Hi Dr Rassman! If I pay for lets say 1000 grafts, do I have the right to achieve 2000 hairs (placed in the front) if I only want 1-hair graft in the front? 2-hair grafts don’t look good in the front (by front i mean about 1 inch), it looks too thick. My hairdoctor and I have different thoughts about this! Your opinion?
Thanks and God Jul “Merry Christmas” as we say in sweden.
I generally put a wide transition zone of single hairs in the frontal line. I believe that the ‘line’ is not actually a line, but a zone where there is a transition from the bald forehead to the thicker hair about 1/2 to 1 inch behind. The thicker area should have two hairs each, but that is a negotiation between doctor and patient. Generally, if you make single hairs from two and three hair grafts, there is a hair death rate, as not all of the hair will survive the break-up of the follicular unit. Great skills are necessary to accomplish this with the greatest success rate possible. I realize you are not in the US, but if you do make it out to California or if any other readers come to one of our open house events, you can look closely at the hairlines we have created and I think you will see what I am talking about in person. Alternatively, you can take a look at the Patient Photo Gallery on the NHI website.
The photo you linked to (and others I’ve seen online) suggests that 
You can tell where your youthful hairline is/was by lifting your eyebrows up so that you can see your forehead wrinkle. I call this the furrowed brow, and the wrinkles you see reflect a muscle below the skin (the frontalis muscle which is present in everyone). The youthful (juvenile) hairline touches the top of the highest wrinkle of the furrowed brow and has a concave frontal shape to it. This often persist until the early teens, possibly longer. In the mature hairline (with its almost convex frontal shape (V-Shape) that extends from the temple prominences), shows a gap where there are no wrinkles and no hair present. None of what I just wrote is male pattern balding, yet many of our young readers panic when they see the rise in this hairline and they look to the Norwood Chart to identify where they are in the progression of their hair loss. It is particularly bothersome to the young men when the change occurs slowly and asymmetrically. Asymmetrical hair loss is common It’s even worse when the change produces a ‘chewed’ look. This maturing process occurs between 17 and 29 years of age and it is not uncommon to find one side go up faster than the other side. Not all men get a mature hairline (for example, former US President Bill Clinton retained his juvenile hairline — see his photo below) and retention of the juvenile hairline is more common in non-Caucasians as seen in many people from Asia and the middle eastern region.
There are actors that transcend this low hairline sexy paradigm, such as Paul Newman (see photo at right), but they developed their careers and their sexy images when their hairlines were low and they were able to establish their sexy image without fighting hairline recession. Unfortunately, our society is superficial and it is easier to project the correct first impression from the frontal look. So sexy is the childhood frontal hairline in a man with a lean face and body. It takes just a second for most people to know if a man looks sexy, and that look is always associated with a youthful childlike hairline in a young maturing body. 
