TLDR The conclusion is that surgeons should carefully create a natural-looking occipital hairline in hair transplants to avoid detection.
The document discusses the importance of the posterior or occipital hairline in hair restoration surgery, an area that is often neglected by surgeons. The occipital hairline is formed by the last 1 cm of hair on the vertex or crown, which is usually covered by longer hair. Surgeons frequently make the mistake of creating slits in straight lines in this area, which can result in an unnatural 'corn-row' appearance, especially when the hair is short, wet, or being cut at a barber's shop. The paper emphasizes that the same care and attention to detail that is applied to the anterior hairline should be extended to the posterior hairline, with slits created in a wavy, irregularly irregular fashion and the last 2 to 3 rows containing only single-hair follicular units. Additionally, the angle of hair shaft exit is crucial and should vary according to the area and shape of the skull. A well-executed posterior hairline is essential for the naturalness of hair transplant results and can significantly reduce the chances of the transplant being detected by the general public.
15 citations,
November 2008 in “Facial Plastic Surgery” Hair restoration can sometimes result in unnatural-looking hair, wide scars, and poorly designed hairlines, but these issues can be corrected with careful planning, various techniques, and possibly medical therapy.
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5 citations,
February 2010 in “Facial Plastic Surgery Clinics of North America” The document concludes that understanding hair loss and considering medical treatments like minoxidil and finasteride before surgery is important, especially for young patients with rapid hair loss, and that hairline design varies among different ethnicities.
4 citations,
January 2005 in “Elsevier eBooks” Follicular Unit Transplantation is a precise hair restoration technique that requires careful planning and a skilled team, and Follicular Unit Extraction offers a less invasive option.
67 citations,
September 1997 in “Dermatologic Surgery” The document concludes that good cosmetic outcomes in hair transplantation depend on the surgeon's artistic skill and careful planning.
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July 2024 in “Plastic and Aesthetic Research” Careful planning and accurate diagnosis are crucial for successful hair restoration surgery.
9 citations,
April 2000 in “Plastic and Reconstructive Surgery” The document concludes that appearance can be significantly improved after one hair restoration correction procedure, but often multiple operations are needed for the best results.
