Temporal peaks design

[NegativeNorwood]

Hi there!

First post but long time lurker.

I've noticed that very, very few doctors are good at transplating the temporal peaks (most doctors just ignore them tbh). 

I've observed that all of them (at least the ones I've seen) go for a very specific design of the temporal peaks, like this one on the video's thumbnail:

 

Excellent work. Design wise, I notice they are quite sloped in comparison to, for example, this:

 

The model's temples are straighter, end where his eyebrows start in side profile and give the illusion of a low hairline (when it is actually proportional to his other facial thirds).

Have you seen any transplant where the work on the temporal peaks resemble the hairline of the model (straighter and ending where eyebrows start to frame the face correctly)?

Is it just a design decision (patient or doctor liking the more sloped aesthetic more) or are there any other reasons (ie: docs not bothering to design different types of temples)?

 

 

 

 

[Berba11]

It depends on lots of factors. The guy in the video is Anil from Eugenix. It would be pretty wild to try and bring his temple points in as much as the model in the photo - the idea of restoration is to get as close to what you had before, maybe with some improvements if the donor capacity, hairloss pattern and patient physiology (frontalis muscle, head shape etc), will allow for it.

If you've never had temple points as closed off as the model's, then you'd be blasting through a lot of extra grafts to achieve that look. It may also just look a bit weird if you've never had temple points like that before - a HT isn't supposed to radical alter you appearance to the point of being unrecognisable!

Edited January 8, 2023 by Berba11

[NikosHair]

I like your screenname, sounds like you already have a good head of hair😊

There is a lot that can go wrong with poorly executed TP's (they are just so prominent)

When done correctly it makes a HUGE difference.

The issue with turning your TP's up to an 11 is creating balance, naturalness and the limited supply of suitable hairs.

[Gasthoerer]

Besides that everyone's head is different (and therefore not everyone looks good with the same hairline design) the main thinking is:

The model you are showing has almost a juvenile hairline. Bringing the temples this much forward and also have the this straight up, requires a very low hairline to not look odd. This comes with severe risks:

1. You need much more grafts - which you might not have long term.

2. You need very high density, cause such a juvenile hairline looks odd with low density. Which requires even more grafts and most likely several surgeries to achieve the density. 

What you gain on the other side is not that much. With a more conservative approach you can still have great hair, many will compliment (I know that personally). Therefore the risks outweigh the benefits for 99 % of patients. 

 

[NegativeNorwood]

1 hour ago, Berba11 said:

It depends on lots of factors. The guy in the video is Anil from Eugenix. It would be pretty wild to try and bring his temple points in as much as the model in the photo - the idea of restoration is to get as close to what you had before, maybe with some improvements if the donor capacity, hairloss pattern and patient physiology (frontalis muscle, head shape etc), will allow for it.

If you've never had temple points as closed off as the model's, then you'd be blasting through a lot of extra grafts to achieve that look. It may also just look a bit weird if you've never had temple points like that before - a HT isn't supposed to radical alter you appearance to the point of being unrecognisable!

 

Yes I know, I've used the pic as example because it was a Youtube video thumbnail and he is an excellent example of a great hair transplant. I should have used someone like Brad Pitt for more clarity or a more apples to apples comparison (both the model and Brad Pitt didn't have a hair transplant), as my main interest is the shape of the temples in this particular case.

Notice how Pitt's temples are more sloped and "pointy" in comparison despite having very similar prominence:

 

That's my main doubt. All the aggressive temporal peak restorations I've seen resemble Brad Pitt's hairline much more. 

Didn't know about the frontalis muscle being of great importance for the temporal peaks, will definitely search for info about that.

[NegativeNorwood]

1 hour ago, NikosHair said:

I like your screenname, sounds like you already have a good head of hair😊

There is a lot that can go wrong with poorly executed TP's (they are just so prominent)

When done correctly it makes a HUGE difference.

The issue with turning your TP's up to an 11 is creating balance, naturalness and the limited supply of suitable hairs.

 

Thanks! It's wishful thinking tbh, I'm norwood 1.5-2 at 30 yo, fortunately I have no thinning and very good hair overall. Hairline has been the same since I was 24-25 yo. I never had prominent temples to being with. My main interest is temporal peaks and eyebrows (which are and always were very sparse and would greatly benefit from a transplant).

I think good temporal peaks are crucial for a good hairline, despite risking and having "hair greediness". For example, check this edit:

His hairline "looks" much higher than it actually is without his very prominent temples. Now imagine him with sparse eyebrows on top of that...

Indeed the number of grafts and it's limited supply is a big factor. I'm mostly thinking about the shape of the temporal peaks here (read my post above).

 

[NegativeNorwood]

33 minutes ago, Gasthoerer said:

Besides that everyone's head is different (and therefore not everyone looks good with the same hairline design) the main thinking is:

The model you are showing has almost a juvenile hairline. Bringing the temples this much forward and also have the this straight up, requires a very low hairline to not look odd. This comes with severe risks:

1. You need much more grafts - which you might not have long term.

2. You need very high density, cause such a juvenile hairline looks odd with low density. Which requires even more grafts and most likely several surgeries to achieve the density. 

What you gain on the other side is not that much. With a more conservative approach you can still have great hair, many will compliment (I know that personally). Therefore the risks outweigh the benefits for 99 % of patients. 

 

 

Agree with you on points 1 and 2, not everyone has a good starting point to afford having so many grafts placed for an optimal hairline.

 

I respectfully disagree with you with regards to the conservative approach. The prominent temples are a necessity for optimal aesthetics IMO. Please read my two posts above. The conservative approach sounds "safe" but the aesthetics of a well framed face are a big plus.

 

Either way, this thread is more about the shape of the temporal peaks more than the amounts of grafts needed for them. It catched my eye that I've never seen a hair transplant with that result. Those that go for aggressive temporal peak restorations usually go for hairlines that look more like Brad Pitt's (more sloped, more pointy temporal peaks).

 

[NegativeNorwood]

Shameless tag I know, but would love to read your opinions about this:

@Melvin- Moderator @DrMunibAhmad@BHRClinic @L0ke@Eugenix Hair Sciences

[Gasthoerer]

20 minutes ago, NegativeNorwood said:

I respectfully disagree with you with regards to the conservative approach. The prominent temples are a necessity for optimal aesthetics IMO. Please read my two posts above. The conservative approach sounds "safe" but the aesthetics of a well framed face are a big PLUS. 

That a well framed face supported by prominent temples is an aesthetic plus does not (!) contradict with what I have written. 

I am saying: if you go too aggressive on the temples - to much forward, to straight which equals a juvenile hairline, benefit risk ratio is getting worse. Besides that: most Caucasian do not have such a hairline after puberty even without  (major) hairloss. Brad Pitt is an example you have given yourself. 

[NegativeNorwood]

15 minutes ago, Gasthoerer said:

That a well framed face supported by prominent temples is an aesthetic plus does not (!) contradict with what I have written. 

I am saying: if you go too aggressive on the temples - to much forward, to straight which equals a juvenile hairline, benefit risk ratio is getting worse. 

Agree with this, couldn't understand you well first.

15 minutes ago, Gasthoerer said:

Besides that: most Caucasian do not have such a hairline after puberty even without  (major) hairloss. Brad Pitt is an example you have given yourself. 

That's true, most caucasian men do not have that kind of perfect, well framed hairline...and that shouldn't stop anyone from chasing it, specially when it's proven to look better

 

[Curious25]

If you are trying to recreate such a juvenile look, then it needs to be performed with higher than normal transplanted density, because like has already been mentioned - this sort of aggressive and juvenile design has to go hand in hand with aggressive and juvenile esque density, otherwise it just won’t look natural - which straight off the bat rules out the majority of hair loss candidates as they simply don’t have the donor reserves for this. 
 

I can’t remember his username , but the guy who went to Brazil last year and had an aggressive hairline and temple point design has probably got the closest results that I have seen online that you seemingly aspire to get towards. Hopefully someone could tag him for you. Great result, and very high density was achieved from a single pass. 

[Big Rome]

10 minutes ago, Curious25 said:

If you are trying to recreate such a juvenile look, then it needs to be performed with higher than normal transplanted density, because like has already been mentioned - this sort of aggressive and juvenile design has to go hand in hand with aggressive and juvenile esque density, otherwise it just won’t look natural - which straight off the bat rules out the majority of hair loss candidates as they simply don’t have the donor reserves for this. 
 

I can’t remember his username , but the guy who went to Brazil last year and had an aggressive hairline and temple point design has probably got the closest results that I have seen online that you seemingly aspire to get towards. Hopefully someone could tag him for you. Great result, and very high density was achieved from a single pass. 

@Fue3361 think this is the case you’re referring to lol! glorious density 

[Melvin- Admin]

22 minutes ago, Curious25 said:

If you are trying to recreate such a juvenile look, then it needs to be performed with higher than normal transplanted density, because like has already been mentioned - this sort of aggressive and juvenile design has to go hand in hand with aggressive and juvenile esque density, otherwise it just won’t look natural - which straight off the bat rules out the majority of hair loss candidates as they simply don’t have the donor reserves for this. 
 

I can’t remember his username , but the guy who went to Brazil last year and had an aggressive hairline and temple point design has probably got the closest results that I have seen online that you seemingly aspire to get towards. Hopefully someone could tag him for you. Great result, and very high density was achieved from a single pass. 

@Fue3361

He went to Dr. Thiago in Brazil.

 

As for your question, temple peaks in general are triangular. Of course, there are variations in nature. Just like some people are born with widow peaks, but the majority don’t have one. Design is something you can discuss with your surgeon. For me, my temples were triangular before going bald. Excuse the quality, this is a 20 year old picture. 

So keeping the shape that was natural for my face was important. 

[nicoandgello]

@Fue3361is the best recent example as mentioned before 

some other cases that I remember: 

Its worth to note that most women that get ht, also get their temples closed and rounded so this sort of design is not weird, or unusual, its just hard to perform on guys due to inherent couse of mpb. Design like that requires more grafts, higher density, and a great surgeon that undestands how temple transplants work, and performs them often.  In my opinion though, you should get whatever hairline you want, I have seen men with "feminine", closed hairlines and they didnt look weird at all.

 

[Fue3361]

Yeah, mine was done the way you're showing:




Here's an easier way to see the design itself:

Edited January 9, 2023 by Fue3361

[Fue3361]

Dr. Thiago prefers to do the temporal points the way he did them on me.  I think it is a personal preference for surgeons.  Most temporal points I've seen him do are more similar to mine.  

I actually like the more angular look.  Not necessarily for my case, but for many others.  It's a cheaper way (cheaper in terms of graft number) to narrow the forehead than when done more vertically like mine.  

 

[NikosHair]

19 hours ago, Melvin- Moderator said:

For me, my temples were triangular before going bald.

Another vote for the triangle temples.

They really suit your profile.

Temples and and a structured beard are a killer combo.

[NikosHair]

As @Sitries1 self appointed PR Agent it would be remiss of me not to highlight the fine work of his TP's😁

[NegativeNorwood]

19 hours ago, Melvin- Moderator said:

@Fue3361

He went to Dr. Thiago in Brazil.

 

As for your question, temple peaks in general are triangular. Of course, there are variations in nature. Just like some people are born with widow peaks, but the majority don’t have one. Design is something you can discuss with your surgeon. For me, my temples were triangular before going bald. Excuse the quality, this is a 20 year old picture. 

So keeping the shape that was natural for my face was important. 

 

Excellent work, they suit you very well and clearly will bring your looks closer to your younger self. 

 

18 hours ago, nicoandgello said:

@Fue3361is the best recent example as mentioned before 

some other cases that I remember: 

Its worth to note that most women that get ht, also get their temples closed and rounded so this sort of design is not weird, or unusual, its just hard to perform on guys due to inherent couse of mpb. Design like that requires more grafts, higher density, and a great surgeon that undestands how temple transplants work, and performs them often.  In my opinion though, you should get whatever hairline you want, I have seen men with "feminine", closed hairlines and they didnt look weird at all.

 

 

Thank you so much for the detailed response! Those Konior cases are mind blowing, the first one has such an aesthetic focused, natural design...it's just incredible.

Agree that some men do get away with more feminine hairlines and that one should pursue the hairline that really wants (as long as it a rational choice, ofc). The model in the OP has a very masculine hairline, the main difference would be that the temples have more hair in them and are more vertical. Stealing a great term I've read from @NARMAK, they are less "dorito shaped" (no offense intended) than what we usually see in hair transplants.

 

5 hours ago, Fue3361 said:

Dr. Thiago prefers to do the temporal points the way he did them on me.  I think it is a personal preference for surgeons.  Most temporal points I've seen him do are more similar to mine.  

I actually like the more angular look.  Not necessarily for my case, but for many others.  It's a cheaper way (cheaper in terms of graft number) to narrow the forehead than when done more vertically like mine.  

 

5 hours ago, Fue3361 said:

Yeah, mine was done the way you're showing:




Here's an easier way to see the design itself:

 

That's an amazing result. Love how he designed your temples. The result is not just dense and natural, but those temples really give a great frame to your face and masculinze your forehead in a very aesthetic way. Also IMO it adds to the perceived naturalness because of how unusual the design is compared to the more dorito shaped temples usually seen out there. 

34 minutes ago, NikosHair said:

As @Sitries1 self appointed PR Agent it would be remiss of me not to highlight the fine work of his TP's😁

 

Great work! I bet he is very happy

I personally prefer the temples designed like @Fue3361, but it's just preference tbh. @Sitries1 hair still looks amazing.

[NegativeNorwood]

@HugoX Hi! Your case with Dr Zarev is extremely impressive to say the least. I remember reading that he showed you many examples that were not uploaded to his website or social media. 

Did he show you cases where the patient was low norwood (let's say around Norwood 2) and he performed an aggressive temporal peak-juvenile hairline design like the ones in this thread? 

I know that he has an stellar reputation for high norwood patients, but I theorize that with his impeccable donor management, the very  dense, natural look of his results and his extremely dedicated, analytical approach to measurements and planning, he could be an outstanding option for having such a hairline done as a low norwood patient. In addition, he has the very best eyebrow transplant result I've ever seen (which is my other main interest apart from temples and hairline), so I'm naturally very interested despite the very long waiting list.

 

 

 

[Fue3361]

Consider a small drop of minoxidil on your eyebrows every day.  Within 6 months they can double+ in density.  It’s insanely easy and effective.

[NegativeNorwood]

1 minute ago, Fue3361 said:

Consider a small drop of minoxidil on your eyebrows every day.  Within 6 months they can double+ in density.  It’s insanely easy and effective.

 

Will definitely try it. Already tried serums (Orphica Brow & Realash) for a period of 3 months but barely saw any result from it. 

Also the results I've seen from minoxidil aren't as dramatic as I want them to be, only eyebrow transplants seem to give the results I want (at least from what I've seen to this day).

[NikosHair]

45 minutes ago, NegativeNorwood said:

I personally prefer the temples designed like @Fue3361, but it's just preference tbh. @Sitries1 hair still looks amazing.

@Fue3361 has an excellent result.

For me the sharper design looks more youthful. 

That said, it could be argued, the rounded option is the best of both worlds. 

A a good barber would be able to trim n sharpen the look, if desired.

[Fue3361]

24 minutes ago, NegativeNorwood said:

 

Will definitely try it. Already tried serums (Orphica Brow & Realash) for a period of 3 months but barely saw any result from it. 

Also the results I've seen from minoxidil aren't as dramatic as I want them to be, only eyebrow transplants seem to give the results I want (at least from what I've seen to this day).

I had to stop because my eyebrows blew up.  Here look at before/after:

 

 

And that’s 6 months of I think twice a day.  I had to stop due to too much growth for my taste.

[NegativeNorwood]

8 minutes ago, Fue3361 said:

I had to stop because my eyebrows blew up.  Here look at before/after:

 

 

And that’s 6 months of I think twice a day.  I had to stop due to too much growth for my taste.

 

Wow, great results!

Will try it ASAP, mine are and always were very sparse and light: