Planning And Hair Transplant Design

The hair line is generally the first area to be restored when treating hair loss; the hair line frames the face and can have a great impact on how you look, but then behind is the frontal third, mid-section and then the crown or vertex

A too low hair line can create two issues; as we age the hair line pattern does not match our age and changes in facial features; and if placed too low will fix the point of restoration permanently potentially making the recipient surface area too large to treat effectively

On the other hand a hair line placed too high will reduce the potential surface area that needs to be treated but can appear unnaturally high, especially as the hair line will be perfect with no signs of thinning hair or loss of hair calibre

Before undergoing surgical hair restoration the donor resources need to be measured, hair density, average number of hairs per FU, skin laxity and general hair characteristics, hair to skin colour contrast, curl of the hair for example

The better the characteristics the greater options are available, hair line placement and design can be more aggressive if desired and still maintain a balanced coverage even if hair loss advances to a high Norwood stage

A balanced coverage does not necessarily mean total restoration with even density throughout, it simply means that from the hair line to the crown the placement does not leave a larger hair less surface area than treated

Especially if total restoration cannot be achieved it is vital the coverage of hair is balanced to not draw attention to the design and position of the coverage of hair

If the hair characteristics are average or slightly below treating minor hair line hair loss may not be appropriate and it would be prudent to wait until a more obvious pattern of hair loss is evident; this will allow for a long term plan to be made to ensure a balanced coverage

To achieve enough density on a higher Norwood scale candidate can require 7-9000 grafts from the hair line to the crown, a number that not every individual can achieve so it is important the hair transplant is planned

As the hair resources are finite a master plan must be made from the first surgery to ensure in worst case scenario a balanced coverage can be achieved and the donor can sustain hair restoration

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