ArticleLiterature Review

Hairline Restoration: Difference in Men and Woman—Length and Shape

Authors:
To read the full-text of this research, you can request a copy directly from the authors.

Abstract

Hair restoration has become increasingly popular in recent years with both men and women. New technologies such as follicular unit extraction and grafting have made it possible for patients to get a natural looking result with minimal downtime. Men usually experience hairline recession as a result of androgenic alopecia, while women most commonly experience thinning of the crown and vertex, with the preservation of the hairline. However, there is a growing population of women who wish to advance their hairline forward because of congenital high hairline, traction alopecia, or previous facial cosmetic surgery. There are several key differences between the female and male hairline. Understanding such differences and following certain guidelines will help the facial plastic surgeon to obtain beautiful and natural appearing results.

No full-text available

Request Full-text Paper PDF

To read the full-text of this research,
you can request a copy directly from the authors.

... A hockey stick probe (6.7-18 MHz, New Logiq e Premium, General Electric Healthcare Co, South Korea) or a different hockey stick probe (8)(9)(10)(11)(12)(13)(14)(15)(16)(17) MHz, E cube, ALPINION Co., South Korea) was used to evaluate the course and location of the FBrSTA for each patient. First, a probe was placed vertically at the level of the tragus to locate the STA; then, the probe was tracked along the course of the FBrSTA in the upward direction to detect the relationship between the FBrSTA and the hairline. ...
... Furthermore, the variations of hairlines in our study are shown in Figure 3. Multiple reference hairlines are shown in previous studies. 4 However, differences in hairlinescan be attributed to gender, age, and various other factors.13 Thus, it is unreasonable to describe the hairline as entry points for thread lifting. ...
Article
Background: Although there are various techniques of thread lifting, most of these techniques require anchoring of the threads at the temple area. However, the frontal branch of the superficial temporal artery (FBrSTA) is located in the temple area and a detour pathway should be created for thread insertion to avoid vascular complications. Objectives: We aimed to determine the relationship between the FBrSTA and the hairline using real-time Doppler ultrasound. Methods: Doppler ultrasound was used to detect the FBrSTA pathway, and the relationship between the hairline and the FBrSTA was analyzed. After confirming the arterial pathway, thread lifting was performed in patients, and complications related to the entry point and insertion of the threads were evaluated. Patient satisfaction was evaluated immediately after the procedure and 3 months later. Results: This study included 50 patients (45 women and 5 men; age: 51 [range 26-71] years) who underwent thread lifting in a single institution from January to May 2019 after Doppler ultrasound-guided detection of the FBrSTA. No vascular complications were noted in all patients. Conclusions: Our findings suggest that Doppler ultrasound can be used to detect the FBrSTA at the temple area to avoid vascular complications during thread lifting.
... Hairline is a crucial landmark in human face and facial aesthetics [1]. Its restoration in terms of position, continuity and hair growth is of a paramount importance in facial plastic surgery [2][3][4]. Scalp defects affecting the hairline may result from trauma, thermal or electrical burns, resection of benign or malignant tumors, infectio ns, osteoradionecrosis, or congenital lesions. Even small partial-thickness defects of the аrеа mаy bе left to heаl by sеcondаry intеntion, a signifi cant contracture may result, and the scar may have limited or no hair growth with distorsion of the hairline [5]. ...
Article
Full-text available
Hairline is a crucial landmark in facial aesthetics. Its restoration in terms of position, continuity and hair growth is of a paramount importance in facial plastic aesthetic and reconstructive surgery. The purpose of the paper is to demonstrate the effectiveness of using local tissue only in the restoration of skin and soft tissue defects affecting the hair-line. A brief retrospective analysis of clinical cases with defects engaging the hairline was made. The majority of the patients (20 out of 22) were operated because of skin lesions of different entities. In 7 of the cases the direct closure technique was applied as a surgical tool for hairline restoration and in 15 of them rotational flaps were the best reconstructive option. A special emphasis is put on the defect size in regards of choosing the right surgical technique for defect closure in order to achieve the best aesthetic outcome in the hairline restoration.
Article
Conception of feminine face includes many different points, one of them is the hairline pattern, which is an important feature of gender identification. Here, we describe our utilization of 3D-modeling techniques in perioperative planning.
Article
Testosterone creates several characteristic changes in the upper face. These changes include elevating and squaring the hairline, flattening the central forehead, and increasing the anterior projection of the brow bone and orbital rims. When present, these changes will give a strong masculine characteristic to the face overall. Several techniques will be described here to restore the feminine characteristics of the upper face.
Article
Background The hairline is an essential component of the human face. Disfigurement of the hairline may cause physical and psychological problems. Standard guidelines do not exist for female hairline designs, average values of infratemporal portion, hairline classifications, and preferences. Aims We aimed to study hairline characteristics in Thai females and further compare the values with previous studies in different populations. Furthermore, we aimed to introduce a comprehensive hairline classification system that allowed an easy and detailed phenotypic characterization of female hairline. Patients/Methods Healthy Thai females aged over 18 years were included in the study. Collection of demographic data, infratemporal measurements, and standard photography was performed. All collected data were analyzed to determine the standard values of each hairline dimension for comparison to previous studies. Results Two hundred and twenty‐nine females, with a mean age of 32.4 ± 8.6 years, participated in this study. The mean mid‐frontal line was 6.45 ± 0.89 cm, which was not correlated with age. Lateral mounds, widow's peaks, and cowlicks were observed in 42.35%, 24.45%, and 1.74% participants, respectively. Our study revealed five patterns of the frontal hairline and four patterns of the temporal hairline. The mid‐frontal line in Asian females trended longer than that in Caucasians, without statistical significance. Conclusions Measurements of the infratemporal portions in Thai females revealed no change with age, and the mid‐frontal line showed no statistically significant differences between Korean and Turkish participants. The hairline classification system introduced in our study was comprehensive and would be easily applicable in clinical practice. Female hairline dimensions and patterns reported in our study could provide reference values for hairline design in hairline restoration surgery as well as assist in accurate diagnosis of hair disorders.
Article
Patients undergoing secondary female hairline correction surgery present with dissatisfaction of various causes that require specific solutions. Satisfactory results following secondary revision surgery are achieved only after consideration of the reasons for the patient’s dissatisfaction as well as specific factors regarding the state of the hairline, height and width of the forehead, and overall facial type; all of these must be considered when choosing the most suitable surgical method. In the present study, the authors used various surgical approaches according to the patient’s characteristics and presenting symptoms in the performance of secondary hairline correction surgery and evaluated the adequacy of each method using a satisfaction survey. In total, 246 patients who underwent hairline correction surgery by hair transplantation were enrolled in this study. As adjunctive procedures prior to surgery, 24 patients received triamcinolone injections every 1–2 weeks to ameliorate severe hyperfibrotic scarring, and laser hair removal was performed in part of the recipient area in 18 patients to remove old transplanted grafts that had created an awkward appearance or were unnecessary. Revision of female hairline correction surgery was performed with FUT (follicular unit transplantation) in 156 patients (63.4%), partial-shave FUE (follicular unit extraction) in 12 patients (4.9%), a combination technique (FUT + FUE) in 24 patients (9.8%), and non-shaven FUE in 54 patients (22.0%). Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
Article
Full-text available
Unlabelled: Female hairline correction surgery is becoming increasingly popular. However, no guidelines or methods of female hairline design have been introduced to date. Methods: The purpose of this study was to create an initial framework based on the novel principles of female hairline design and then use artistic ability and experience to fine tune this framework. An understanding of the concept of 5 areas (frontal area, frontotemporal recess area, temporal peak, infratemple area, and sideburns) and 5 points (C, A, B, T, and S) is required for female hairline correction surgery (the 5A5P principle). The general concepts of female hairline correction surgery and natural design methods are, herein, explained with a focus on the correlations between these 5 areas and 5 points. Results: A natural and aesthetic female hairline can be created with application of the above-mentioned concepts. Conclusion: The 5A5P principle of forming the female hairline is very useful in female hairline correction surgery.