The design of a hairline is the most artistic part of the whole procedure. A hairline reflects the racial type, age, wisdom of a person. A poorly planned hairline can ruin the result of an otherwise satisfactory hair transplant.
In most people during early adulthood, the hairline has regressed enough to uncover the frontalis or forehead muscle. If you were to make the folds of the forehead prominent by looking up, you would see that your hairline starts just a little higher than the point where the muscle boundary ends. In monkeys, for example, it is not so and therefore when they make facial expressions, their hairline stands on end! This animation of the hairline can also be seen in some children who have naturally low set hairlines that are enunciated in the video that follows.
In my practice I commonly see the following types of hairlines:
1. The Afro-textured hairline: The hairline is straight and without any minor or major irregularities in shape. The fronto-temporal recesses at 30 years of age are angulated at lesser than 90 degrees and clean cut. The hairline does not have many single hair.
2. The Caucasian hairline: The hairline regresses to accommodate fronto-temporal recesses (photo)
3. The Indian hairline (photo)
4. The non-caucasian Mediterranean hairline (Egypt, Jordan)
5. The Asian hairline
6. Female hairline
Planning a hairline:
The best way to plan a hairline is freehand. Nature has, like in most of her wonderful creations, made the human face assymetric to enhance its beauty. (picture of left and right sides of the face of Marilyn Monroe).
If an amateur draws his own hairline and then measures it from the reference points of the peaks of the eyebrows and the outer canthus of the eyes, he would appreciate that what he thought was symmetrical was much too lopsided. This is since the reference points too are assymetrical. In my practice, I mark the hairline first with the native hair unshaved and then discuss the hairline with the patient when the harvesting is complete. I have always found that in the second instance the visual landmarks with which the patients saw his earlier hairline have been erased and the patient suggests changes. This is common and a trap no wise hair transplant surgeon would like to fall into.
However, there is a difference between being assymetrical and lopsided. I would say that asymmetry should lie within the range of 2-3 mm and not more or else they become unappealing to the untrained eye.
This video is a READY RECKONER of hairlines that look natural but at the same time appealing. Most patients should consider that every hairline would not suit their face. The hairline has to be custom-cut to suit the amount of hair loss that you have, donor site availability and the future hair loss that you are going to encounter in the years to come.
Hairlines are important since there is no other thing in hair transplant that can affect your psyche, your body image and your life in many ways you cannot imagine. A hairline that is ravaged by male pattern baldness or a hairline that is vandalised by a cheap hair transplant is very difficult to cope with by a vast majority of patients.
In this presentation, Dr. Bhatti will take you through all the hairlines that are suited to a particular balding pattern, age and graft availability.
Always remember, You Grow into Your hairline and not Grow out of it with Age!
In a patient’s own words-
“When you are in your 20s or 30s you are very vulnerable since you have a problem which is causing you a great deal of anxiety. Therefore, you are looking for a solution and you are not rational. And you are very naive. You will tend to think that this doctor is going to solve your problem.
He does know you are vulnerable. He does not care!
If he cared about your satisfaction, this is what he would tell you- ‘You are in your 20s or 30s, and if I give you a procedure now, you are going to need future procedures since this procedure alone will not solve your problems.’
He should tell you- ‘despite my procedure that you are seeking, you will continue to lose your hair. It may not only not solve your problem, but may turn you into a freak show! Since you may look much worse with a procedure than if you naturally continued to lose your hair.’