DHI
Valued member
Hairline Design -Landmarks
When having a hair transplant, one of the most important aspects of the transplant is the HAIR LINE DESIGN. It is the Design of the Hairline that will frame your face for a lifetime. Beyond the surgical techniques, there is artistry in design. This artistry requires an aesthetic sensitivity and individual approach for each patient.
When creating a natural hair line, it is important that it does not draw attention to that line and more importantly it does not look like it has been transplanted. The hair line should be a very subtle zone of transition leading into the central dense hair and the first line of hairs implanted should be placed in a zig-zag line (curvy line with curves of various shapes and heights) and not the one next to other in a row, in order to imitate nature. The hair line should not be perfect or absolutely symmetrical. It must be properly explained to the patient that small asymmetries or irregularities are acceptable, can be fully camouflaged by the grown hairs and imitate Mother Nature more accurately. The tiny hair groupings are meticulously combined to create the illusion of a natural full scalp of hair.
The aging face and the forehead slope impact the design of the hair line. It is important that the patient have a hair line that is ageless. The hair line must be appropriate for a twenty-year-old as well as a sixty five-year-old. The hair line should age with the patient. The placement of the hair line must take into consideration that natural aging process as well as the possible evolution of his androgenetic alopecia pattern. This is why the height, the shape and the density of the hairline are according to the age, the present Norwood scale of alopecia and the family history on androgenetic alopecia.
When drawing a hair line, three points are used to help create this design. The mid-point of one's hair line (called the frontal hairline) should be placed at an appropriate height. The artist, Leonardo Da Vinci, has described his method of determining this height by dividing the face into thirds.
The lower third of the face was located from the chin to the tip of the nose. The middle third of the face was divided from the tip of the nose to the area between the eyes. The upper third was located from between the eyes to the hairline. Unfortunately, his level for a hair line is more a reflection of a young man or woman.
A mature hair line should be placed slightly above this point. The final height of the frontal hairline is always according to the age and the type of androgenetic alopecia that the patient presents. The outer borders of the frontal hair line that connect to the side fringe hair of the temple areas should usually occur in line with a vertical drawn from the outer aspects of the eyes.
When artistically creating a hair transplant, the design must be aesthetically approached from all dimensions: the front, the back, the sides and the top.
Landmarks
1) Midpoint of the frontal hairline: usually 8-9 cm from the glabella that sometimes may go up to 10-12 cm in cases of high Norwood scale of alopecia and a donor area of small capacity.
2) Side borders of the frontal hairline: usually on a line that is vertically drawn from the external canthus of the eyes. These points are 1-2 cm higher than the midpoint.
There is a line from the lateral canthus of the eye to the hump of the temple.
The size of the widow s peak and lateral peaks vary in families, ethnic groups and hair color. In summary the hairline placement is an important and integral part of hair transplantation. If in doubt as to the placement, place it high as it can always be brought forward later.
Finally keep in mind that it is very important to define the joining points between the frontal and the temporal hairline in order to achieve the most natural appearance hairline result. (See the PPP presentation on facial restoration). In these terms it is as important to define the limits between the recipient areas-zones in order to properly proceed with the implantation concerning direction, angle and density of the implanted follicles.
Another very important factor is to define the limits between the frontal and the temporal hairline since the direction and the angle of the grafts' placement are different in these hairline parts. Defining these limits and locating properly the frontotemporal joining points is very crusial for the reconstruction of the usual normal male pattern hair line. Behind the hairline, defining the limits between the central area ant the temple areas under restoration, is also very important in order to get a natural result.
The photos may help you.
When having a hair transplant, one of the most important aspects of the transplant is the HAIR LINE DESIGN. It is the Design of the Hairline that will frame your face for a lifetime. Beyond the surgical techniques, there is artistry in design. This artistry requires an aesthetic sensitivity and individual approach for each patient.
When creating a natural hair line, it is important that it does not draw attention to that line and more importantly it does not look like it has been transplanted. The hair line should be a very subtle zone of transition leading into the central dense hair and the first line of hairs implanted should be placed in a zig-zag line (curvy line with curves of various shapes and heights) and not the one next to other in a row, in order to imitate nature. The hair line should not be perfect or absolutely symmetrical. It must be properly explained to the patient that small asymmetries or irregularities are acceptable, can be fully camouflaged by the grown hairs and imitate Mother Nature more accurately. The tiny hair groupings are meticulously combined to create the illusion of a natural full scalp of hair.
The aging face and the forehead slope impact the design of the hair line. It is important that the patient have a hair line that is ageless. The hair line must be appropriate for a twenty-year-old as well as a sixty five-year-old. The hair line should age with the patient. The placement of the hair line must take into consideration that natural aging process as well as the possible evolution of his androgenetic alopecia pattern. This is why the height, the shape and the density of the hairline are according to the age, the present Norwood scale of alopecia and the family history on androgenetic alopecia.
When drawing a hair line, three points are used to help create this design. The mid-point of one's hair line (called the frontal hairline) should be placed at an appropriate height. The artist, Leonardo Da Vinci, has described his method of determining this height by dividing the face into thirds.
The lower third of the face was located from the chin to the tip of the nose. The middle third of the face was divided from the tip of the nose to the area between the eyes. The upper third was located from between the eyes to the hairline. Unfortunately, his level for a hair line is more a reflection of a young man or woman.
A mature hair line should be placed slightly above this point. The final height of the frontal hairline is always according to the age and the type of androgenetic alopecia that the patient presents. The outer borders of the frontal hair line that connect to the side fringe hair of the temple areas should usually occur in line with a vertical drawn from the outer aspects of the eyes.
When artistically creating a hair transplant, the design must be aesthetically approached from all dimensions: the front, the back, the sides and the top.
Landmarks
1) Midpoint of the frontal hairline: usually 8-9 cm from the glabella that sometimes may go up to 10-12 cm in cases of high Norwood scale of alopecia and a donor area of small capacity.
2) Side borders of the frontal hairline: usually on a line that is vertically drawn from the external canthus of the eyes. These points are 1-2 cm higher than the midpoint.
There is a line from the lateral canthus of the eye to the hump of the temple.
The size of the widow s peak and lateral peaks vary in families, ethnic groups and hair color. In summary the hairline placement is an important and integral part of hair transplantation. If in doubt as to the placement, place it high as it can always be brought forward later.
Finally keep in mind that it is very important to define the joining points between the frontal and the temporal hairline in order to achieve the most natural appearance hairline result. (See the PPP presentation on facial restoration). In these terms it is as important to define the limits between the recipient areas-zones in order to properly proceed with the implantation concerning direction, angle and density of the implanted follicles.
Another very important factor is to define the limits between the frontal and the temporal hairline since the direction and the angle of the grafts' placement are different in these hairline parts. Defining these limits and locating properly the frontotemporal joining points is very crusial for the reconstruction of the usual normal male pattern hair line. Behind the hairline, defining the limits between the central area ant the temple areas under restoration, is also very important in order to get a natural result.
The photos may help you.
