This question, answered by Coalition hair transplant surgeon Dr. Glenn Charles, was asked by a member of our Hair Loss Social Community and Discussion Forums:

I’ve noticed during follicular unit transplantation (FUT) surgeries a strip that can be over a centimeter wide is removed from the back of the scalp. Because of this, I’m wondering if closing this significant incision site can potentially pull the hairline back further and make the scalp tighter?

Most of the “pull and stretch” associated with scalp laxity and the tissue removed during the hair restoration surgery comes from the back of the neck area and not the forehead. Unfortunately, you will not get a face lift in addition to the hair transplant.

Some patients in time can almost return to normal laxity, meaning the “looseness” of the scalp is almost the same as it was before the procedure. However, in many cases after a hair loss patient has had several procedures there is a decrease in laxity of the donor area (meaning the scalp could be a bit tighter, but unlikely noticeable to the patient).

Scalp stretching exercises can be used in tighter scalps to improve laxity in the donor area prior to having hair transplantation  surgery to potentially avoid some of this issues.

Dr. Glenn M. Charles

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Blake – aka Future_HT_Doc

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Bill - Seemiller

View Comments

  • I know this sounds a little bizarre, but I have to disagree. I had a hair transplant three weeks ago (and I atually videotaped it!). I have footage of my scalp being pulled back after a strip was removed. Upon returning to work a week later, I kept being approached by co-workers telling me "I looked younger" and couldn't understand it(to be fair, I was wearing a baseball cap to cover the scars, which may have added on to this observation). But as someone who has used Botox in the past due to having a lot of lines in my forehead, only one or two of those lines are there now... it clearly stretched and smoothed out the area, very similar to a SLIGHT brow lift. (???)

  • Samuel,

    I have heard a couple of patients claim to have experienced a noticeable change in the position of the hairline after hair transplant surgery. However, this is highly unusual and not something that most patients or surgeons need to worry about. The majority of the lift will come from the neck area.

    David (TakingThePlunge)

  • Is it even possible that after a strip surgery your hairline is pulled back? Have patients seen this happen? Or is the stretch pretty much always from the back of the neck?

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