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When pursuing facial feminization, it’s important to understand the innate differences between the male and female anatomy. In the case of the upper face, a masculine forehead is higher and is typically shaped like an “M.” A feminine forehead is lower and is shaped like an inverted, oval “U.” The hairline advancement treatment can give the MTF patient a softer, more feminine appearance in the forehead, improving confidence and affirming authentic gender identity.

Dr. Satterwhite and Dr. Gurujal perform hairline advancement for all members of the transgender community in San Francisco and beyond.

How is hairline advancement achieved?

Dr. Satterwhite and Dr. Gurujal will create a trichophytic incision within the hairline, advancing the hair-laden scalp tissue forward. This procedure is often performed in conjunction with forehead contouring and brow lift. Hairline advancement cannot be performed on a patient who has significant hair loss or balding. In these cases, hair transplantation will have to be considered.

Hairline Advancement San Francisco
Hairline Advancement San Francisco

Hairline advancement is a beneficial procedure for feminizing the hairline by advancing it forward (shortening the distance between the eyebrows and the hairline), creating a rounder and more feminine hairline, and by obscuring the temporal recession, which can be seen as a masculine hallmark. It does take up to a year to get your final results, so patience is paramount. Meticulous surgical technique is important at the time of the operation, but just as important (if not more so) is careful scar management post operatively. It is important to understand that everyone heals differently, so check in with us regularly to make sure all is progressing normally. Keep in mind, there is no such thing as scarless surgery! There will be a scar, but we strive to make it as imperceptibly as possible.

Initially the forehead incisions are closed with sutures, which are removed after 1 week.

After a few weeks, there can still be some scabbing and irregularities. This is normal. It is important to keep the area moisturized, and to use a silicone-based scar cream (which we have available in our office). Stay away from sun exposure (or use sunblock and a hat if you have to be in the sun) for 1 year afterwards. Stay away from smoking and nicotine products around the time of the operation, as well.

After a year, the hairline incision will be nicely healed, and in most cases, barely perceptible.

Hairline Advancement San Francisco
Hairline Advancement San Francisco
Hairline Advancement San Francisco
Hairline Advancement San Francisco

What are the benefits of hairline advancement?

  • Creates a more feminine, “wispy” hairline
  • Affirms one’s gender identity
  • Improves self-confidence in one’s image
  • Shrinks the amount of space above the eyebrows
  • Minimal, inconspicuous scarring
  • Long-lasting results
  • Natural-looking outcome

Who makes a good candidate for hairline advancement?

  • One who is frustrated by a prominent, large forehead
  • Patient who is seeking a more feminine aesthetic
  • In good health, both emotionally and physically
  • Non-smoker
  • Realistic expectations based on your Bay Area consultation

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Hairline Advancement

What will my recovery be like?

There is mild post-surgical pain associated with hairline advancement, although you may experience some swelling and bruising in the forehead and around the eyes. You may feel tenderness and minor discomfort for up to one week post-op. You can return to your full routine within 1 month. Short-term numbness in the scalp may persist for several months (up to a year in some cases), but this is harmless and will eventually subside.

Dr. Satterwhite is the best surgeon in the US. After years of research, he is the only surgeon I would trust to help me with my transition. He was supportive, knowledgeable, and compassionate. Do not think twice about choosing him to help you change your life!

Hairline Advancement San Francisco

    Hairline Advancement FAQ's

    How much does hairline advancement cost?

    Hairline advancement surgery prices vary depending on the complexity of the work performed, and on how many stages are required to get a comprehensive result. Dr. Satterwhite and Dr. Gurujal always provide a customized, in-depth quote at the time of consultation, so you will be fully informed and empowered before moving forward. We offer assistance with applying for financing from a variety of reputable healthcare lenders.

    Why select Align Surgical for my surgery?

    Dr. Satterwhite combines consummate skill and expertise with an artistic eye for balance and beauty, and as such can create stunning outcomes for his MTF patients in terms of facial feminization techniques. He is able to customize his work to suit each client’s unique anatomy, goals and aesthetic sensibilities.

    Dr. Satterwhite graduated with honors from Stanford University, obtaining his medical degree and then going on to complete an elite plastic surgery residency at Stanford Hospital. He is the recipient of multiple awards for his research and oral presentations in the field of reconstructive surgery.

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    View Update Virtual Consultation

    We remain open to continue serving the transgender community

    With the safety and well-being of our patients and staff as our highest goal, Dr. Satterwhite and Dr. Gurujal are determined to provide needed medical care and planning.

    VIRTUAL CONSULTATIONS: we continue to be busy with phone and video visits providing access to all patients interested in gender confirming surgery

    FOLLOW UPS: we continue to provide needed care for our existing patients by phone and video, and in person when medically appropriate

    SURGERY: we are currently performing surgery with proper safety measures in place

    Please do not hesitate to reach out to us with any questions. To the best of our ability, we pledge to keeping you safe, healthy, connected, and informed during COVID-19.

    With best wishes, Your Align Surgical Team

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    Align Surgical wants to know how we can help

    We feel deeply for the disruption that coronavirus has likely caused to your lives. Amidst the restrictions in place, we realize that virtual consults, follow ups, and booking future surgical dates may not meet all your needs.

    If there is more we can do for you as a medical practice, we want to know.

    Please reach out and let us know other ways we can help. We have set up points of contact at 415-530-5335 and [email protected] to hear your suggestions.

    We are here to listen.

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