Understanding Hairline Placement in Hair Transplants

Introduction

Planning the hairline is one of the most important aspects of design. Proper hairline placement requires artistry, imagination, and experience. Many factors must be considered; these include an age of the patient, the amount of future hair loss, the colour of hair, the pattern of remaining hair, desires of the patient, postoperative hairstyles, and the number of anticipated reductions.

Overview

Conservative, high hairlines are favoured by nearly all experienced surgeons for the following reasons:

1. The slightly unnatural graft edge is easier to conceal with any remaining hair if the hairline is placed well back on the forehead.

2. A high hairline can always be brought forward later, but it is difficult to change a hairline that is too low.

3. The grafted hair is usually angled anteriorly so that a full-haired appearance can be created without an actual low hairline.

4. The third dimension created at the hairline when the hair grows creates the illusion that the hairline is lower than it was a simple flat line.

Straight lines should be avoided. A slightly curving hairline, beginning anterior- medially and sweeping posterolaterally to the existing hairline. Most surgeons tend to create the same hairline, varying it only to fit the existing pattern. Design and placement of hairlines become almost a signature for the surgeon and his patients.

Angling and Direction of Grafts

The proper angle and direction of hair growth are almost as important as graft placement. The surgeon should consider at what angle and direction he wants the hair to grow so that it will provide the most apparent density and coverage. The angle and direction must be coordinated with the anticipated hairstyle and should be carried throughout the entire design. Changes in the angle and direction from one area to another should be gradual and flowing. Generally, the anterior and radial direction of the vellus hair is correct, but sometimes increasing the angle or slightly changing the direction is advisable, particularly at the hairline and at the calyx.

Location of Grafts and Probable Hairstyle

The best quality grafts should always be placed where they will afford the most coverage. This is particularly important in marginal candidates or in patients with limited amounts of donor hair. Consideration of the future hairstyle is particularly important in this aspect of the procedure. Grafts should be concentrated and even crowded into the front hairline particularly on the side where the hair is parted. Parts through the grafted hair usually appear unnatural and so should be avoided. Care must be taken to place the grafts so all the hair will comb in the same direction. Occasionally, however, this rule can be broken. In individuals in whom the existing hair is low on the sides of the head, and reductions for one reason or another have not been performed, parting through grafted hair can be done. This should definitely not be the routine, but with carefully selected patients the appearance is satisfactory.

The policy of concentrating the grafts on the sides of the part should be followed even on the vertex and crown. After the crown and vertex have been reduced, there is always a scar, and with central reductions, the hair may tend to radiate away from the scar. The grafts should be placed adjacent to and down the centre of the scar with the hair angled and directed so that it will provide the most coverage and conform most naturally with the proposed direction of hairstyling.

It is not possible to produce a completely natural grafted hairline, although in some cases the appearance may be excellent. The patient must be warned of any anticipated problem and the grafts placed in such a way that the future hair growth may be combed forward and across to conceal the grafted hairline.

This rule can be broken with salt and pepper gray hair and occasionally with blonds. These hairlines often look so naturally they can be fully exposed.

In some patients, because of the pattern and extent of the alopecia, the only available hairstyle will be straight back even after reductions have been performed. In these patients, grafts should be screened extremely carefully before commencing, as the final density will not be great. A few well placed, natural natural-appearing grafts providing even sparse hair go a long way towards enhancing the appearance. On the other hand, poor or improperly placed grafts can have just the opposite effect.

Steps Of Hair Transplantation

What happens on a FUE hair transplant operation day?

Preparation for a hair transplant

After the photos are taken, a final consultation is made with the plastic surgery specialist who will perform the operation, and previous conversations are reviewed and the hair transplant operation is planned.

Planning before the hair transplant operation

During the planning process, the physician makes a final review regarding the number of hair follicles to be extracted, the number of the hair shafts contained in the follicles and the thickness of the shafts. The sites of and the density of transplantation and the orientation of the hair shafts are determined by taking the patient expectations into consideration. The compatibility between the specialist’s suggestions and the individual’s expectations is crucial in this phase. Being realistic about what we can accomplish and the suitability of the patient’s expectations constitute the essence of a successful hair transplant operation.

Planning the hairline

A successful hair transplant operation requires a natural result which is not noticeable to the people in connection with the individual who undergoes the operation. And the hairline should be very delicately planned in order to obtain a natural looking hair transplant result.

Expectations and suggestions of the patient should definitely be listened while planning the hairline but the planning should be made in accordance with the person’s current condition by taking the patient’s forehead structure and facial symmetry into consideration, without fully concentrating on the previous condition of the patient. The hairline is determined by maintaining the symmetry with the help of the laser pointer device specifically designed for this purpose.

The hairline is the line that the hairy scalp meets the forehead. The hairline should fit the other aesthetical elements of the face, should be planned at a convenient level and should not be created as a sharp straight line. A natural hairline is created as a symmetrical fragmented line with a triangular wavy form. The follicles to be used for creating the hairline should be those follicles which contain a single and thin hair shaft. While a hairline created by sharply aligned hair follicles which contain thicker hair shafts is noticeable to everybody after the operation, a wavy hairline planned with a slight disorder and created with those follicles which contain a single hair shaft is not noticeable even to the immediate acquaintances of the individual after the operation.

Taking the first step right: Is it possible to correct an inaccurately created hairline?

A significant ratio of the patients who consult to us for a hair transplantation operation are those patients who are not satisfied with the results of the hair transplantation operations they have undergone in other clinics. The hairline result of a hair transplantation operation performed by an unqualified person may be irreparable. Correction of the inaccurate hairline is the most challenging aspect we experience in such extra corrective operations. With such patients, corrective operations can be performed by harvesting the too thick hair follicles inserted and inserting grafts containing a single hair shaft.

Nobody wants it to be apparent that they have undergone a hair transplant operation. In order to obtain a natural result, the hairline should be planned by a plastic surgeon specialized in the area, who has comprehensive knowledge about facial aesthetics and facial ratios, and who has performed an adequate number of hair transplant operations to understand the patient’s expectations.

Haircut

After everything is planned and decisions are made for the procedure, the patient is prepared for the operation. The individual who will undergo the hair transplantation operation gets a grade 1 haircut. No haircut is necessary before that stage.

If a small amount of hair will be transplanted, FUE hair transplantation can be performed by shaving thin strips of hair without having a complete haircut. In this way, the person who undergoes the hair transplantation operation can quickly continue their social life without demonstrating any change in their appearance.

Local anesthesia

After the haircut, a specially prepared local anesthesia mixture is administered in order to have a painless hair transplantation operation that does not hurt the patient or cause bleeding.

Is hair transplantation a painful procedure?

Regarding the FUE hair transplantation, the most important concern of the patients is the answer to the question: “Will I suffer any pain during hair transplantation?” Hair transplantation operations are among those interventions that provide a high level of patient comfort. Just a mild level of pain is felt during local anesthesia injection at the beginning of the operation, and the rest of the hair transplantation operation after this stage is entirely painless.

Every individual has a different pain threshold. While a patient with a higher pain threshold is not affected at all by the local anesthesia procedure that lasts about 1 minute, other persons may have complaints of a mild burning and stinging feeling. Those anxious people with a lower pain threshold can tolerate the situation by saying that “I have pain but I can bear it.”

The extraction and collection of hair follicles (follicular unit, graft)

The hair follicles on the site between the ears are genetically resistant to thinning. FUE hair transplantation is performed by the micromotor -a specially designed microsurgical device- without making any incisions or sutures. Hair follicles are individually removed from the scalp by using the micropunches with diameters of 0.6-0.9 mm inserted to the tip of the micromotor.

Extraction procedure is performed under the magnifier equipment by using the microsurgical technique only. Extraction is performed within the limits of the scalp at the level of the follicles. Since the extraction is limited to the level of the scalp, the tissues located deeper get no harm.

The most critical point to be taken into consideration in this procedure is giving no harm at all -not only to the hair shafts but- to the totality of the hair follicles with the hair shafts they contain, during the extraction. No hair shaft grows from a damaged hair follicle which is transplanted. If the hair follicle (follicular unit) is damaged, no hair will grow and the result will be unsuccessful. If no hair grows after the hair transplantation operation, one of the main reasons of this is a careless extraction procedure performed by an inexperienced person.

Since no hair follicle forms to replace the damaged hair follicle, a successful hair transplantation operation is possible only if the donor site is used with full efficiency. For the complete collection of each hair follicle individually, extraction should be performed carefully by a plastic surgeon.

The distribution of the completely extracted hair follicles is also significant. The number of the hair follicles should separately be calculated for those follicles that contain one, two, three and four hair shafts. Extraction of the hair follicles that contain three or four hair follicles as much as possible and avoiding those follicles containing only a single hair shaft will lead to a denser hair result. While 4000 hair follicles which contain a single shaft correspond to 4000 hair shafts, 4000 hair follicles which contain three shafts correspond to 12,000 hair shafts.

Extraction should not be considered as a simple technical procedure. The diameter of the micropunch, the speed of the micromotor, the orientation and the depth of the hair follicles, and the distance between the extracted follicles should be evaluated separately for each patient. At this stage, the level of experience and the skills of the plastic surgeon as well as the quality of the technical equipment come into play. In this context, we argue that ‘there are no disorders, there are patients’ and we make a separate evaluation for every single patient.

In addition, the total number of hair shafts targeted for 4000 hair follicles is 10,000 hair shafts at a minimum. The extracted hair follicles are stored inside a special nutritive solution in a cooled ambient in order to keep them alive.

Making the canals for inserting the hair follicles (Graft) during the hair transplantation

Preparing the recipient site is exactly the architectural plan of the procedure to be performed. The extraction location, density and the depth of separate follicles, and the distribution of the follicles are determined in this phase. After the canals are prepared in accordance with this architectural plan, the transplantation nurse will need to stick to this plan only. As long as the architectural plan is properly prepared, the resulting structure from a qualified labor will be reliable and aesthetical.

This architectural plan lays the foundations of a successful hair transplant operation. This is the procedure which determines the orientation and density of the hair follicles and ensures a natural appearance.

The method of preparing the canals and the equipment used for this purpose are highly significant. Hair transplant canals are made by using specially designed blades (micro slit) with diameters of 0.5 – 0.8 mm. The width and length of the hair canals are planned by evaluating the extracted follicles individually.

The depth of the hair transplantation canals to be prepared should suit to the length of the hair follicles, the width of the canals should suit to the thickness of the follicles to be inserted, and the orientation of the canals should suit to the original orientation of existing hair. The canal to be prepared should be as small as possible but it should still be wide enough to allow for a smooth insertion of the hair follicles. In this way, the nurse who performs the insertion can easily adapt the hair follicles to the canals and the blood circulation in the scalp does not get disrupted. As a result, the rate of hair growth from the transplanted hair follicles approximates a hundred percent.

Definitely no visible scar is left and a natural result is obtained as long as the canals are prepared cautiously. Similarly, if the canals are prepared in conformity with the orientation of hair, the recently growing hair can be combed in the desired direction and it looks natural like the original hair.

The most troublesome results of an ill-planned hair transplantation operation include unsuitability of the hair to be combed in the desired direction and the high noticeability of the transplantation. It is highly difficult to change the inaccurate hair orientation to the proper orientation even with corrective operations. The appearance of hair which is popularly described as paving stones or a grass head occurs if the hair canals are made perpendicular or opposite to the orientation of hair or if an inappropriate distribution is made. In addition, incisions wider than adequate lead to noticeable canal scars at the bottom of the hair shafts.

While planning the hairline, the canals should not follow a straight and sharp line; they should rather be prepared a little disorderly as a wavy line which gives a more natural appearance.

If an inaccurate architectural planning is made, the result will not be aesthetical and natural even if hair grows after a successfully performed transplantation. For all these reasons, the hair insertion canals should be prepared by an experienced plastic surgeon who is specialized in the area with comprehensive knowledge.

Implantation of hair follicles

This comprises the implantation of the hair follicles individually extracted by the FUE method into the hair canals prepared. In this last phase of hair transplant, the hair follicles are inserted at the appropriate depth with the appropriate angle without giving any harm to them. This procedure requires patience and caution. The hair follicles should individually be inserted into every single canal without skipping any of them.

Things You Should Know About Dandruff Treatment

Our scalp consists of a distinct texture that includes the follicles for hair growth and specific types of glands that keep the surface moisture intact. Many people nowadays are facing the dandruff issues. Dandruff can become a weary thing that can leave a person in really annoying stage. The distress of constant itching just leaves a person in no way but to remain out of any social gatherings.

Nowadays many hair products are being introduced that makes us believe that they are the rescuers. Finally, we can be dandruff free. But, the main thing is to know what dandruff is, how it happens and what you can do about it.

What is Dandruff?

A dandruff isn’t a disease and there is no exact theory behind its happening. It’s basically an overgrowth of fungus on the scalp. It doesn’t only happens to the dry scalp but also can effect on the oily scalp. The reason behind this cause is commonly the oily skin, dry weather, eczema or psoriasis. The effects are obvious, the embracement of itching. Rest assured, it isn’t a deadly condition, but it can be handled well with some of the simple treatments and care.

• To decrease the excess buildup of the dead cells, use an anti-dandruff shampoo regularly.
• Get a prescription of a good medicated shampoo from a specialist.
• Leave it on the scalp for about 5 minutes then wash and rinse well.

Examine It

If you examine the dandruff flakes and they are greasy and yellow, it may be a sign of seborrheic dermatitis. An inflammatory skin condition that can occur where there are sufficient oil glands. These areas are some facial spots and the scalp. It is mainly related to the hormones, fungal infections or other problems like that. The treatment goes as:
• Use the antidandruff shampoos.
• Consult a specialist for a good medicated shampoo.
• Severe cases of dandruff may require a prescription steroid or antifungal medicine to work more effectively towards a solution.

Home Remedies

The home remedies in this regard are also very effective. You can do them at home and see the visible differences. Home remedies are simple and very cost effective. For ages, it has been a norm to gather the things available at your own home’s kitchen and make up a solution. Before the technological advancements, people treated many sick people around them with remedies made at home.

Let’s check out how you can control your dandruff with the simple remedies.

1. The Neem Leaves

Treat your baldness effectively with the help of neem leaves. It is a form of herb that is the best home remedy for dandruff. The benefits of neem leaves are immense. Its natural properties soothe the skin and relieve that scalp from itching. It acts as an antifungal and also inhibits the overgrowth of dandruff.

What Do You Need?

Get at least 2 handfuls of neem leaves and 4cups of hot water.

Procedure

Let the leaves soaked in the water, overnight and strain next day. Use the liquid to rinse your locks. You can also apply the paste of neem leaves to your scalp for an hour, then wash out.

2. The Aloe Vera

The lush green herb of aloe vera is often found beside the garden. It is commonly helpful in curing the minor burns and also relief from dandruff.

What Do You Need?

All you need is the aloe vera gel, about 1 bottle.

Procedure

Apply the aloe Vera gel to the scalp and leave it be for 15 mins. Then wash your locks and rinse well, normally.

3. Coconut Oil

It is the most smooth remedy tip, as the coconut oil contains natural fatty acids and lauric acid in it. It helps to keep the natural moisture intact on the scalp. The strong antimicrobial and antifungal agents are naturally present in the coconut oil. The natural antifungal agents do their work to fight the fungus and dandruff on the scalp. Results can be seen as soon as in one week time.

What Do You Need?

You need to buy a coconut oil bottle once.

Procedure

Apply it on the head almost thrice a week for an hour, and wash normally.

Watch Out Baldness

The excess of baldness can cause the roots to get brittle hence causing the hair fall, if persistent, can lead to the baldness. If you are the having intense baldness issues then feel free to consult for hair transplant, the only permanent solution to baldness.

How To Growth Your Hair Especially For Men

It usually happens that a father starts losing his hair on his mid-twenties, and now his siblings are starting to experience the same around that time. If that sounds familiar, don’t panic. Modern medicine and ancient wisdom can join together into effective hair regrowth treatments that will bring back your youth with an appealing new profile.

Hair regrowth treatments are not just a matter of fashion

Hair loss is not a new problem in humankind. Early in the year 1553 BC, the oldest medical text, called Ebers Papyrus, included a remedy for hair loss. Just imagine a mixture of onions, honey, iron oxide, alabaster, red lead, and fat from lions, snakes, and other animals. The remedy was to drink it after reciting a verse for the gods. After that early attempt, the Father of the Modern Medicine, Hippocrates, created another mixture that should be applied directly on the scalp.

Even the Roman Emperor Julius Caesar was worried about his hair and used a hairstyle similar to the comb-over to cover his bald spot. No doubt men want to keep their hair, no matter how old they are, and there are plenty of modern methods to do so. Today’s medicine and recent findings in the cosmetic industry finally brought some common sense to ancient remedies and turned them into regrowth treatment.

Today we have an entirely different approach on hair loss. We no longer need a verse or prayer to make our treatments work. Now we know exactly what is hair, what it needs to be stronger, and why people from the same family suffer from hair loss. With this knowledge, new vitamin supplements are made available, and keratin is becoming one of the most valuable tools for hair stylists and image consultants.

True science. True therapies. True results

The human body is covered with hair follicles, and most of them create such tiny hair fibers that nobody can see them. But some areas produce more thick hair, and they are especially abundant in the scalp. Hair fibers are complex and have several layers of cells and protein. One of these layers is named cortex and contains abundant keratin bundles that give bright and strength to each strand. This is why keratin supplement products are being used to keep the hair’s strength and bright. One of them is the Ultrax Labs Hair Rush DHT Blocking Hair Loss Maxx Hair Growth Nutrient Solubilized Keratin Supplement, which also contains researched vitamins, minerals and herbs formulated to keep your hair’s health.

On the other hand, the hair follicle is the one responsible for hair growth. It contains the hair bulb and cells that build together the hair filaments. Different nutrients are vital for hair follicles to function as they should. However, many different things may affect them, and two of them are genetics and hormones. These cases might be complicated to treat, but modern medicine can fix it by controlling the action of testosterone in hair follicles. Such a treatment is usually expensive and requires a follow-up by specialists.

However, many people would agree the first line treatment should be natural. What if you start spending too much money on drugs and all you needed was easier to find in food? In this regard, a combination of a healthy diet along with supplements may be what you need for a natural hair regrowth treatment. But before starting any of them, it might be a good idea to consult your physician to make sure you receive the right amount based on your needs. What nutrients should we look for to grow healthy, thick and bright hair?

Important vitamins and supplements for your hair

Hair follicles are composed of many different cells, and their structure and function are complex. However, research has detected that many vitamins might be mainly involved in hair growth. Biotin, a water-soluble vitamin part of the vitamin B subgroup, gives additional strength to your hair. Sometimes skin flakes get in the way of hair follicles and block hair growth. Products formulated with biotin can keep the scalp free of flakes and promote hair growth. Folic acid is also a part of the B vitamin complex, and it helps your body create proteins. Considering that your hair is full of them, it is reasonable that insufficient folic acid would cause hair growth problems and an unhealthy grayish color. Not appealing, definitely.

Vitamin C is also essential for hair growth. Hair follicles can suffer bruising in their surroundings, and this results in corkscrew hair, easily broken. Vitamin C is an immune system booster and a very important antioxidant that will reduce damage to the skin and the hair follicle. No more damage, no more broken hairs. No wonder people who suffer from malnutrition tend to have dull and easily broken hair. If you want a great hairstyle, remember nutrition is your first ally. And supplements are always available to give you an extra push when nutritious foods are not easily accessible.

What is the best Treatment for Re-growing Hair for Men Naturally?

Another powerful antioxidant is Vitamin E. The same as Vitamin C; it helps to fight off the damage caused by free radicals. Antioxidant vitamins are imperative in a hair regrowth treatment. People who suffer from hair loss usually have lower concentrations of antioxidants in their scalp. This results in more oxidative damage to the skin that would block hair growth afterward. Once again, reducing damage to the skin and hair follicle would allow the growth of new healthy hair to show off during the next night out.

Finally, other Vitamins are linked to a healthy hair, such as Vitamin D and Vitamin A. A deficiency in both nutrients leads to a pattern of hair loss and dry hair. Deficiency is not common but should be taken into consideration in some distinct cases. Vitamin D, for instance, might be necessary in supplements for people who live in countries far from the earth’s equator. And Vitamin A is usually deficient in many developing countries or in cases of malabsorption.

Mineral deficiency, on the other hand, may be another cause of hair loss. Iron, Zinc and Iodine have been reported as significant contributors to hair strength. Iron deficiency causes anemia, and many people with this condition also have a poor hair health. Many have seen better results with regrowth treatments when iron supplements and foods are added to the diet. Therefore, a good supplement for hair loss would need to contain vitamins and also minerals to provide a full range of action.

Zinc deficiency is also a known cause of hair loss. Many researchers think that people with alopecia have problems using the available zinc from their bodies, or have low concentrations in their blood. Increasing zinc from the diet or through supplementation is a good way to prevent this as a cause of hair loss. Finally, iodine is essential for hair growth because it’s closely related to the proper function of the thyroid hormones. Thyroid problems are behind many cases of hair loss, and increasing iodine concentrations with sea vegetables or supplements might also bring back your hair’s health.

You may find all of these vitamins and minerals on many different products, but not every one of them are formulated for hair loss. Ultra Labs Hair Rush has 20 vitamins, minerals, and herbs that will serve as nutrients for your follicle and grown hair. This product takes into consideration the science behind hair growth and the root causes of hair loss and joins the top researched ingredients for a natural regrowth treatment.

Herbs for hair growth: Science or myth?

Seems like talking about herbs brings us back to the first recorded treatment for hair loss, from ancient history. However, science facts have turned many grandma’s remedies into substantial therapies. This is the case of Gotu kola, a native plant from the Ayurveda medicine that has been used for thousands of years for hair loss and other conditions. Recent research demonstrates that Gotu kola increases hair density and length in rats, making it an excellent choice for supplementation. Other herbs such as nettle leaves are also used for hair regrowth treatments, and many users have reported much success with it.

Ultra Labs Hair Rush is a product that combines vitamins, minerals, and herbs used to treat alopecia and hair loss. Hair Rush contains no drugs, and it is a completely natural and safe product that may become your first line treatment before trying more specialized and expensive options. By using it, you don’t need to count your vitamins and minerals requirements anymore. Hair Rush also provides a solubilized keratin supplement that provides the building blocks for the proteins in your hair.

Many people say bald men look masculine, but if that is not your case, don’t quit natural solutions just yet. You might feel frustrated with your comb-over, you might be noticing your hair falling this morning. But maybe a natural hair regrowth treatment will be the key to bring back a younger appearance to your looks.