incision site, though rare when performed by an experienced surgeon.

What if I have limited scalp laxity?

Dr. Beck will assess your candidacy and may recommend hair grafting or staged approaches if needed.

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Ready to Learn More?

If you’re ready to bring balance and beauty to your upper face, we invite you to take the next step with confidence. Schedule your consultation with Dr. Joel Beck today to explore how brow reduction can help you look and feel more like yourself.

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