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Can a HT remove a cowlick ?


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Recreating a whorl or cowlick is some of the most technically precise work in hair transplantation. The most widely held opinion among hair restoration surgeons is that if a frontal cowlick has either completely receeded or nearly so, it should not be recreated. The hairline should be recreated with a uniform forward and gradually rotating angulation of the grafts to create the most dense and natural appearing result.

What to do when the cowlick is still present but thinning is a much different situation. If transplanting is done at this point the surgeon must follow the hair direction in the cowlick or the graft incisions will damage follicles in the area and the transplanted hair will grow in a different direction from the native hair in the cowlick - a bizarre look indeed. Recreating a cowlick is very careful and exacting work wherein every receptor incision is precisely angled around the spiral axis matching every subtle shift in angulation.

Anytime there is a whorl such as those that occur in the crown, more scalp shows through because of the natural separation of hairs. Thus when restoring a cowlick, higher density is required to hide the scalp than if the hairs are all transplanted in the same direction.

This all being said, cowlicks, undulations, and widows peaks are the "elegant" details of a handsome hairline, and when they are reproduced accurately some of the best looking hairlines results are achieved.

Edited by Keledar
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