Author(s)
Haley Bracy, BS
William H Lindsey, MD, FACS
Affiliation(s)
Alabama College of Osteopathic Medicine, Dothan, AL (Bracy); Private Practice, McLean, VA (Lindsey)
Abstract:
Background: Hairline position and shape have a large impact on the visual recognition of gender. Both the lowering of high hairlines, and changing the shape of the hairline can result in a significant feminizing of the overall appearance at conversational distance.
Learning Objectives: At the end of this presentation, the audience should understand the options available for hairline feminization, and the advantages and disadvantages of these approaches.
Study objectives: To show that hairline feminization can be consistently done with facial plastic surgical techniques tailored to the patient's needs.
Design Type: Retrospective chart review
Method: 10 patients who had presented for facial feminization with at least 15 months followup pictures were reviewed. Hairline lowering amount, by direct hairline advancement was noted, and photography to show hairline feminization was reviewed.
Results: All 10 patients had successful feminization results both objectively in photograph analysis, and subjectively, in video interviews. The average hairline advancement at the midpupillary line was 1.9cm immediately post op, and at a 3 month measurement, averaged 1.75cm. FUT graft counts ranged from 1800 to 2800 grafts. At least 6 months passed after hairline advancement before hair transplant was performed.
Conclusion: Feminization of the hairline requires an approach customized to each patient's needs and hair characteristics.