The most challenging aspect of hair transplantation is the artistic ability in designing a hairline.  The patterns of the hair growth, angle, and direction are different in every patient.  A true master of hair design can understand how the hair differs from person to person and design a customized solution with seamless transitions from transplanted hairs to native hair.  The most obvious sign of an artificial hairline will be a straight obvious line with unnatural angles.  Dr. Shah and Chughtai will discuss the qualities of a natural hairline design and how they achieve natural looking results.

The goal of the hairline is to frame the face.  The anterior hairline has a transition to the temporal recession.  The position of the hairline will depend on the number of hairs grafted and need to keep the patient’s age and history of hair loss in mind.  Placing a hairline too low can lead to difficulty in framing the face while a hairline which is too high can always be lowered.


How low should an ideal hairline be in the center?

An ideal hairline will vary from person to person.  Patients should understand that hair position will vary from ideal based on the number of donor hairs.  The central point of the forehead is critical to creating an appropriate frame to the face

  • Rule of 1/3’s- The hairline should be the same distance from your glabella (brow line) as the browline is to your base of nose.  This proportion is often too low for most patients.
  • 45 degree angle rule-  The intersection of horizontal forehead and vertical forehead meet a 45 degree angle will be the ideal starting point of the forehead.

How should the hair transition to the temporal recessions?

Male patients typically have subtle temporal recessions present.  The lateral temporal recession should correlate with the lateral canthus (lateral corner of the eye).

What should my hairline look like?

The hair should never be a straight line.  The hairline created is based on a slightly irregular contour of slight eddys and dips to mimic a natural hairline.

What direction should my hair run in?  Angle should my hair run in?

Their are different patterns to direction and hairs can run in different directions.  Typically in a male hairline the run anteriorly and away from the midline.  The angle of male hair should be lower.  Too high an angle can create an unnatural appearance and also is not efficient use of hairs.  Along the temporal tuft the hair should run inferiorly to create a natural temporal action.  Transitions are critical and should utilize a series of microtransitions to help hide the change in direction of hair.  We have studied thousands of ideal heads and hair transitions to help create a natural pattern fitting for your head.