From a patient’s perspective, one of the most important issues are hairline design. The frontal hairline comprises the largest visible feature of the face. The optimal transplanted hairline should appear entirely natural, allowing the hair to be styled or combed backward without revealing signs of transplantation. High-quality hairline design has evolved into an art form and, when performed skillfully, can often be achieved during the initial transplantation session [2].
Consultation
The most important part of consultation is to understand the potential and planned transplantation [1]. Conducting a comprehensive assessment, discussing the patient’s medical history, desired outcomes, and expectations. This thorough evaluation allows to the surgeon to tailor a personalized treatment plan that addresses specific concerns and achieves natural-looking results.
Shape of the Hairline
Careful observation reveals that natural hairline shapes vary and typically correspond to the underlying facial structure, commonly aligning with round, oval, or triangular face shapes [1].
Centerline
Hairline design begins with identifying the facial midline, typically aligned with the center of the nose. From this central point, the hairline curves laterally across the forehead. The lateral portions of the hairline are generally straight and positioned horizontally, parallel to the ground when the individual is standing upright and facing forward.
Naturally Grafting the Hairline
To achieve a natural-looking hairline, it is critical to use single-hair follicular unit grafts along the front two rows of the hairline. Strategic placement of these single grafts provides a soft, feathered transition between the forehead and the denser areas of the scalp.
Conclusion
During the planning phase, our surgeon, Dr. Sibel Ulusan collaborates closely with each patient to determine the optimal hairline design. Factors such as hair density, hair texture, age, and facial structure are carefully considered to ensure a harmonious outcome. Patients are encouraged to provide express their preferences, prioritizing their satisfaction and confidence.
References
- Pomerantz M. Creating a hairline. Hair Transplant Forum Int. 1999;9:184–6. [Google Scholar]
- Martinick JH. Hairline placement: Getting it right the first time. Hair Transplant Forum Int. 1999;9:65–7.[Google Scholar]
