Use of Nape and Peri-Auricular Hair by Follicular Unit Extraction to Create Soft Hairlines and Temples: My Experience With 128 Patients

September 2015 in “ Aesthetic Surgery Journal ”

Sanusi Umar

follicular unit extraction FUE nape hair peri-auricular hair hairline transplantation graft loss

TLDR Transplanting hair from the nape and around the ear to the hairline and temples generally satisfies patients and looks natural.

From November 2006 to November 2011, Dr. Sanusi Umar conducted a study on 128 patients using follicular unit extraction (FUE) to transplant nape and peri-auricular (NPA) hair to the hairlines and temples. The study aimed to evaluate the permanence and satisfaction of using NPA hair for hairline transplantation. Initial survey results from 71% of patients showed a mean satisfaction of 8.3 out of 10, with full hair coverage at 9.6 months post-surgery. Nineteen patients reported graft loss initially. A follow-up survey years later maintained high satisfaction at 8.5 out of 10, with 15% reporting new graft loss. The study concluded that NPA hair can create soft, natural-looking hairlines, but patient selection is key to long-lasting results. However, limitations such as non-validated surveys and potential biases were acknowledged.

View this study on academic.oup.com →

Discuss this study in the Community →

Research cited in this study

6 / 6 results

research Eyelash Transplantation Using Leg Hair by Follicular Unit Extraction

13 citations, March 2015 in “Plastic and reconstructive surgery. Global open”

Leg hair can be used for eyelash transplants, resulting in fuller lashes with less maintenance.

Predicting the Permanent Safe Donor Area for Hair Transplantation in Koreans with Male Pattern Baldness According to the Position of the Parietal Whorl

research Predicting the Permanent Safe Donor Area for Hair Transplantation in Koreans with Male Pattern Baldness According to the Position of the Parietal Whorl

14 citations, May 2014 in “Archives of plastic surgery”

The position of the parietal whorl can predict safe donor areas for hair transplants in Korean men with male pattern baldness.

research Use of Body Hair and Beard Hair in Hair Restoration

28 citations, August 2013 in “Facial Plastic Surgery Clinics of North America”

Body and beard hair can be used for hair restoration in severely bald patients, but the technique is complex and costly.

research Androgens and Hair Growth

209 citations, September 2008 in “Dermatologic Therapy”

Androgens can both increase and decrease hair growth in different parts of the body.

research A Technique for Reconstruction of Eyebrows and Eyelashes

15 citations, May 2005 in “Seminars in Plastic Surgery”

The document concludes that hair follicular unit transplantation is an effective method for eyebrow and eyelash reconstruction, with patients happy despite needing regular trimming.

research Androgens and Alopecia

165 citations, December 2002 in “Molecular and Cellular Endocrinology”

Male hormones, particularly DHT, are linked to male pattern hair loss, and treatments like finasteride can help, but they don't work for postmenopausal women's hair loss, which may have different causes.

Related Community Posts Join

6 / 162 results

community 6 months after FUE. I know hair is longer and different light, but the resultat is amazing so far. Confidence is skyhigh!

in Transplants 3 years ago

User had successful FUE hair transplant with 3500 grafts, costing 3900 euros at Novohair in Berlin, gaining confidence. User lost hair due to chemo, family history of hair loss at 40-50 years old.

community Verteporfin and Microneedling

in Treatments 5 months ago

Clinical studies by Dr. Barghouthi and Dr. Bloxham indicate that Verteporfin, when used with FUE and FUT hair transplantation methods, shows promise in hair follicle regeneration and minimal scarring due to its ability to inhibit Yes-associated protein (YAP). Microneedling at depths of 3-3.5mm, combined with Verteporfin, could potentially reactivate dormant follicles, although the optimal dosage and application method are still under investigation. Concerns remain about the DHT sensitivity of regenerated follicles, highlighting the need for further research to optimize trauma levels and Verteporfin concentrations to achieve effective and scar-free hair regeneration.

community Beard to Scalp Hair Transplants - are they any good?

in Transplants 6 upvotes 3 years ago

Beard to scalp hair transplants can provide 12,000-15,000 grafts for coverage, with fast recovery time. However, beard hair may grow curly and not suitable for frontal areas.

community COMPLETE OVERVIEW of the Treatment of androgenetic alopecia in men

26 upvotes 10 years ago

Male androgenetic alopecia is commonly treated with topical minoxidil and oral finasteride, both requiring continuous use. Other options include hair restoration surgery, dutasteride, light therapy, and camouflaging agents.

community So we have 20k dollars human like machines available but no new effective treatment for hairloss since finasteride :)

in Chat 237 upvotes 1 month ago

There have been no new effective hair loss treatments since finasteride, despite technological advancements. Current treatments include finasteride, minoxidil, and RU58841, with ongoing challenges and potential future solutions in research.

community How is verteporfin doing in trials?

in Chat 9 upvotes 11 months ago

The conversation is about the progress of verteporfin in hair loss trials, with users expressing curiosity about its effectiveness and updates. Specific treatments mentioned include FUE (Follicular Unit Extraction) combined with verteporfin, with one reported case of donor area regrowth after a year, and three patients being monitored post-treatment by Dr. Bloxham with monthly updates on YouTube.

Related Research

9 / 9 results

research Surgical Interventions for Androgenetic Alopecia

March 2021 in “Dermatological reviews”

Hair transplant works well, but needs more research for better results.

research Investigation and Analysis of 1030 Primary Hair Transplantation Cases: A Retrospective Study

1 citations, October 2018 in “European Journal of Plastic Surgery”

The study found that hair transplant complications are rare, with swelling being the most common issue.

research Harvested vs Estimated Follicular Units in Hair Transplantation

4 citations, August 2018 in “Journal of Cosmetic Dermatology”

Actual harvested hair follicles were fewer and differed in type from estimated, with older patients and those with multiple transplants needing more careful planning.

research The Effect of One Session Low Level Laser Therapy on Extracted Follicular Units in Hair Transplantation

6 citations, January 2016 in “Journal of lasers in medical sciences”

One session of Low Level Laser Therapy before hair transplantation doesn't significantly improve hair growth.

research Basic Hair Transplantation: 2007

15 citations, December 2007 in “Dermatologic Therapy”

Hair transplantation has improved with techniques that increase graft survival and patient satisfaction for more natural results.

Male Androgenetic Alopecia: Medical and Surgical Treatments

research Modern Hair Restoration Surgery

23 citations, March 2001 in “Clinics in Dermatology”

Hair restoration surgery techniques have evolved, with focus on patient selection and realistic goals, and future advancements may include cloning and gene therapy.