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Temple Hair Restoration
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Temple Hair Restoration

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Temple Hair restoration refers to the restoration of the sides of the hairline at the recesses as well as the sides of the front where it comes to a point in framing the face.  It is an essential feature of what makes the face appear defined and framed. Typical conventional hair transplants that avoid this aspect of restoration tend to create a cookie cutter type result with a forward hairline and an absent temple point. The result is a toupee or wig like effect. In patients with severe baldness who wear wigs, the absence of a temple point is usually one of the tell tale signs of a hair peace wearer. When hair restoration is performed without the complement of reconstructed temple points, the result could look similar to that of someone with severe baldness who wears a wig. Dr U believes in always offering temple point restoration to patients whose recession has taken away the temple with this overall vision in mind and consistently returns naturally looking temple points using the UGraft FUE and BHT methods

WHY DO MOST HAIR RESTORATION CLINICS NO PERFORM TEMPLE POINT HAIR RESTORATION:

Many patients have offered Dr U their previous Drs reason for not dealing restoring temple points or temple hair restoration tha range from “hair does not grow in this area” to “it is not done” . Most likely reasons are:

  • Reliance head donor pool only: A transplant that only considers the donor lifetime supply from the back and sides of the head which is limited to 5000-7000 grafts in most, it makes sense to prioritize areas of coverage and in that calculaton, the temple points and crown are relegated to the back. Since Dr U can expand this donor pool substantially by using the UGraft Advanced FUE and using body and beard donors, this is less a restricting factor.
  • Lack of the finest caliber hairs required to craft a natural looking softer result. The finest hairs are found in the nape and peri-auricular areas as well as various parts of the body such as the legs and arms. Read about Dr U’s ue of nape and peri-auricular hair in the crafting of undetectable hairlines and temples
  • Lack of skills. because of the intricate nature of angle conversion from the sides to the frontal hairline transition, a great deal of skill and experience is required in reconstructing the temples and temple points. Dr U has observed that most of the patients coming to see hi with pror attempts at temple hair transplant at other clinics have been poorly executed and often require repairing.

Hair restoration is a refined dance that demands the practitioner possess artistic vision as well as superior medical skill. To the casual observer, a full head of hair is nothing more. But in reality, it is made up of a distinct crown whorl, hairline texture and positioning, and temple point angulation and shape. For the millions of hair loss sufferers who select hair transplant for a permanent solution, their cosmetic fate rests in the surgeon’s steadfast and capable hands; and whether he/she possesses or lacks the ability to rebuild these complex pieces into a natural-looking head of hair. The temple area is possibly one of the most intricate parts of all, and also very important since they help frame the face.

HAIR LOSS

Temple hair loss is unique to two types of baldness:

  • Androgenic alopecia
  • Traction alopecia

Androgenic alopecia is more widely known as pattern baldness. In the case of temple loss, the condition is specific to men. Pattern baldness is an incurable genetic ailment that gets passed through generations of family by weak androgen receptors in the X chromosomes. This hereditary weakness allows scalp follicles to be ravished by the hormone DHT, which shrinks the hairs until they break off or virtually disappear. The condition is most recognizable in men as crown hair loss and a receding hairline.

Male pattern baldness causes 95% of male balding and is much more rampant than traction alopecia; although traction alopecia still commonly affects African American women.

Temple Hair Restoration|Facial frame

Norwood scale showing male pattern baldness

TEMPLE HAIR RESTORATION: SPECIFICATIONS

The temples are one of the defining elements of hairline creation. Without naturally placed temple hair, the entire hairline falls short. In fact, this conundrum creates a common obstacle for the novice surgeon, as the temple grafts must change angle and direction as they flow along the sides of the face. The temple points protrude toward each eyebrow in a pointed shape. Just above them are the temporal recesses and just below them are the sideburns.

For a surgeon to successfully recreate the temple points, he or she must take into account:

  • Texture/Density
  • Graft placement
  • Shape

Texture/Density

Falling along the hairline, the temple points are best served if created with the softest, finest caliber of donor hair. This helps to achieve an overall gradual and natural hairline design, which many hair transplant results lack. With the individual excision method practiced in follicular unit extraction, the surgeon can execute a temple hair restoration using hair from the nape of the neck or the legs instead of the traditional zone (the rear middle scalp). These non-traditional hairs are the ideal texture to create the most aesthetically pleasing outcome.

The surgeon must also decide how closely packed he wants the grafts to be, which will determine the density. The density of the temple points should flow seamlessly with that of the hairline.

before Temple Hair Restoration and repair by the UGraft FUE

Poorly executed temple points. before temple hair restoration and repair by UGraft

Before Temple Hair Restoration with the UGraft | missing temple points

This surgeon avoided the temple points altogether.

Graft Placement

This takes angle and direction into account. Since the temple hair does not point in the same direction nor have the same angulation as the hair surrounding it, the surgeon must place each graft carefully. The angle and direction of every hair must transition flawlessly from hairline to temporal recesses, to temple points, to sideburns.

Shape

The shape must be designed to complement the facial-skeletal contours of each unique temple hair restoration, as well as the patient’s age. Some temple points have a sharp peak while others are softer and more rounded. These differences in shape give balance to the other features while affecting the appearance of a youthful, aggressive hairline versus a mature hairline.

Temple Hair Restoration by UGraft Advanced FUE|before & after surgery

Temple points with a youthful peak.

Temple Hair Restoration by Dr U |new results on patient

Temple points with a softer peak.

PHOTOS AND VIDEOS

Photos and videos of past results give future patients a good idea of what to expect based on the technique and surgeon used. It is important for those researching hair transplant to review several images before making any decisions. Viewers should scrutinize how well the temple hair flows with surrounding hair based on the considerations mentioned above. Good quality photos and videos will always be in focus, taken in good light, and never retouched or edited.

Temple Hair Restoration|diffuse results

diffuse hairline, temples and global coverage created by Follicular Unit Extraction and a conservative graft supply


FAQ

Is FUE the best method for temple hair restoration?

There is no other method like FollolicularUnit Extraction FUE. Based on its minimally invasive excision technique, FUE makes it possible to select donor hair with the best cosmetically satisfying outcome in mind. So, for the most natural-looking results, FUE is the best method.

How important is it to find a good surgeon?

Finding a good surgeon is the most important decision you can make. Think of the surgeon as a painter. The painter chooses the brush, the colors, and the picture, and makes every stroke to execute his/her painting. While acrylic paint or oil paint may alter the outcome, nothing influences the results as much as the painter.

Read Dr U’s publication on JAMA Dermatology on the use of leg hair in crafting natural looking hairlines and temples

Read Dr U’s article on the use of nape hair in temple point and hairline reconstruction in the Aesthetic Surgery Journal

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