Balancing Hair Line Position Verses Progressive Hair Loss

As a rule the hair line should not be placed lower than the original hair line; even if hair loss is not aggressive and results in a mature hair line almost every male will see the hair line recede a little. If a hair line is placed too low at a young age it will look appropriate at the time but may not remain appropriate as the individual ages; although our bone structure remains the same the ageing process will alter our facial image

The placement does not always have to be aggressive but sometimes a subtle change can make a huge improvement to the overall result; correct orientation of the hair as it moves around the hair line into the recession and then down the sides

Hair line design is different for every individual, there is no designer hair line shape and the natural contours of the facial bone structure will determine how the position and design should be made

For men the central apex of the hair line is generally lower but the corners or temporal area is higher and creates a more square shape, like an “M” shape; this is accentuated as male hair loss starts to increase the angle between the apex and the temporal region

Largely, men have longer and larger faces compared to women, the male bone structure is generally squarer, and sharper corners for example the jaw and neck line; a woman the features are softer, more rounded

The angle of the hair line is important, for example it will differ greatly between men and woman, the height of the hair line above the eyebrow, the temporal recession angle, convex or concave and the lowest part of the hair line

When reconstructing a male or female hair line theses basic principles must be adhered to otherwise the hair line will not complement the bone structure of the individual and look unnatural

Ensuring the hair used blends with the sometimes softer and finer hair in these areas. As well as hair calibre to take into account other factors such as density placed are important as this will change around the hair line

Hair line and frontal third reconstruction can require around 2500-3000 grafts; remember that the hair and scalp physiology cannot be improved upon, it can only change the more sessions are performed; the numbers available can be calculated by measuring the donor area against the hair density

The conclusion can only be mathematical as each technique will have the limits as to how much can safely be removed and the placement of the hair line determined by the quality of the donor and the potential surface area that will need to be covered as and when hair loss progresses


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