Surgical skills for female frontotemporal hairline reconstruction

Objective To explore the operative method and skill for female frontotemporal hairline reconstruction. Methods From October 2010 to October 2016, 120 female patients were performed with the hairline reconstruction. The follicular units were arranged irregularly, 40-55 FUs/cm2, with 30°-45° angle from the forehead skin and 15°-20° angle from the temporal skin. The finest hairs were selected and arranged in hairline margin. Results All the patients were followed up for 10-24 months. 95 patients were very satisfied, 25 patients were satisfied, and no patients were unsatisfied. 9 patients complained low density in the middle of the hairline and they had another surgery to improve the density. 3 patients＇s hairline was regular, and another graft was done to correct the unnatural appearance. 6 patients＇s hairs of the hairline margin were thick, but no further treatment was done. 1 patient underwent hair transplantation again, because of the still high hairline. 6 patients＇s transplanted hairs appeared curly, and the curly degree was decreased after 1-2 years. The density of the transplanted hair was (44.7±8.1) FU/cm2. The density of 9 cases who complained low density in the middle of the hairline, was (36.9±3.1) FU/cm2. The hair diameter of the hairline edge was (57.5±13.5) μm. The hair diameter of 6 cases who felt the hair thick was (70.2±5.1) μm. The angle of hair and the frontal skin was (40.2±8.5)°, The angle of hair and the temporal skin was (18.2±4.7)°. Conclusions In female frontotemporal hairline reconstruction, nature hairline is created by irregular arrangement of hairs, proper density and angle and exact arrangement of different diameter hairs. Key words: Hair; Transplantation, autologous; Forehead; Women; Hair line