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Published online by Cambridge University Press: 08 January 2010
INTRODUCTION
The design of the hairline is the heart of hair restoration surgery. No other part of the procedure will have as much impact on the patient's appearance, and it is the template on which present and future surgery is patterned. The hairline design requires an understanding of both intact and balding patterns in order to create a successful plan. Many factors must be considered, including age and donor supply. The importance of a good hairline design cannot be overemphasized, as improper design is one of the major reasons for poor outcomes and for the need of repair work.
Recession of the frontal hairline removes the framework of the face, often leading to a loss of self-confidence and esteem. Therefore, the goal of frontal hairline restoration is to reframe the face.
GENERAL APPROACH
The success of frontal hairline restoration depends on the creation of a cosmetically pleasing design that takes into consideration the patient's desires, donor supply, donor hair quality, and expected future balding. With good judgment and foresight, a proper design should remain beneficial and natural for a lifetime time.
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