Commentary: Hair Transplantation and Female Hairlines

The document discusses the increase in hair transplantation procedures for women and the importance of understanding the natural variety of female hairlines when designing hair transplantations. The studies by Jung et al. on 234 Asian women and Nusbaum et al. on 360 Caucasian women show that there is no single correct female hairline, with a variety of shapes including M-shaped, round, concave triangular, concave oval, straight, and convex. The majority of female hairlines (87%) have some degree of temporal recessions. The document also notes that androgenetic alopecia is the most common reason women seek hair transplantation, often not requiring the recreation of a frontal hairline but rather an increase in hair density in the mid and frontal third of the scalp. The results of these studies are particularly relevant for women with androgenetic alopecia with a male pattern distribution and those with a wide forehead or deep temporal recessions, as they are good candidates for follicular unit hair transplantation to achieve a more feminine hairline. The author recommends these studies as reference points for hair transplant surgeons in designing female hairlines.