Decoding facial esthetics to recreate an esthetic hairline: A method which includes forehead curvature

Abstract

Context:The evidence suggests that our perception of physical beauty is based on how closely the features of one’s face reflect phi (the golden ratio) in their proportions. By that extension, it must certainly be possible to use a mathematical parameter to design an anterior hairline in all faces.Aim:To establish a user-friendly method to design an anterior hairline in cases of male pattern alopecia.Materials and Methods:We need a flexible measuring tape and skin marker. A reference point A (glabella) is taken in between eyebrows. Mark point E, near the lateral canthus, 8 cm horizontal on either side from the central point A. A mid-frontal point (point B) is marked 8 cm from point A on the forehead in a mid-vertical plane. The frontotemporal points (C and C’) are marked on the frontotemporal area, 8 cm in a horizontal plane from point B and 8 cm in a vertical plane from point E. The temporal peak points (D and D’) are marked on the line joining the frontotemporal point C to the lateral canthus point E, slightly more than halfway toward lateral canthus, usually 5 cm from the frontotemporal point C. This line makes an anterior border of the temporal triangle.Result:We have conducted a study with 431 cases of male pattern alopecia. The average distance of the mid-frontal point from glabella was 7.9 cm. The patient satisfaction reported was 94.7%.Conclusion:Our method gives a skeletal frame of the anterior hairline with minimal criteria, with no need of visual imagination and experience of the surgeon. It automatically takes care of the curvature of the forehead and is easy to use for a novice surgeon.

Widow’s peak: a usually overlooked, yet significant morphogenetic trait

“…The hairline is considered an important aspect of beauty and youthfulness as it defines the upper third and frames the face. Loss of the hairline can contribute to poor self‐esteem, as is evident by the increasing popularity of hairline surgery as an option for correction of congenital high hairlines or hairline deformities [22, 23]. The increasing popularity of hair restoration surgery, especially in women, as evidenced in the results of the 2007 International Society of Hair Restoration Surgery Practice Census, shows the importance of the hairline in terms of beauty [18].…”

“…During the Heian era which lasted from about 792 to 1192 CE, to accentuate the feature, women would emphasize or even create a distinct and prominent widow’s peak by drawing a line around the forehead with makeup [25]. In modern culture, reported demands regarding the pattern of anterior hairline alterations vary, however, requests of anterior hairline reconstruction in order to conceal a widow’s peak have been reported [22].…”

Spitzer Haaransatz: ein oft übersehenes, aber charakteristisches morphologisches Zeichen

“…Der Verlust des Haaransatzes kann zu vermindertem Selbstwertgefühl beitragen. Dies zeigt sich an der zunehmenden Beliebtheit chirurgischer Veränderungen des Haaransatzes mit dem Ziel, einen angeborenen hohen oder einen missgebildeten Haaransatz zu korrigieren [22, 23]. Die zunehmende Beliebtheit der chirurgischen Haarwiederherstellung, insbesondere bei Frauen, wie sie im Practice Census der International Society of Hair Restoration Surgery aus dem Jahr 2007 belegt wird, zeigt die Bedeutung des Haaransatzes in Bezug auf Schönheit [18].…”

“…Heutzutage variieren die Bedürfnisse hinsichtlich des Musters von Veränderungen des vorderen Haaransatzes. Allerdings gibt es Berichte über Nachfragen zur Rekonstruktion des vorderen Haaransatzes, um einen spitzen Haaransatz zu verbergen [22].…”