Surgical Hairline Lowering (HALO)

A forehead that is too high can disrupt facial proportions and affect self-esteem and confidence. This may be due to anatomical structure (a congenital trait) or the physiological process of hairline recession. Surgical hairline lowering is a precise facial plastic surgery procedure that allows for the permanent restoration of natural proportions across the three thirds of the face while maintaining completely natural features.

Price

from 20,000 PLN

Treatment time

approx. 1.5 – 3 hours

Anesthesia

general or intravenous with local anesthesia

Area

face / upper third of the face / scalp

What is the HALO procedure and how is the surgery performed?

Surgical hairline lowering involves advancing the scalp toward the face and removing excess non-hair-bearing skin from the upper forehead. Depending on the scalp's elasticity and the patient's anatomy, the procedure typically allows for lowering the hairline by 2 to 3 cm.

During the surgery, the surgeon makes a specially contoured, irregular incision along the hairline. After the scalp flap is prepared, it is advanced forward and secured at the new position. The wound edges are precisely sutured without excessive tissue tension, which is crucial for proper healing and minimizing the visibility of the postoperative scar.

HALO procedure results

  • Restoring facial proportions -reducing the forehead area gives the face a more symmetrical, youthful, and balanced appearance.
  • Discreet scarring - the use of microsurgical techniques and trichophytic incisions ensures the scar is hidden along the hairline.
  • Long-lasting results - the repositioned hairline is permanent.
  • Freedom of styling - Patients gain the comfort of wearing any hairstyle without the need to hide their forehead.

How to prepare for the procedure?

  • 3–4 weeks before the procedure - after consulting a doctor, you must discontinue medications that affect blood clotting (e.g., acetylsalicylic acid), as well as non-steroidal anti-inflammatory drugs and certain herbal supplements.
  • 2 weeks before the procedure - absolute cessation of smoking tobacco products (nicotine impairs skin blood supply and increases the risk of wound edge necrosis).
  • On the day of the procedure - the patient must arrive on an empty stomach (in the case of general anesthesia: at least 6 hours without food or drink). The scalp and face must be clean and free of cosmetics and makeup.

Recovery and post-operative instructions

  • First days after surgery - swelling and bruising may occur around the forehead and eye area, which is a natural tissue reaction to surgical trauma.
  • Suture removal - usually takes place in two stages – the first stitches are removed on the 5th–7th day, and the remaining ones on the 10th–14th day after surgery.
  • Physical activity - physical exertion, bending over, and lifting should be limited for at least 3–4 weeks.
  • UV protection - the incision site must be strictly protected from sunlight (using SPF 50+ sunscreen) for at least 6 months.

Important medical information

  • Procedure duration: approx. 2–3 hours
  • Required tests for general anesthesia: Blood type (double check), complete blood count (CBC), coagulation profile (APTT, INR), electrolyte levels (Na, K, Cl), creatinine, fasting glucose, thyroid tests (TSH, FT3, FT4), HBs antigen, anti-HCV antibodies, and an ECG.
  • Clinic stay: 1 day
  • Follow-up visits: on day 1, after 7–14 days, after 1 month, and after 3–6 months post-procedure.
  • Contraindications: Blood clotting disorders, uncontrolled chronic diseases (diabetes, hypertension), active hair loss (e.g., progressive androgenetic alopecia), scalp and facial infections, tendency to form keloids, pregnancy, and breastfeeding.

Price list

Type of treatment

Price from

Price to

Surgical Hairline Lowering (HALO)

20,000 PLN

The HALO (Hairline Lowering) procedure requires exceptional surgical precision and meticulous planning of the incision line. In our practice, we use a trichophytic incision, which follows the natural hairline. This allows hair to grow directly through the resulting scar tissue, ensuring that the scar remains very discreet and easy to conceal with your hairstyle.

Dr Jakub Kret

Plastic and Hair Restoration Surgeon

FAQ

Answers to frequently asked questions about various treatments and procedures.

What is the difference between the HALO procedure and a hair transplant (e.g., FUE)?

The HALO procedure involves surgically advancing the entire scalp and physically removing excess forehead skin, which provides an immediate hairline lowering effect of 2–3 cm. A hair transplant, on the other hand, involves harvesting individual hair follicles from the occipital area and implanting them on the forehead, which requires waiting 6 to 12 months for the hair to grow.

Is there a visible scar after a hairline lowering procedure?

The incision is made precisely along the hairline (a trichophytic incision). Thanks to this technique, hair grows directly through the scar tissue, making the scar barely visible and easy to hide within your hairstyle once fully healed.

By how many centimeters can the hairline be lowered?

The hairline is typically lowered by about 2 to 3 cm. The final extent of the adjustment depends on the individual elasticity and mobility of the patient's scalp, which is assessed during the initial consultation.

What type of anesthesia is used for the surgery?

The HALO procedure is most often performed under general anesthesia or deep intravenous sedation combined with local anesthesia, which ensures the patient's complete comfort and a pain-free experience.

How long is the recovery period after the procedure?

Most patients return to their basic daily activities after about 7–10 days. Swelling and bruising usually subside within 2 weeks, while the scar maturation process takes several months.

Is there a loss of sensation in the forehead or scalp after the procedure?

Temporary numbness or a tingling sensation in the forehead and scalp is a natural consequence of small nerve branches being disrupted during tissue dissection. This condition gradually subsides as the nerves regenerate (typically taking from a few weeks to several months).

Do swelling and bruising occur after the surgery?

Yes, swelling of the forehead, brow area, and eyelids is a natural reaction to the surgical procedure. These symptoms peak 2–3 days after the procedure and then gradually subside.

When are the post-operative sutures removed?

Sutures or surgical staples are usually removed between 7 and 14 days after the surgery, often in two stages, depending on the wound healing process.

Can the HALO procedure be combined with other plastic surgery procedures?

Yes. The hairline lowering procedure is very often combined with a brow lift or eyelid surgery, which allows for a comprehensive correction of the upper face under a single anesthesia.

Are the results of the procedure permanent?

Yes, the surgical removal of a skin flap and the repositioning of the hairline provide a permanent result. The hairline will not return to its original position.

When can I wash my hair after the procedure?

The first gentle hair wash using recommended antiseptic products or mild shampoos is usually possible 48–72 hours after the procedure, in accordance with the specific instructions of your attending physician.

What are the main contraindications for a forehead reduction procedure?

Contraindications include, among others, active and progressive androgenetic alopecia, insufficient scalp elasticity, blood clotting disorders, uncontrolled systemic diseases, a tendency for keloids, and pregnancy.

When can I return to training and sports?

Light walking is encouraged from the very first days after surgery. Returning to intense physical exercise, strength training, or using swimming pools and saunas is recommended after a minimum of 4 weeks.

Is the HALO procedure suitable for men?

The procedure is suitable for men provided they have a stable hairline and no tendency toward progressive male pattern baldness. If there is a risk of further hair loss in the temples or at the crown, a hair transplant may be a safer alternative.

How should I care for a scar after the procedure?

Once the wound has fully closed and stitches have been removed, it is recommended to use silicone products (gels/patches), perform gentle massage (scar mobilization), and strictly protect the area from the sun using SPF 50+ sunscreen.