Refine Proportions. Lower the Hairline.
SHA, sometimes referred to as forehead reduction surgery, is a specialized procedure that advances the hairline forward to reduce the visible height of the forehead. By repositioning the scalp and removing excess skin, this technique can lower the hairline by approximately 1 to 2 centimeters in one session. As a surgeon trained in the Foundation method, Dr. Bared ensures hair growth patterns are preserved and the incision heals with minimal visibility.
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Ideal Candidates for SHA May Include Those With:

- A naturally high or broad forehead
- Facial disproportion due to hairline position
- Self-consciousness about forehead height
- Scarring from previous hair procedures
- Stable hairlines with no active hair loss
- Hairline recession not caused by progressive alopecia
- Forehead irregularities related to frontal fibrosing alopecia
What to Expect from the SHA Procedure
Most patients return home the same day following SHDuring your personalized consultation at Facial Plastic Surgery Miami, Dr. Bared will assess your scalp elasticity, hairline stability, and aesthetic goals to determine your suitability for the procedure. SHA is typically performed under local or general anesthesia. Dr. Bared begins with a trichophytic incision along the natural hairline, allowing new hair to grow through the incision for a discreet finish.
He carefully advances the scalp forward and removes a tailored strip of forehead skin. The hair-bearing portion is then repositioned and secured. The incision is closed using precise techniques to protect nearby hair follicles, helping ensure the final result blends naturally with your existing hairline.
Benefits of Surgical Hairline Advancement
- Immediate and permanent reduction in forehead height
- Enhances overall facial balance and harmony
- Greater hair density than what hair transplants alone can offer
- Virtually invisible scarring thanks to trichophytic closure
- Natural hair growth patterns are preserved
- Possibility to combine with a brow lift for comprehensive results
- Short procedure time with minimal downtime
- Customized surgical plan tailored to your goals

SHA Recovery: What You Need to Know
Most patients return home the same day following SHA. Mild swelling or discomfort around the forehead is normal and can be managed with medication. You’ll receive detailed post-op care instructions from Dr. Bared to support optimal healing.
Patients typically resume light activities within a few days. Sutures are removed about a week later, and visible signs of surgery diminish significantly over the next few weeks. Thanks to the trichophytic incision, hair grows through the healing site, making the final result impressively discreet.
Aftercare Tips for a Smooth Recovery
- Keep the surgical site clean and dry during the early healing phase
- Follow Dr. Bared’s aftercare instructions carefully
- Avoid heavy lifting, bending, or strenuous activities for at least one week
- Sleep with your head elevated to reduce swelling
- Use cold compresses if advised
- Do not wash your hair until cleared by Dr. Bared
- Protect the area from sun exposure
- Attend all scheduled follow-ups
- Report any unusual symptoms such as increased redness or discomfort

Call today to schedule your consultation
Frequently Asked Questions About SHA
Meet Dr. Anthony Bared
Dr. Bared is a dual board-certified facial plastic and reconstructive surgeon at Facial Plastic Surgery Miami, with advanced expertise in surgical hairline advancement and hair restoration. Trained in the Foundation Aesthetic Hair Restoration Method, Dr. Bared is known for delivering natural, elegant outcomes tailored to each patient’s unique features.
Ready to restore facial harmony and confidence? Schedule your consultation with Dr. Bared today to learn how surgical hairline advancement can help you reach your goals.
Last modified by Dr. Anthony Bared