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Found 2 results

  1. I guess the first things that get noticed in someone's hair are the hairline and the temporal points. I have seen numerous examples here where the best of results in terms of coverage and density somehow seem to fall flat from a hairline and the temporal point design perspective 1. Many clinics seem to design hairlines/temporal points in sharp/straight lines and angles that end up looking artificial. Are there any surgical reasons for this practice? 2. I remember reading on some cases where the surgeon had effectively used 'random irregularities' in designing the hairline in an effort to mimic nature. Why don't more surgeons use get 'artsy'? 3. One of my main worries with an HT would be ending up with an artificial looking hairline. Are there ways for patients to assist surgeons with designing a natural hairline and temporal points? Do sample pictures really help or do surgeons have their own way regardless? Also, do any surgeons make use of simulation software to simulate and show patients an 'after' state before surgeries so the patients know where they are headed? 4. Are there any design gold standards that patients should consider when discussing their hairline and temporal points design with their surgeons? Thanks
  2. This 49 year-old man had a Norwood 3 pattern with thinning temporal points. He had average diameter, mostly straight, salt-and-pepper hair with average scalp laxity and good donor density. He had more hairs per follicular unit than usual. As he had a relatively small area of hair loss, a great supply of donor hair, and he was unlikely to ever become extremely bald, it was reasonable to restore his hairline and temporal points. We planned to transplant about 2100 grafts in his frontal hairline and 900 in his temporal hairlines and temporal points. We transplanted 3219 grafts. We needed a lot of 1s and 2s to create a soft transition zone and had to split about 400 3s and 4s to get enough 1s and 2s. By sampling, he had about 911 ones, 1063 twos, 589 threes, and 656 fours. He had 28% 1s, 34% 2s, 18% 3s, and 20% 4s and still averaged 2.3 hairs per graft. These photos were taken 13 months after his hair transplant and are shown with his written consent. At his follow-up visit he said “I am very happy. Nobody knows … not even my Mom.” ( … until now.)
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