This receipient area dominence was presented in ISHRS meeting two to thre years back.

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I am a medical advisor to Lexington International and Hairmax. What ever I say is my personal opinion.

Dr. Mohmand is recommended on the Hair Transplant Network

THanks Doc. I notice the softening of HT hair keeps coming up. Just today I read Spex telling another newbie that it his hair will soften and relax. Dr. Mohmand, I have to say I honestly beleive that since my first HTs in 1988 until my last less than a year ago, the HT hair itself has never softened enough to achieve a natural look when the hair is too short unless it is coloured or is losing pigmentation. And hearing others lament about the same, I say it is the resposibility of good HT clinics to warn patients that with short hair, HT hair will NEVER look like the hair it replaced once the surrounding hair is native hair is dying IF it cut too short. Prudent hair styles help. Longer than an inch for a start. (I could when I had enough hair),. And as you point out, angulation is key - including the orientation of the graft at the point of placement not -just the slit angle- much neglected in HT talk IMO With people thinking of the buzz cut FUE route, i think they need to be extremely careful with angulation for this reason.

Scar5 , who did your last procedure ?
So the idea of a natural buzz cut after ht is a myth in your opinion ?
Im not sure what you mean by angulation.Do you mean direction of the hair?
I thought the angle of the hair in relation to the scalp was decided by the slit made by doctor.

Softening of the hairline should be addressed by the surgeon during the procedure. It is critical that the thinner/finer hairs be used in the hairline. Thick/ coarse hairs will most likely have a similar look and feel no matter where it is placed. It is true that sometimes hairs will be more brittle and kinky during its first growth cycle. After repeated growth cycles and hair cuts those same hairs might begin to look and feel softer, but are probably just finally returning to their original state.

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Dr. Glenn Charles is a member of the Coalition of Independent Hair Restoration Physicians

jd- A buzz is possible IMO, but everything has to go right and hair coloring maybe needed, so don't give up that and don't be talked into strip on account of it being impossible. It also has one factor in it's favor - time. The loss- even partial loss of pigmentation helps too.

As Dr. Mohmad mentioned, it comes down to ANGULATION (the angle of the slit the doc makes) and ORIENTATION (the way the tech is holding the graft when he/she pushes the hair into that slit).

Now IMO..
It maybe relatively easy to spot the optimal orientation for hair that has a clear curl but
the slightest bend in the hair could turn out into a misangled hair. Subtle misangulation actually HELPS HTs in the sense of creating the illusion of volume. Comb back your HT hair and you will feel more spring in it for that reason. This might be all great until you decide that a buzz is needed.

Dr. Charles adds an excellent point by saying it is crucial to use fine hairs for the front, but is that always practical? Where are these fine hairs to be found? Dr. Umar seems to use nape hair for this reason. Others say nape hair may not be stable genetically. It may be easy enough to say, well, we'll use all singles at the front but that is not enough. It must be a balacing act between the existing native hair and how those hairs are gonna look (when they are buzzed?) on a barren scalp in the distant future.

JD - I'm not talking names, sorry man but I got burned before - I like to ask questions and I don't want any allegience to anyone/clinic.

EDIT to above - I use the term "misangled hair" in the third paragraph in the common way it is referred to.
By my logic it could/should be "misorientated hair" but that sounds so daft, no one would no WTF I meant. Hope that's clear. Hence,
"Subtle misangulation actually HELPS HTs2
could mean , "subtle misorienation" meaning the hairs were not orienteted 100% when they were placed. OK?

I know this topic is 5 months old, but I wanted to say that it was an excellent read.