Thank you for your question.
You’ve submitted some photos and you described in your question how you have a situation
where you have like a reverse widow’s peak and you want to see the hairline in a specific
way lower.
And you're asking advice about this strategy and whether it would be of value to you.
Well, I can certainly give you some guidance.
I’m a board certified Cosmetic Surgeon and I’ve been performing hair transplant surgery
for over 20 years.
I’m also the founder of TrichoStem Hair Regeneration Center, a non-surgical alternative
to hair loss surgery using regenerative medicine technology.
And much of this has developed from the way I used wound-healing materials for hair transplant
surgery.
So to give you first an idea of how we do our consultations for patients like yourself
– to begin with, we want to first establish, ‘It is there any evidence of hair loss?
Is this something you’ve always had?
And has it been stable?’
And with the assumption that that is the case, then this is a genetic trait.
Well then we’ve at least establish stability.
If there isn’t stability, if there is progression of some type of receding of the hair line,
or thinning of the hair more globally then we talk about some methodology for stabilization.
And for women, Hair Regeneration -- our practice has been very successful at helping more than
80 to 90 percent women stop their progression and improve the density of their hair.
Now that being said, a strategy has to be undertaken with one simple understanding.
For you to have the kind of hair line that is – that blends well with your existing
hair, you have to achieve a certain density.
Now that density, most of the time, takes more than one surgery.
And there’s a reason for this.
When we do our evaluation, we literally draw little squares of square centimeters in the
areas that we’re going to cover.
So we get an idea of what volume – what areas in terms of square centimeters we need
and the number of grafts we need.
Now when we do a surgery, we can really practically and even with advanced wound healing technology
and everything else being done correctly.
We can’t really transplant more than 20 hairs per square centimeter.
That appears to be a physiologic limit because each hair has to have a ring of healthy skin
in order for it to survive.
Now a lot of people boast that they can put a lot more hair in that same square centimeter.
But how much of those hairs actually survived, I would suspect not as much as they would
like.
And inevitably, the donor area is still a limited area for both men and women even though
this is not a case of pattern hair loss where chances are you’ll have more than enough
donor area to be able to transplant the area that you need.
But with that understanding, you have to think about it in a long – with a long view that
most likely to achieve density that’s closer to 50 to 75 hairs per square centimeter to
create that blending and not like an obvious line of hair that’s not dense to hair that
is dense; you’re going to need about two hair transplants.
Now as I was mentioning that we’ve done hairline lowering surgery for women and we’ve
gotten very nice results.
But I would also recommend that you’ll also learn about the hair regeneration technology
that I’m talking about where – which improves the donor area healing as well as the survivability
of the grafs.
In fact, people come here from around the world who have had hair transplant already
and they try to get to us within the first, I’d say, one to two months after the surgery
to help enhance the results of their surgery by improving the survivability of their grafts
as well as to improve the existing thinning condition for people with pattern loss.
And that’s, of course, something that doesn’t necessarily apply to you.
So meet with qualified experience hair transplant doctors.
I’d say meet with a surgeon.
I would – I’m very – I find it kind of distasteful that a lot of surgeons just
have sales representatives meeting their – meeting people and then essentially scheduling a surgery.
There’s nothing replacing a one-on-one consultation with the physician.
And with that being said, once you feel comfortable and confident, then that is worthwhile moving
forward.
But understand that there is a long view there and you have to decide for yourself if it’s
worth it to undergo two surgeries spread over a couple of years to achieve this goal.
As far the answer to the facial proportion question, you know, in cosmetic surgery and
I had performed facelifts and brow lifts you know, and we do a non-surgical facial augmentations,
it’s not – there’s – there are various rules such as the rule of thirds and then
there’s the golden ratio of phi.
But ultimately, you want to see what fits your face and what looks right.
So you may want to just try something with maybe with a hairpiece or something just to
see how that looks.
And if you like the way that looks and it looks natural, then it might be worthwhile
for you to pursue this.
So I hope that was helpful.
I wish you the best of luck.
And thank you for your question.