Surgical correction method for an overly flat transplanted hairline; Dr. Mike Beehner

[Dr. Michael Beehner]

This male in his late 30's presented several years ago after having had 5 HT sessions with another doctor. He was unhappy with the contour of the hairline. The hairs were angled very "straight up" and perpendicular to the scalp and the hairline was flat across the upper contour and abnormal in appearance.

In the photos you will see the two drawings of what was excised. At the end of the photos are four very surgical photos (not for the faint of heart!) that show the technique in some of its steps.

I have mainly used this technique in correcting unbalanced hairlines due to bad hair flaps, but used the same technique for a flat hairline here.

FU grafts are placed along the suture line and at a later session in order to have a natural looking temple and hairline.

Mike Beehner, M.D.

 

[Bill - Seemiller]

Dr. Beehner,

 

The results appear to look good. However, do you have any after photos with the hair combed back like you do in the before photos? It's really difficult to see how natural it looks without getting an adequate view of the hairline.

 

Best wishes,

 

Bill

[Sparky]

Poor sod, he had like a mega version of what the hair in my hairline was like, luckily, I was able to have my hairs fue's out, I wouldnt of considered a brow lift for a second. I agree with Bill it would be nice to see pictures of the hairline as it looks now, as his old hairline could of looked like his new hairline if he just brushed his hair forward like in the after pics.

[Dr. Michael Beehner]

I don't have any final photos of his hairline, as I actually did this case around 10 years ago. He lives within an hour of our office, so I think we'll try and contact him and see if he would be willing to come in for some final "post-op" photos, including the hairline. If I get them, I will post them. In the ten years since then, I haven't had a case (except for flap patients) in whom I had to use this technique.

Mike Beehner, M.D.

[Blake Bloxham]

Dr Beehner,

Since additional grafts were added (I assume via strip because you said it was done ten years ago) to the scar in the hairline post lift, wouldn't it have been easier to simply plant grafts around the existing hairline, or even lower it slightly to soften the general look?? Just curious since the procedure itself looks quite invasive. Great work!

[Dr. Michael Beehner]

Dear Future HT Doc,

His hairline was only at 5.5cm above the top of the eyebrows, which is fairly low to start with, and to lower it further in order to curve the front-central part of the hairline out in front of the sides, would have put it way too low in my opinion. He would have looked very abnormal as he got older.

Again, I repeat, if the work done is not too dense, the preferred method of making the hairs on the lateral part of the front hairline disappear is FUE, but when they are too dense, this is a viable way of doing it.

Mike Beehner, M.D.

[Blake Bloxham]

Dr Beehner,

Thank you very much for the reply. I completely understand what you are saying and appreciate the presentation of such an interesting case.