Patient Selection, Hair Transplant Design, and Hairstyle
May 1992
in “
The Journal of Dermatologic Surgery and Oncology
”
hair transplant optical illusion of density baldness classification hair color hair curl hair texture hair density donor hair availability terminal hair vellus hair skin color graft placement micrografts scalp reductions scalp lifts vertex baldness follicular responsibility hair transplant hair color hair curl hair texture hair density donor hair terminal hair vellus hair skin color graft placement micrografts scalp reductions scalp lifts vertex baldness
TLDR Dr. Norwood's analysis highlights the need for careful patient selection and strategic hair transplant design to create a natural-looking hair density.
In 1992, Dr. O'Tar T. Norwood provided an analysis on patient selection and hair transplant design, emphasizing the importance of creating an optical illusion of density rather than covering all bald areas. The article identified six major factors for patient selection: classification of baldness, hair color, curl, texture, density, and donor hair availability, as well as three minor factors: terminal hair, vellus hair, and skin color. It stressed the need for creative planning, especially in severe baldness cases, and the significance of hair and skin color contrast. Curly and textured hair were noted to provide better coverage, while hair density and donor hair quantity were crucial for a natural appearance. The article recommended strategic graft placement, micrografts for a natural look, and a 4-month interval between sessions. It also discussed the complexity of achieving natural results, considering future hair loss and styling preferences, and the potential use of scalp reductions or lifts for vertex baldness. The author reflected on the evolution of hair transplantation techniques and the "follicular responsibility" surgeons have to ensure undetectable, long-term results.
