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Aesthet Surg J. 2015 Nov;35(8):903-9. doi: 10.1093/asj/sjv137. Epub 2015 Sep 22.

Use of nape and peri-auricular hair by follicular unit extraction to create soft hairlines and temples: my experience with 128 patients.

Author information

1
Dr Umar is a Clinical Instructor of Medicine, Division of Dermatology, Department of Medicine, University of California, Los Angeles (UCLA), Los Angeles, CA.

Abstract

BACKGROUND:

Hairlines and temples can look unnatural due to coarseness of the safe donor area of transplanted scalp hair. Although the thinner caliber of nape and peri-auricular (NPA) hair would be ideal to create softer hairlines, they have not been used mainly because of concerns that they are nonpermanent.

OBJECTIVE:

We assessed the outcome of NPA hair transplanted to hairlines and temples in selected patients.

METHODS:

During November 2006 to November 2011, follicular unit extraction (FUE) transplantation using NPA hair was conducted in 128 patients following a shave test involving the visual evaluation of hair density and caliber of shaved head donor areas. The test was used to determine permanent versus nonpermanent donor areas. A questionnaire was sent to patients to assess satisfaction with their restored hairlines, with a follow-up questionnaire sent to those who initially responded.

RESULTS:

Three-quarters of patients are good candidates for use of NPA hair to the hairlines and temples based on the shave test. Of 128 patients transplanted, 71% responded and reported a mean overall satisfaction of 8.3 (scale, 1-10). Patients saw full hair coverage at the recipient area at a mean of 9.6 months after surgery. Nineteen patients reported lost grafts. Thirty-three patients responded to a second survey and reported a mean overall satisfaction of 8.5 at an average of 4.6 years after surgery; only 5 (15%) new instances of graft loss were reported.

CONCLUSIONS:

Soft, natural-looking hairlines can be created in select patients using NPA hair as a donor source by FUE hair transplantation.

LEVEL OF EVIDENCE:

4 Therapeutic.

PMID:
26399317
DOI:
10.1093/asj/sjv137
[Indexed for MEDLINE]

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