Natural Hairlines

Posted Friday, September 7, 2007 to PROCEDURES > Hair

Posted by The Original Anti-Aging & Cosmetic Surgery Magazine

The development and appearance of a natural looking, undetectable and personalized hairline is achievable explains, hair transplant surgeon Dr George Bondar from the PAI Medical Group.

Newer hair transplant techniques plus the prominence of planning for the relentless long -term consequence of androgenic alopecia has positively influenced surgical decisions. These new surgical and planning techniques, coupled with the identification of what outcome the individual is seeking from the intervention, are contributing factors to successful hair restoration.

The judicious use and placement of mini, micro, follicular unit and standard grafts has enabled the well-trained PAI surgical team to produce the desired outcome in fewer large sessions with a more limited amount of donor tissue.

Despite the technical advances in hair restoration, the age. progression of alopecia and hair characteristics of the patient temper the results. Positive changes in appearance may be greater in patients with well-defined patterns of baldness who are in slow constant evolution from one classification to the next. Despite the fantasy of a full head of hair, older patients tend to have more realistic expectations relative to the aging process. Although total donor area and absolute density within this area are obviously important factors when assessing the number of transplanted hairs per area of bald scalp, subtle factors including hair shaft diameter, wave, color, skin/hair color contrast, the emergent angle of the hair, and oiliness and integrity of the hair shaft also contribute to the illusion of 'relative' density when considering the final cosmetic impact of the transplant.

The PAI Medical Group utilizes a large session transplant philosophy which encompasses the judicious placement of micro and various-sized mini, follicular unit and standard grafts based on the system of LEVELS 5-12 (ie area of balding scalp to be transplanted) given the constraints of the patients expectations, age, extent of baldness, and the absolute and relative density of the donor hairs. A frontal hairline transition zone consisting of micro, small mini and/or follicular unit grafts is meticulously placed anterior to a zone of larger grafts thus creating a natural full look. Large sessions have relative merits. They minimize the disruptions and postoperative inconvenience associated with multiple surgeries yet still produce cosmetically appealing results. The large sessions can, in certain individuals, minimize the effect of the thinning of the hair shafts that is noted in the early stages of balding (ie miniaturization of telogen effluvium) before hair loss. This is accomplished by transplanting through these areas with a number of mini or follicular unit grafts that is greater than the anticipated number of hairs that may be lost to the effects of miniaturization. Large sessions minimize the concomitant decrease in donor site density associated with the follicular trauma caused by multiple small sessions.

At PAI Medical Group, our hair restoration procedures have been designed to treat the patient not for the moment but with serious regard for the procedures enduring long-term cosmetic effects. Our surgical teams think long-term when planning the procedure to avoid problems such as improper hairline placement, lack of density, depletion of donor area, frontal and vertex transplants that cannot be connected, and permanent gaps between transplanted hair and diminished donor area.

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