Hairline recession is common and happens with age. As we age, the hairline is set to recede. The frontal hairline of the adolescent is short-lived. By 25, it has significantly receded. This is the reason that in the levels of baldness Grade 2 is a normal adult receded hairline. hair transplant is not advised for this level since it gives a matured and wisened look.
However, when it recedes further and the forehead looks significantly high and broad, and the twin light reflex starts to shine over the convex transition of the forehead to midscalp, the level of balding is said to be Grade 3. This is when hair transplant is sought and is indicated. The most common level of balding is Grade 3 pattern and occurs in over 76 % of individuals. Hairline restoration is difficult in that unlike other regions of balding, it is visible and the first feature of the face after eyeball contact that catches the eye.
What determines a good natural looking hairline design?
The hairline has to be natural, should look naturally dense and skin show should not occur. When e design a hairline, some patients have in the past flattered us by saying that even their barber could not tell that they had a hair transplant done! Though this may not be the case in all patients after a hair transplant, a natural-looking result is what everyone deserves. If a lay person can make out your transplanted hairline, you probably did not do your research well.
Factors to consider for hairline reconstruction
Every facial bony structure is unique. This determines the hairline that will suit a balding person. There is no hairline that fits all. The best hairline is one a person grows into that growing out of.
The following salient points are considered while determining the hairline location:
Hair color, caliber, and texture
Curvature of the bony structure. Also, cater to inherent facial asymmetries
Sexually appropriate hairlines. Include gender reassignment hairlines in special circumstances where appropriate.
Progressive hair loss in the future should be taken into account
Patient’s objectives and holistic hair restoration goal for the coming years
Degree of baldness in the family
Techniques for hairline reconstruction
Hairline restoration is the most important decision in the overall plan of hair restoration. For an improper pluggy hairline that is malpositioned and/or age/gender inappropriate can take several procedures to rectify. Though revision of hairline can be done by a skilled surgeon, the level of resulting scarring cannot be anticipated.
Needless to say, the essential points the surgeon needs to keep in mind are a gentle transition of the leading edge of planted hairs from singles to doubles to triples. Natural temporofrontal angles, macro- and micro- irregularities and angle of slits. Lastly, the curvature of the hair curl needs to conform to the convexity of the scalp to give appropriate direction. Every hair has a natural curl and it should be parallel to the shape and convexity of the scalp and at an angulation that mimics existing hair angles in the patients. The patient’s opinion remains paramount while creating an aesthetically pleasing and undetectable hairline. To execute the task with finesse, the surgeon has to apply an artistic approach and adhere to the hairline’s mother nature, including temporal points, lateral humps, feathery hairlines and so on. The expert also gives special attention to every graft in term of angulation, position and its orientation.
Several devices exist to make a hairline (eg. the laser device), but a freehand device going by impulse is the best hairline. A fixed laser light shadow will not take into consideration natural asymmetries of both halves of the face and can look ‘made up’ and therefore unnatural even to the untrained eye. The left hairline or temple points should not exactly match the right. A variation of 2 mm is important to avoid the ‘mirror image’ look.
Facial balance, built-in imperfections, high density and age appropriate hairlines are the pillars of hairline design and the hallmarks of a natural hairline at Darling Buds Clinic.
Follicular unit extraction (FUE)
FUE grafts are different from FUT grafts since we do not get enough single hair grafts due to its inherent nature. A usual hairline consumes around 350 single hairs along the heading edge in Indians and about 425 in Caucasians. To get to this number, double grafts may need to be dissected under high magnification. We use state of the art magnification to do this dissection.
Patients may feel that this also increases the grafts that they pay for, Not at darling Buds. We will charge you for the grafts that were initially harvested and not for the split grafts!
Since the leading edge of the hairline has to keep in mind the curl of the hair and also needs to give high density, we do not use the implanter pen for the first 5-10 rows. This is the reason we get natural-looking dense hairlines, one case after another.
Why Darling Buds?
Because we do not produce ‘assembly line hairlines’!
There is Big talk by clinics about their hairline design on the web. In spite of what is promised, what we see today is a rash of poorly constructed, malpositioned, age and gender inappropriate low hairlines with improper angulation.
For as many forum leaders and hair transplant mentors like Spencer Kobren warn, there is a jungle out there. Things seem not to be in control of ‘hair transplant mill’ clinics that do a large number of cases a day. The best hair transplant needs time, skill and good teamwork. At DarligBuds we do on average 1.5 cases a day.
We are perhaps the largest clinic in India to perform hair transplant but e restrict the number of cases to a minimum offering every patient with a customized hair loss treatment plan for best results.
Dr. Bhatti himself performs most of the FUE hair transplant procedures with the help of his technicians, nurses and support staff. The clinic ensures safe transplants with the availability of emergency care round the clock. Dr. Bhatti is capable of delivering up to 65 follicles per centimeter square, which helps us to complete the hairline restoration or any other treatment in just one sitting itself.
With high density and naturalness we offer, Darling Buds maybe your a destination for hairline restoration and happiness to follow.