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Art in Hair Restoration

By Dr Raghu Reddy

The interaction between art and science plays a very prominent role in achieving natural and aesthetically pleasing results in hair restoration surgery. Hair restoration is considered more of an art than medicine and science.

It is essential that the surgeon and the patient understand the natural process of ageing and the way hairline changes with age. This is important in achieving an age specific and face specific hairline. In many ways hair restoration is a flawed science as we are trying to replace an area that had a lot of hair with a lot less hair. Hence it is important to strategize and make the best use of available hair.

Facial Aesthetics

Facial Aesthetics in humans is defined by the golden ratio. This number, universally recognised as ideal, is usually rounded to 1.62. It is also known generally as divine proportion, phi (Φ) in Geometry, Fibonacci numbers in India and feng shui in Asia. This ratio 1:1.62 is nature's symmetry and occurs naturally in life. Da Vinci himself used it when he drew the perfect human male body in his famous work the Virtruvian Man. The premise behind this is that the closer a face or object is to the golden number 1.62, the more beautiful it becomes. Hence a male ticking all the boxes close to the ratio, but with lack of hair can in theory be classified as unattractive.

The simplest formula to use is to measure the length of the face and divide it by the width at the widest part of your face. The closer this number is to 1.62, the more beautiful it is judged to be subconsciously.

Dr Stephen Marquartdt developed a facial mask as a measurement of classic beauty to help plastic surgeons align facial features for more symmetrical accuracy based on a series of rectangles, triangles and decagons. Lack of hair or a receding hairline can severely compromise the ratios.

In men however, we make use of the Golden ratio to define attractiveness in a different format called the Adonis Index. This index takes into account various features of the body like the width of the shoulders relative to the waist.

As a rule of thumb, we divide the face into three equal parts:

We divide the face from the forehead hairline to a spot between the eyes; from between the eyes to the bottom of the nose; and from the bottom of the nose to the bottom of the chin. If the numbers are equal, a person is considered more beautiful.

When I consult my patients, I generally tend to qualify anywhere between 15-20% for a FUE hair transplant. This is primarily due to discrepancy between donor supply and demand to get a meaningful outcome.

However, what gets me excited is when I see clients with Norwood 3-5 presenting with a great donor area and a stable hair loss pattern. Under such circumstances, we can really utilise the principles of artistry and produce aesthetically solid results.

The factors I consider whilst assessing someone for the suitability of a FUE include:

  • Age
  • Stability of hair loss
  • Ethnicity
  • Facial characteristics
  • Tightness of scalp
  • Scope for future transplants
  • Expectations
  • Family history of hair loss etc

Here are a few examples of how hair restoration has altered the facial aesthetics of some popular men from different ethnic backgrounds:

Hollywood actor Mathew McConaughey’s facial aesthetics appear to have been significantly improved following a Hair transplant.

Popular Indian actor Salman Khan is one person who would vouch for doing your best research in deciding on a hair transplant. He had a poor outcome following a FUT in 2003 and had correction work done in 2007 which has restored his receding hairline.

Another Indian actor Aamir Khan has restored his hair in a staged process and now looks exceptional at 48.

Hollywood Actor Kevin Costner’s facial aesthetics appear to have been significantly improved following an age specific hair restoration surgery.

Jamie Foxx appears to have opted for a lower hairline to improve his youthful looks.

Importance of good research

I always insist that the client does sufficient research before undergoing a hair restoration surgery. It is one surgery that if performed poorly can lead to a lot of anguish with little room for repair. We live in a world based on evidence. Hence I always insist that the client does not buy everything that is promised. If it’s too good to be true, it most likely is.

A well performed surgery can do wonders for your confidence and add a spring in your step. However, a poorly performed surgery can have disastrous consequences.

This young gentleman presented to us with one of the poorest results I’ve seen. His donor area was ravaged and we managed to extract 1500 grafts with FUE and did a correction surgery. We are awaiting the results.

Please see some FUE hair transplant results by Dr Reddy. For more photos please visit our gallery

Dr Reddy is highly sought after and has worked on celebrities in the UK and overseas. With Dr Reddy’s extensive experience and expertise, you can be assured that with you are in the safest pair of hands.

What our customers say

"A very big thank you. I am finding it hard to believe the hairline I have this morning! You and your team did a fabulous job, and a man of my age really shouldn’t be so excited.... It was also illuminating to see how well your teamed worked together, they certainly appear to be a happy, cohesive and very professional, they all treated one another with such respect. Equally importantly, they made me feel that my needs were paramount. Well done on creating that spirit. I very much look forward to seeing you again soon. By the way, it was an unexpected pleasure to see and speak with Kriste again. Please give her my best wishes. Thank you again"

Graham in UK

"Just to let you know, what a transformation I've seen in only 4 weeks, can hardly believe it. Within days I felt a lot of short spiky hair coming through , and I've actually developed a new hairline. Still some way to go but am optimistic this is exactly what I was hoping for."

Steve in UK
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