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The most important point of hair transplantation is to give naturalness to the front hairline.
The specialist who will create the hairline should reveal his artistic personality as well as his manual dexterity.
When creating a natural hairline, the forehead opening of the person, the amount of grafts taken from the donor area, the age and expectations of the person should be taken into consideration.
Whether a transplant is natural or not is best understood by looking at the hairline. The determined hairline is one of the most important stages of transplanting.
Men have a natural hairline that comes in a slight V shape, and this hairline has a different direction for each person. In a successful transplant, a natural hairline is created by paying attention to this direction.
While determining the front hairline, the vertical vector is placed on the face by looking at some golden ratios, and the middle point is placed. Then, while drawing this line to the sides, it is continued in a curved way, not in the form of a straight line, so that there is no feminine image. Also, while opening the channels, the front hairline is wavy and not in a straight direction. It should open in zigzags.
Men realize how important their front hairline is for the aesthetic integrity of their face when they start to lose their hairline due to androgenic hair loss or other reasons.
One of the most important issues regarding hair transplantation operations is to reconstruct the front hairline and make it look natural. No matter how successful the hair density is at the end of the operation, if the hairline is not where it should be and is not natural, one cannot be expected to be happy with the result of the operation.
Anterior hairline planning is a matter that you need to decide together with your doctor. The best anterior hairline is the hairline that does not attract attention and creates the impression that it has always been there. While positioning the hairline, it should be done by considering your head and face. It will be the right step. It is essential that the planned front hairline is compatible with our face not only at that moment but also in the following years. Generally, in all cases, people want the hairline to be as frontal as possible, but the point that should not be forgotten is that the donor area should also be suitable for this.
For many reasons, it is very important to plan the anterior hairline in transplantation. Firstly, the hairline is the most striking area for both the patient and the outsider. Secondly, the hairline is one of the most important structures that divides the face into sections. A strong hairline draws attention to the patient’s face. A weak hairline directs attention to the scalp. Thirdly, a carefully planned and prepared hairline will reflect the proportions of a young face, giving the patient a younger appearance.
The hairline consists of two parts, the anterior hairline and the lateral hairline. Determination of the hairline position is the first step. The most common practice is to determine the hairline in a position that will not adapt to the ongoing hair loss with aging and will not look natural with advancing age. too wide preparation will not adapt to advancing age and will not look natural. A hairline that exceeds the lateral canthal points will be a very wide hairline.
The back and lateral parts of the hairline should be higher than the central part. If the starting point of the hairline is planned far ahead, this line will not be compatible with the patient’s age or hair loss pattern in later ages.
While providing natural and harmonious hair restoration in hair transplantation, it should be kept in mind that the patient will age in the following years and that the hair that has not shed at a young age may fall out in the following years, and this fact should be explained to the patient.
First, the center, front point is determined. Many methods have been defined to determine this point. The formula for dividing the face into three is one of these methods. The face is divided into three equal parts using menton-subnazale-glabella-trichion points. In cases where the area to be transplanted is too large, it may cause the hairline to be too far ahead. In many cases, the hairline should be planned further back from this point. Another formula is to extend an angle of 45 degrees from the intersection of the horizontal and vertical planes. The location should be determined by a joint decision with the patient according to the age of the patient and the size of the area to be planted.
After determining the most important center point, the lateral parts of the hairline extending to the sides are planned. The most lateral part of the hairline should coincide with the lateral canthus. When determining these two lateral points of the hairline, attention should be paid to symmetry. This point is the point where the anterior hairline angled backwards and extends to the temporal hairline. If the anterior hairline crosses these points, it will be perceived as quite abnormal by the normal human eye.
Then, the hairline is planned by combining these three critical points. The two most used shapes are the depressed bell shape and the round contour shapes. There is a transition from the medial convexity to the lateral concavity at the level of the pressed bell-shaped midpupil. In the form of a round contour, the midpoint is a convex shape with two lateral points. This round contour shape should not look like a plate or bowl, while combining it with the temporal hairline, it should be extended laterally in a concave manner. In both methods, the hairline should be planned parallel to the ground or slightly upwards. Aesthetic observations and patient wishes should be taken into account when deciding which shape is more appropriate. As a general rule, a pressed bell shape is suitable for patients with a narrow head, while a round contour shape will be more suitable for patients with a wider head. After the shape of the hairline is determined, the symmetry should be evaluated from 3 angles. Symmetry should be evaluated by looking from both sides and back. The hairline should not be completely straight, but should be adjusted and adapted according to all thin indentations and protrusions.
