A female hairline is rounded (concave) and incorporates the temple peaks within it.  This is the ideal female hairline design as seen with some of the most beautiful women in the world.  This women, clearly younger (around 30 years of age) had flattened her hairline and in the process, the hairline raised to create a huge forehead, which she felt uncomfortable with. This concave hairline is present early in childhood in all men and women, but women tend to keep it as they get older.  Some women may develop a flattened hairline (like the one shown) and some might even develop a mature type of male hairline, common in women in their forties and older. 

Men have choices on hairline design as shown in the photos below.  Hight from the highest crease in the furrowed brow is my determining factor when helping men design the hairline I intend to build.  Designing a male hairline is a back and forth activity between the patient and the surgeon.  Make sure that your hairline design is normally placed and conforms to a typical male hairline, not a female one. This concept is hard for too many young men who remember what their hairline looked like when they graduated from high school.  

Look at your donor supply as a bank account, but it has follicular units (grafts) instead of money.  Caucasians are born with 110,000 hairs or 50,000 follicular units (grafts) of which something between 10,000-12,500 that contain permanent hairs.  It is a simple calculation that if there are 50,000 grafts (follicular units which I am now interchanging in terminology) so by dividing 110,000 hairs by 50,000 grafts, you get roughly 2.2 hairs/graft which is the average number of hairs/graft in the entire head.  Only the permanent grafts are the 10,000-12,500 grafts around the back and side of the head, a 3 inch high zone that we can harvest and move these grafts to other parts of the scalp where hair is either missing or thinning.  As these grafts contain a different genetic code, they are programmed in most men, to last the lifetime of the man. If you are Asian or African, your total number of birth hairs are less than Caucasians but the total number of grafts remain the same.

So if we harvest (remove) grafts from the permanent zone (the donor area), then this bank of hair gets reduced by the number of grafts that are removed.  For a person with medium weight hair, the surgeon may be able to remove up to 60% of these grafts without significantly impacting the hair coverage of the donor area.   In fine haired men, the number of grafts that can be removed will be significantly less than 60^ of the total donor supply, while in coarse haired men, the total number of grafts that can be removed, will be greater than 60%.  Everyone who has grafts removed from Follicular Unit Excision (FUE) run a real risk of donor site depletion that is proportional to the number of grafts removed.  If a surgeon removes 8,000 grafts in a person with medium weight hair, the donor area could be depleted enough that it becomes very thin, patchy and even see-through.  Each patient needs to have a discussion with their surgeon about where they stand with regard to complications of over-harvesting the donor area.  Every patient should expect to have no surprises, so developing balding in the donor area from FUE is a risk that every patient takes when they undergo an FUE hair transplant surgery.

I’ve had a bald spot on the side of my head for like 10 years and I’m only 16. How can I grow hair here? Please help

You have an inherited condition called Triangular Alopecia. A small hair transplant procedure will solve this permanently. Some people have it on both sides.  

New hairs induced by minoxidil will grow to their normal length provided that you stay on the minoxidil

I’m hoping that this is photoshopped.  I wanted to make a comment, but the post was closed to comments.  One comment stood out from earlier today which said “Stop mocking this poor dude, this how you bully a person into suicide”.  

Day 11 post op, the hairline seems to be lower this morning. Is that normal? from tressless

At the 12th day, leave a suds up shampoo on your hair for 10 minutes getting the crusts water logged, and then gently with your fingertips, rub them off.

 

I have been on topical minoxidil for about 6 months, switched to Oral about a month ago and I am shedding right now. I am honestly surprised as I thought that the shed that occurred when I started topical would mean that I won’t shed now.

The shedding is a sign that the oral is working much better than the topical. About 40% of men respond to topical minoxidil but better than 90% respond to the oral so what you are seeing is a vigorous response to the oral minoxidil.