35 year old female with high hairline and tight scalp

[Dr. Sheldon Kabaker]

This 35 year old female has always been bothered by her big forehead, and wished to have her hairline lowered. Her scalp laxity was slightly less than average. At surgery, her hairline was lowered 2.2cm (slightly less than 1 inch) the equivilent of moving 2500 follicular units. The patient is shown before the surgery with the surgical markings, a view from the top before and immediately after surgery, and four paired views before and 13 days after surgery. Note how undetectable the scar is, even at this early date.

[Mickey85]

This 35 year old female has always been bothered by her big forehead, and wished to have her hairline lowered. Her scalp laxity was slightly less than average. At surgery, her hairline was lowered 2.2cm (slightly less than 1 inch) the equivilent of moving 2500 follicular units. The patient is shown before the surgery with the surgical markings, a view from the top before and immediately after surgery, and four paired views before and 13 days after surgery. Note how undetectable the scar is, even at this early date.

 

Was this a Fleming flap procedure??

[Blake Bloxham]

Dr. Kabaker,

 

A subtle, but natural and aesthetically pleasing transformation. Nicely done!

[Dr. Sheldon Kabaker]

Was this a Fleming flap procedure??

 

This is not the "Fleming-Mayer Flap". I do know that Drs. Fleming and Mayer perform this same hairline lowering procedure. This is a much more simple procedure when it can be done. It works best on patients who do not have hair loss. Usually it is performed on women who have concerns with a large , masculine forehead. I do not advocate it for routine male pattern baldness although there have been exceptions; i.e.. after prior hair transplants to the front of the hairline. The new hairline is the front of the old hairline with the scalp advanced downward.

 

The Fleming-Mayer flap ,which is a modification of the Juri Flap developed in Argentina in the late 1960's , moves hair which comes from the side and back of the head . It takes 3 stages to perform and changes the hair direction. It is advocated mostly for male pattern baldness or certain reconstructive situations.

[Mickey85]

My apologies, I was under the assumption that a Fleming flap was just a generalized term for the procedure, did not know it was done by a specific Doctor.