The Role of Facial Proportion in Hair Restoration Surgery

    February 1997 in “ Annals of Plastic Surgery ”
    Dow B Stough, B J Schell, R P Weyrich
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    TLDR The document concludes that successful hair restoration surgery should consider facial proportions and balance, and requires surgical skill, artistic judgment, and realistic goals for a natural look.
    The 1997 document highlights the significance of facial proportion and balance in hair restoration surgery, focusing on the design of hairlines to frame the face appropriately. It recommends positioning a mature hairline posterosuperior to its original location, typically 8 to 9 cm above the glabella, while considering factors like age, hair loss pattern, and donor hair availability. The paper stresses the need for surgical skill, medical judgment, and artistic ability to achieve successful outcomes, and advises against following fashion trends due to the permanence of hair transplantation. It also notes that aging changes and facial features such as a long nose or chin may require adjustments to the hairline. The authors emphasize the importance of realistic goal-setting and patient counseling to ensure long-term satisfaction and a natural appearance, which is also beneficial for trauma and burn patients.
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