Hair Line Density

The hair line is considered to give the largest impact when restoring a head of hair; the hair line frames the face and generally the first aspect that people see; drawing the eye back to the centre of the face, the eye rather than the forehead

The hair line is progressive from one side along the frontal to the other side beyond the temporal recession; there will be slight irregularities from side to side as the face is not symmetrical

As the hair lines moves round the angles and density placed needs to change to create a natural “smooth” hair line that does not draw attention; not a thick wall of hair that is too symmetrical

There is no such thing as a designer hair line as each individual will be different and must be taken into account when designing and placing the grafts; it is advised to not try and create a hair line pattern that you did not have before

Hair Line Position And Design By Hattingen Hair Transplantation

Hair Line Position And Design By Hattingen Hair Transplantation

The best hair line is the one that fits your facial features the best, not necessarily the thickest or lowest but the most natural that does not draw attention as it looks perfectly natural. Because of this hair line placement is often a compromise between the candidate and doctor; and a great deal of medical proficiency and artistic ability is required

Density placed is the amount of follicular units per cm² and along the hair line this is usually single hair FU´s and the density is governed by the hair characteristics to ensure a natural result is achieved

Dense packing is the term used to describe a high density of follicular units placed within an area; placing each graft close together to mimic nature. Fine hair requires a higher density, coarse hair has other concerns as it can look pluggy when transplanted; curly hair has advantages as the curl helps to create the illusion of fullness

As the hair line reaches the temporal recession point the density needs to be reduced slightly as well as the angle of the hair exiting the scalp as the bone structure moves down the side of the face

As the hair moves further down to the side-burn the angles have to change further, more acute to the skin to allow the grafted hair to be blended with the original side-burn

As the hair line requires a large number of grafts in a relatively small area the distribution is vital to maximise the coverage and density achieved with as low number of grafts as possible; allowing for greater distribution of hair further back

The design must take into consideration future potential hair loss, if a hair line is placed too low and hair loss progresses aggressively the design may look out of place and unnatural in the future

Dense packing allows for a result to be realised in one pass, it ensures a smooth progression from single hairs to 2 hair FU´s behind to rebuild the density and thickness, but maintain a soft appearance to the immediate hair line opposed to a thick wall of hair that can look unnatural

Great importance is made of the hair line density but it can differ greatly between individuals so to give an estimate of graft numbers required is not practical or realistic and must be judged on a personal basis, can range between 400 to 1000 grafts, taking into consideration the design and the natural characteristics of the hair

 

 

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Getting The Correct Hair Line

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

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

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

Variants In Male and Female Hair Line Designs

Variants In Male and Female Hair Line Designs

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 hairline for a man appears further back than a woman, giving the appearance of a larger forehead. The hairline is also more rounded for a female which further reduces the appearance of the forehead

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

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

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

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

Many times, if not always the best surgical hair restoration results are achieved not necessarily by creating the look of a full head of hair but because there has been an understanding between doctor and patient what can be achieved and is possibly with the resources available

 

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How To Continue Successful Surgical Hair Restoration?

The initial decision to undergo surgical hair restoration obviously focusses on the immediate problem, the hair loss pattern an individual suffers from at the time of the initial hair transplant session

As hair loss, in particular male pattern baldness is progressive the decision when to start restoration and the plan or design is crucial to the long term happiness of the candidate; as the ultimate pattern of hair loss can be hard to predict

The donor hair resource is a finite entity and after every hair transplant session, be it by FUE or FUT hair transplant techniques will alter and less and less hair or follicular units can be removed over time

Two FUT Hair Transplant Procedures. 7305 Grafts And Total Restoration Of A NW6 Hair Loss Sufferer

Two FUT Hair Transplant Procedures. 7305 Grafts And Total Restoration Of A NW6 Hair Loss Sufferer

A plan must be made from the outset how future hair loss will affect the result and how a successful, balanced and natural coverage can be achieved; individuals have different goals from a hair transplant, not all individuals are looking for the appearance of a full head of hair, but all individuals are looking for a natural result

An average donor density is around 75 follicular units per cm squared; the density of FU´s will differ around the sides to the back of the head with the highest concentration of hair being around the back, or the occipital area

If the starting donor hair density or general hair and scalp characteristics are substantially below average then surgical hair restoration is probably not the option an individual should take; although a weak donor can treat relatively minor hair loss it will not be able to sustain more aggressive hair loss patterns

As a hair transplant is not viable to reverse, leaving signs of a surgical procedure, planning with the future in mind and the individual being aware of the limitations a hair transplant has can go a long way to long term successful hair restoration

Considerations to be taken into account besides the donor area qualities are: age of the candidate, hair loss patterns on both sides of the family, the goals of the individual and hair line placement

7305 Grafts 2 FUT Surgery Sessions Donor Healing

7305 Grafts 2 FUT Surgery Sessions Donor Healing

On higher Norwood scale hair loss sufferers it can be easier to predict future hair loss, and at the same time achieve total coverage from hair line to crown in one procedure on the right candidate, reaching 6000 plus grafts with the FUT technique

Even if hair loss continues it is likely a much smaller procedure would be required in the future to sustain a natural pattern of hair growth. Minor hair loss will require repeatedly entering the donor area to repair smaller areas of hair loss

Constant entering of the donor impairs the skin healing over time, can increase miniaturisation of the hair, change the skin laxity and donor density; very likely reducing the potential number of grafts that can be safely removed

A hair transplant success can be measured on many levels, patient happiness being paramount, but also how the donor area is managed to ensure the minimum number of grafts are used but the maximum natural coverage is achieved

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Hair Characteristics Plus Hair Transplant Density

A successful natural hair transplant relies on many criteria; two aspects that play an important role when planning are the hair characteristics of the individual and the density required to be placed across the recipient area

These two aspects are linked in how restoration will be made, what coverage and fullness can be achieved; each reflects on the other how the grafts will be redistributed

The art of a hair transplant is to use the minimum number of follicular units to cover a surface area whilst achieve a natural look and balanced coverage; employing an educated donor management protocol will minimise the changes in the donor area

Good hair characteristics allows for a lower density of follicular units to be placed; coarse hair, curly hair gives greater coverage and shadow over the scalp, the distribution of larger follicular units, 3, and 4 hair groups in strategic areas also increases coverage

The hair or follicular unit density placed is not the primary calculation but offset against the hair characteristics; calculating the number of grafts required to cover an area, at the same time taking into consideration how future hair loss could progress

4920 FUT Hair Transplant Using The Hair Characteristics To The Maximum And Placing The Required Density To Achieve The Look Of Fullness

4920 FUT Hair Transplant
Using The Hair Characteristics To The Maximum And Placing The Required Density To Achieve The Look Of Fullness

Placing too high or unnecessarily high density over the hair line and frontal third can impact in two negative ways; the density may not reflect the natural native surrounding hair density as well as using a high % of the finite donor hair resources

As a hair transplant relies partly on illusion, creating the look of fullness from less hair than was originally in the area allows a hair transplant to cover even high level patterns of hair loss successfully

If the majority of the resources are used to treat relatively low hair loss stages and hair loss progresses to an advanced stage it will become harder to maintain a balanced coverage and even density

It is common even with good hair characteristics that a NW6 or 7 hair loss stage total coverage can be achieved but not an even density from hair line to crown; the crown having a lower placed hair density

This is because even with good overall hair qualities the donor is restricted and the wider the recipient surface area the higher the demand for hair; a natural balanced coverage will still be achieved even though the crown density may be slightly reduced

With careful planning and donor hair management from the initial procedure; using the hair characteristics to maximise the graft distribution, placing a required density to achieve the look of fullness will result in a natural result being achieved, be able to treat progressive hair loss and sustain a natural balance of hair growth over the head

 

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The Difference Between A Good And Great Hair Transplant

A hair transplant is a mix of abilities, medical and artistic skills to create a result that is undetectable to an individual’s own natural hair growing. A hair transplant may be performed to a high medical standard but if not combined with artistic skills a result may not look natural

Medical skills are required in the harvesting of the hair from the donor area, be it FUT or FUE, the instruments used and the understanding of the skin physiology; how deep an incision to allow for the graft to be removed whilst creating minimum trauma to the skin and allow for optimum healing

Hair Line Design Taking Into Account Facial Bone Structure

Hair Line Design Taking Into Account Facial Bone Structure

FUE requires skills of anatomy as the extraction process is a blind technique and without the necessary knowledge follicular unit transection can increase, residual scarring in the area become more visible and the growth of hair impaired

In the case of FUT closing the donor area, using wither staples or sutures and creating a neat line that heals to leave a fine line that allows hair to regrow through the line to help camouflage further

The making of the recipient sites; tiny slits need to be created across the recipient area, normally starting from the hair line and going back over the frontal third, dependent of the size of the area to be treated

The slits need to be made close enough together to create enough density but not too close or aggressive that it may impair the skin quality healing or the yield achieved when the hair regrows

The medical ability to perform these tasks will play a large impact on the healing, scarring and yield that is achieved; and cross over to the artistic ability of the doctor to create a hair transplant that looks natural

When making the recipient slits the angle and orientation will determine the coverage achieved by each hair and how natural the hair growth appears; hair line placement and design is less medical ability and more art, understanding facial bone structure

Hattingen Hair Transplantation Technicians Placing And Cleaning Grafts

Hattingen Hair Transplantation Technicians Placing And Cleaning Grafts

Designing a hair line too high, too low, or too symmetrical will draw unwanted attention to the area and although the hair placement may be to a medically high standard the grown out result will not be undetectable

Our face is not even or symmetrical on either side, slight changes in the bone structure will make the hair line design slightly different but when fully grown out look perfectly natural; combined with the medical abilities undetectable from a natural growing hair line

The quality of the doctor´s team is vital to the result of a hair transplant; trained in-house with years of experience can make the difference between a good and great hair transplant. The graft placement, especially on large sessions will take hours of concentration, not to skip recipient sites or damaging the grafts when handling

All hair transplants are different, different facial features and different hair characteristics and when researching it is always beneficial to look for results that have similar characteristics to yourself; this will help to understand how a hair transplant is created and what can be achieved

 

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Treating Minor Hair Loss

 

The onset of hair loss can be emotive and the initial reaction can be to find the quickest permanent fix to restore the lost hair. Age can be a large factor; losing hair at a younger age can be traumatic whereas as we age we are generally a little less concerned to find a quick remedy

Hair loss is generally progressive and although the ultimate hair loss pattern can be guided by an individual´s genetics this is only a guide and hair restoration should not solely be planned with genetic factors in mind

Especially in younger hair loss sufferers the first option should be to look at hair retention treatments. Although results will vary from person to person and no specific result can be promised they do work for the majority of men

Treating Relatively Low Hair Loss Patterns Must Take Into Consideration Many Factors, Age Being One

Treating Relatively Low Hair Loss Patterns Must Take Into Consideration Many Factors, Age Being One

Assuming treatment does work they can control hair loss for many years; they need to be used correctly and the positive results will only continue while the treatment is being used; stop and the hair loss will commence

Surgical hair restoration is not always the best first option, especially on a younger age; there is no way to determine how fast or the pattern of hair loss and fixing a low hair line can create complications in the coming years, a balanced coverage and donor management issues

As emotive as hair loss is at a younger age be careful not to lose common sense over emotion as we are all older for many more years than we are younger; at the time it may appear the best solution but many have made this mistake and regretted their actions. The hair line can take a relatively high number of follicular units for the surface area to cover; using so many and fixing the hair line low will increase the potential surface area to treat in the future as hair loss progresses

As we age the hair loss pattern matures, even a man in their mid to late 30´s and early 40´s may have only receded over the frontal area, around a Norwood 3 hair loss stage; this allows designing a new hair line much easier

The temporal recession can be designed to follow the individuals natural bone structure and any hair loss around the lateral sides; framing of the face is vital to ensure as we age the hair line remains natural looking from 30 to hopefully many years into the future

It is always important to research and get the opinion of multiple hair transplantation doctors; do not always take the word you are a good hair transplant candidate just because it suits you to hear this

 

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Managing Expectations From A Hair Transplant

A key to successful surgical hair restoration is open and honest dialogue between the individual and the doctor performing the hair transplant procedure; without this it is impossible to gauge how successful in the eyes of the individual will be

Managing the goals and expectations of the candidate is vital from the very first procedure be it minor hair restoration or advanced hair loss that is being treated; even though the ultimate goal by all is to have more hair each individual will have different expectations as to what they consider a successful result

Checking Your Goals And Expectations Against Achievable Hair Transplant Results

Checking Your Goals And Expectations Against Achievable Hair Transplant Results

A perfectly good hair transplant can be performed but if the individual is not happy or does not meet their goals in their eyes it will not be a success and this can lead to recriminations against the clinic and the feeling from the patient they have been let down

Planning a hair transplant is different for all individuals; from technical perspective aspects such as hair characteristics, facial bone structure the pattern of hair loss will all be taken into consideration by the doctor as they make a plan how to approach hair restoration

From an individual´s point of view the first thought is simple hair restoration, getting back what has been taken away; this is especially true with lower hair loss patterns, advanced hair loss sufferers generally are more open to what can be achieved

It is important when researching to gain as much knowledge as possible, contact multiple clinics to gain varying opinions as to how they would approach hair restoration, short and long term. As hair loss is progressive and the donor hair resources are finite it is important to be able to sustain hair restoration as it advances; this requires planning from the very first procedure

The individual must understand the limitations of a hair transplant, the density required achieving natural fullness, and how hair characteristics can aid or hamper the results that can be achieved

How the hair line position must reflect the demand for hair over the potential surface area against the resources available to the doctor; why deciding on the correct hair transplant technique may be better used over another

Gaining this and more information will go a long way to becoming better educated and understanding how a hair transplant result is put together; this may mean changing your initial goals but will help in achieving the result you expect

Be honest with yourself and with the doctor you ultimately decide upon; nature can only be cheated to a degree and miracles do not occur; not all individuals make a good hair transplant candidate and as frustrating as this may be it never good to start that which cannot be finished

 

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