This patient requested surgical restoration of a very high frontal hairline. The specific goals set by the patient were: 1) to create a natural, feminine hairline and 2) to improve the appearance of the brows. A staged repair was planned in which a pretricheal browlift was performed first in order to advance the existing hairline forward and to improve the shape of the brows. A trichophytic hairline repair was utilized to encourage hair growth through the frontal incision line. The final stage of the frontal hairline restoration was accomplished six months later with ultra-refined follicular-unit grafting to lower and fully feminize the hairline.