Macro and Micro Irregularities: Why Natural Hairlines Are Never Straight
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A natural hairline is not a line at all. Dr. Ken Anderson zooms in on a patient’s existing hairline to show the two layers of randomness that make it believable: macro irregularities, the larger chunks and clusters that break up the edge, and micro irregularities, the single straggler hairs that sit out ahead of everything else. In a transplant, those stragglers get friends placed all the way across. From the top view he also maps the frontal forelock, the swirl-like patch at the very front (think Charlie Brown), and shows how frontal thinning and crown loss often creep toward each other and meet in the middle, an area worth combing through for additional graft placement.
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After we’re done reconstructing the hairline, the hair needs to look like it’s always been there and not like somebody put it back and the secret to that is kind of an organic irregular frontal hairline. Have a close look here at the hairline. It’s got macro irregularities and micro irregularities. The macro irregularities are these larger chunks. Uh uh and then if you dial in really close, he’s got some little I’ll call them straggler hairs there, there, here. These are some of the micro irregularities. We’ll give those guys some friends all the way across. Let’s have a look from the top. This is a good view. I’ll just go ahead and circle what’s called the frontal forelock. That’s this area right here. Kind of like Charlie Brown. Remember Charlie Brown? He had that little swirly right in the front of his head. So, the frontal forelock is. So, if we switch back to the blue pen. Okay, so we kind of we already talked about putting the hairline where it is in the front. Uh and then I would bring it out roughly like that. The hair loss often creeps up and will kind of meet in the middle back here. So, where those two arrows are kind of uh pointing at each other in the back here, I would certainly comb through that uh and look to see if grafts could be placed in that area as well.



