When designing a scalp micro pigmentation hairline, it is important to consider the patient’s facial features. The ideal frontal hairline is one that compliments the facial features and suits the patient’s skin color. Having a well designed, aesthetically pleasing and natural looking hairline will enhance the facial features and overall appearance of the patient.
There are different types of hairlines and many ways to customize them. A great way to achieve a more shaved look is by adding shadowing around the frontal hairline. This helps to create the illusion of a shaved head and can be used even with short hair styles like a buzz cut or medium crew.
Another option is 3D scalp micro pigmentation, which adds a more realistic image of a full head of shaven hair to the eyebrow area. This is accomplished by using various pigment densities and placement to create a more three-dimensional appearance. This technique is best for patients with thinner brows and works by blending in darker pigment to give the appearance of a fuller brow.
For men, the most important factor in determining an aesthetic anterior hairline (AHL) is its alignment with phi (the golden ratio). It has been shown that all faces perceived as beautiful adhere to this principle. On the basis of this study, a mathematical method was developed to design an AHL on any face.
A preoperative assessment is performed to determine adequate scalp laxity, direction of hair exit and frontotemporal points. It is also helpful to assess the amount of frontal recession that will be needed to create a desirable neo-hairline.
During the procedure, a flap is created and the AHL is marked with a D’Assumpcao clamp or other flap-marking device. Galeotomies are then performed to advance the AHL by a distance proportional to the facial curvature. The AHL is then positioned superior to the forehead and a final marking is performed.
During the postoperative period, AHLs should be evaluated and the appropriate adjustments made intraoperatively if necessary. This is particularly important in the case of neo-hairlines that have been lowered significantly since initial planning.