Interesting and unusual persistent frontal juvenile hairline (photo)

This is a highly unusual persistent frontal juvenile hairline with balding behind it on the left and a patient with parts of his juvenile hairline on the left.  The surgeon who saw this patient suggested that his lower remnant hairline be removed with a laser and the new hairline be placed where he drew it on the man’s head on the left.

The patient on the right, had his hairline created about 1 inch above the remnants of his juvenile hairline.  I do not agree with this strategy but you can see the grafts.  When these grafts grow out, he will have the remnants of his juvenile hairline evident. I would transplant the entire frontal hairline, retaining the juvenile hairline within my hairline design and restore his juvenile hairline.

These men had a look which has always been with a low hairline and they would most likely want to retain their original look.  Doing laser removal will not work 100% so these man will end up having a half dozen laser procedures over a year to get out maybe 95% of these frontal hairs removed and never get where they want or need to be so that would not a good decision.