Aesthetic Plastic Surgery

, Volume 43, Issue 3, pp 644–651 | Cite as

Secondary Revision of Female Hairline Correction Surgery: Personal Experience

  • Jae Hyun ParkEmail author
  • NaRae Kim
  • Seung Hyun You
Original Article Facial Surgery


Patients undergoing secondary female hairline correction surgery present with dissatisfaction of various causes that require specific solutions. Satisfactory results following secondary revision surgery are achieved only after consideration of the reasons for the patient’s dissatisfaction as well as specific factors regarding the state of the hairline, height and width of the forehead, and overall facial type; all of these must be considered when choosing the most suitable surgical method. In the present study, the authors used various surgical approaches according to the patient’s characteristics and presenting symptoms in the performance of secondary hairline correction surgery and evaluated the adequacy of each method using a satisfaction survey. In total, 246 patients who underwent hairline correction surgery by hair transplantation were enrolled in this study. As adjunctive procedures prior to surgery, 24 patients received triamcinolone injections every 1–2 weeks to ameliorate severe hyperfibrotic scarring, and laser hair removal was performed in part of the recipient area in 18 patients to remove old transplanted grafts that had created an awkward appearance or were unnecessary. Revision of female hairline correction surgery was performed with FUT (follicular unit transplantation) in 156 patients (63.4%), partial-shave FUE (follicular unit extraction) in 12 patients (4.9%), a combination technique (FUT + FUE) in 24 patients (9.8%), and non-shaven FUE in 54 patients (22.0%).

Level of Evidence V

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Female hairline Hairline correction surgery Revision 



We thank Angela Morben, DVM, ELS, from Edanz Group (, for editing a draft of this manuscript.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Written informed consent was obtained from the patients for publication of the case reports, photographs and any accompanying data.


  1. 1.
    Park JH (2015) Novel principles and techniques to create a natural design in female hairline correction surgery. Plast Reconstr Surg Glob Open 3:e589CrossRefGoogle Scholar
  2. 2.
    Park JH (2015) Side-hairline correction in Korean female patients. Plast Reconstr Surg Glob Open 3:e336CrossRefGoogle Scholar
  3. 3.
    Rodman R, Sturm AK (2018) Hairline restoration: difference in men and woman—length and shape. Fac Plast Surg 34:155–158. CrossRefGoogle Scholar
  4. 4.
    Shapiro R, Shapiro P (2013) Hairline design and frontal hairline restoration. Fac Plast Surg Clin North Am 21:351–362. CrossRefGoogle Scholar
  5. 5.
    Jung JH, Rah DK, Yun IS (2011) Classification of the female hairline and refined hairline correction techniques for Asian women. Dermatol Surg 37:495–500CrossRefGoogle Scholar
  6. 6.
    Park JH, Moh JS (2012) Camouflaging the posterior zygomatic arch protrusion after zygoma reduction surgery. Aesth Surg J 32:661–664CrossRefGoogle Scholar
  7. 7.
    Park JH (2016) Masking the close eye appearance in the East Asian female population: infratemporal hairline reduction with hair grafting. Aesth Plast Surg 40:921–925CrossRefGoogle Scholar
  8. 8.
    Park JH, You SH (2017) Pre-trimmed versus direct non-shaven follicular unit extraction. Plast Reconstr Surg Glob Open 5:e1261CrossRefGoogle Scholar
  9. 9.
    Song H, Tan J, Fu Q, Huang L, Ao M (2018) Comparative efficacy of intralesional triamcinolone acetonide injection during early and static stage of pathological scarring. J Cosmet Dermatol. Google Scholar
  10. 10.
    Uebel CO (2002) Refining hair restoration technique. Aesthet Surg J 22:181–183CrossRefGoogle Scholar
  11. 11.
    Tangjaturonrusamee C, Rattanaumpawan P, Asawaworarit P, Pathomvanich D (2015) A new tool to maximize donor harvesting with safer closure. Dermatol Surg 41:1038–1042. Google Scholar
  12. 12.
    Park JH (2017) Association between scalp laxity, elasticity, and glidability and donor strip scar width in hair transplantation and a new elasticity measuring method. Dermatol Surg 43:574–581CrossRefGoogle Scholar
  13. 13.
    Park HS, Kim JY, Seo KK (2015) Alternative method for creating fine hairs with hair removal laser in hair transplantation for hairline correction. Ann Dermatol 27:21–25CrossRefGoogle Scholar
  14. 14.
    Park JH, Lee SY, You SH, Kim NR (2017) Photo epilation with intense pulsed light for thinning of anterior hairline after hairline correction surgery in East Asians. Arch Plast Surg 44:157–161CrossRefGoogle Scholar
  15. 15.
    Uebel CO (2007) Correcting hairline deformities after facial rejuvenation. Aesthet Surg J 27:459–465CrossRefGoogle Scholar
  16. 16.
    Park JH, Park JM, Kim NR, Manonukul K (2017) Hair diameter evaluation in different regions of the safe donor area in Asian populations. Int J Dermatol 56:784–787CrossRefGoogle Scholar
  17. 17.
    Yun SS, Park JH, Na YC (2017) Hair diameter variation in different vertical regions of the occipital safe donor area. Arch Plast Surg 44:332–336CrossRefGoogle Scholar
  18. 18.
    Umar S (2015) Use of nape and peri-auricular hair by follicular unit extraction to create soft hairlines and temples: my experience with 128 patients. Aesthet Surg J 35:903–909. CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.Dana Plastic Surgery ClinicSeoulKorea

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