Facial Hair Transplantation

Objective: To present the case of an 18-year-old boy with a cleft lip scar and an obligatory need for facial hair who underwent single–follicular-unit graft hair transplantation that resulted in significant moustache hair restoration in a single procedure. Setting: The surgery was performed in an outpatient private practice setting using oral sedation and local anesthesia. Results: Advances in instrumentation technology and an increased understanding of the anatomical clustering of hair follicles into so-called “follicular units” containing one to six hairs per unit has resulted in a rapid expansion of hair restoration surgery into new areas including female–pattern alopecia, scarring alopecias, and cosmetic surgery scars. These new techniques can be employed to create natural-looking hair lines in front of artificial hair replacement systems; to improve unnatural looking, old “large-plug” hair transplants; and to correct discontinuity of eyebrows and hairlines in patients with congenital facial clefts. Increased awareness is needed to incorporate follicular-unit graft hair transplant surgery into the family of corrective surgery subspecialties.

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What’s New in Facial Hair Transplantation?

Facial Plastic Surgery Clinics of North America ◽

10.1016/j.fsc.2019.04.003 ◽

2019 ◽

Vol 27 (3) ◽

pp. 379-384

Author(s):

Anthony Bared

Keyword(s):

Hair Transplantation ◽

Facial Hair

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The Role of Hair Transplantation for Managing Facial Trauma

Facial Plastic Surgery ◽

10.1055/s-0037-1608782 ◽

2017 ◽

Vol 33 (06) ◽

pp. 613-620

Author(s):

Gorana Kuka ◽

Jeffrey Epstein

Keyword(s):

Platelet Rich Plasma ◽

Treatment Modalities ◽

Site Formation ◽

Facial Trauma ◽

Hair Transplantation ◽

Recipient Site ◽

Facial Hair ◽

Case Examples ◽

Multiple Treatment ◽

Follicular Unit

AbstractOftentimes, multiple treatment modalities are indicated for the management of trauma to the face. When this trauma involves a hair-bearing area, such as the eyebrow, eyelid, or beard region, hair transplantation can be an effective modality. While most of these facial hair transplants are performed for elective cosmetic indications, advanced techniques of hair transplantation can assure aesthetic outcomes in the optimizing of appearance after trauma. Because hair regrowth requires a good recipient bed, adjuvant therapies to promote vascularization, such as fat transfer and platelet-rich plasma, can be applied in conjunction with hair transplantation. The authors review the indications and the essential techniques of graft harvesting by follicular unit extraction and follicular unit grafting, and recipient site formation and graft planting and management, and present different case examples illustrating these technique.

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Facial Hair Transplantation for Transgender Patients: A Literature Review and Guidelines for Practice

Aesthetic Surgery Journal ◽

10.1093/asj/sjaa430 ◽

2021 ◽

Vol 41 (3) ◽

pp. NP42-NP51 ◽

Cited By ~ 1

Author(s):

Viren Patel ◽

Ian T Nolan ◽

Elizabeth Card ◽

Shane D Morrison ◽

Anthony Bared

Keyword(s):

Best Practices ◽

Effective Means ◽

Population Data ◽

Hair Transplantation ◽

Level Of Evidence ◽

Facial Hair ◽

Patient Demographics ◽

Hair Transplant ◽

Follicular Unit Extraction ◽

Grafting Procedure

Abstract Background Facial hair transplantation has become an increasingly popular modality to create a more masculine appearance for transmasculine patients. Objectives This aim of this study was to review the current literature regarding facial hair transplantation and provide recommendations and best practices for transgender patients. Methods A comprehensive literature search of the PubMed, MEDLINE, and Embase databases was conducted for studies published through April 2020 for publications discussing facial hair transplant in transmasculine patients, in addition to the nontransgender population. Data extracted include patient demographics, techniques, outcomes, complications, and patient satisfaction. Results We identified 2 articles discussing facial hair transplantation in transmasculine patients. Due to the paucity of publications describing facial hair transplantation in transmasculine patients, data regarding facial hair transplant from the cisgender population were utilized to augment our review and recommendations. Conclusions Facial hair transplant is a safe and effective means of promoting a masculine appearance for transgender patients. Nevertheless, facial hair transplantation should be deferred until at least 1 year after the initiation of testosterone therapy to allow surgeons to more accurately identify regions that would benefit the most from transplantation. Additionally, providers should engage patients in discussions about any plans to undergo facial masculinization surgery because this can alter the position of transplanted hairs. Currently, follicular unit extraction from the occipital scalp is the preferred technique, with use of the temporal scalp if additional grafts are needed. Patients should be advised that a secondary grafting procedure may be needed a year after initial transplant to achieve desired density. Level of Evidence: 4

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