The aesthetics of follicular transplantation

Dermatol Surg. 1997 Sep;23(9):785-99. doi: 10.1111/j.1524-4725.1997.tb00419.x.


Background: Follicular transplantation is a method of hair restoration surgery that uses hair in its naturally occurring groups, called follicular units. Using the follicular unit exclusively in the transplant, the surgeon can create hair patterns that closely mimic nature.

Objective: To focus on various aesthetic aspects of the follicular transplantation procedure including hair distribution, hairline design, and crown restoration. Racial variations that affect the transplant will also be examined.

Methods: Follicular transplantation is performed according to techniques detailed in a previous publication (Bernstein et al. Int J Aesthet Rest Surg 1995; 3: 119-32).

Results: Excellent cosmetic results can be achieved when aesthetic decisions are made that allow the surgeon to recreate hair patterns already provided by nature. A case study will be presented.

Conclusions: The small size of follicular implants enables the surgeon great versatility in their placement. Follicular transplantation will ensure a natural looking transplant if used with good aesthetic judgment and careful planning.

MeSH terms

  • Adult
  • Alopecia / classification
  • Alopecia / surgery*
  • Esthetics
  • Hair / transplantation*
  • Hair Follicle / transplantation*
  • Humans
  • Male
  • Surgery, Plastic / methods