Thus far, state-of-the-art hairline design using strip hair transplant surgery and basic scalp FUE hair transplant has entailed the use of coarse hair follicles derived form the middle of the back and sides of the head. The relatively thick caliber of this donor hair can often contrast with the naturally thinner hair that populates the hairline especially in a Norwood (NW) 1-2+ patient. This problem of using coarse hair from the middle of the back and sides of the head though not immediately apparent to the unpracticed eye, can be a give away to a discerning observer. A NW 2 hairline with a wall of thicker single hair follicles can sometimes impart a somewhat unnatural look that can be made worse by a higher scalp to hair color contrast. Some measures used to address this issue in strip HT and scalp FUE includes selecting hair from the temporal scalp area (in strip HT), or the peri-auricular areas (near the ears)/ nape of the neck (in Scalp FUE). Hair from the nape of the neck and the peri-auricular areas being outside the so called “safe zones” may present a problem in the event of MPB progression while safe zone temporal hair may not be fine enough. However, Dr U devised the FUE Shave Test for determining good candidates for nape and peri-auricular hair usage. Poor candidates or those that have failed the FUE Shave Test should be considered for the use of body hair for hairline feathering

Hairline Feathering Using Body Hair Transplantation

The advent of BHT has presented us with another option. An increasing number of patients are beginning to request the use of cherry picked finer and like textured body hair to feather out what was hitherto considered a good HT derived hairline. In other words, we seek to use a perceived disadvantage of some body hair (namely thin caliber) to our advantage.

Please direct all inquiries to S. Umar, MD. 510 North Prospect Ave. Suite 209, Redondo Beach, California drumar@dermhairclinic.com 1-800-499-DRUCLINIC or do a free hair restoration online consultation

Read Dr U’s paper in the JAMA dermatology in use of leg hair for hairline feathering

http://asj.oxfordjournals.org/content/early/2015/09/22/asj.sjv137

Hairline Feathering Using Body Hair Transplantation

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