What is a Mature Hairline by Dr. Manish Mittal

What is a Mature Hairline

Dr. Manish Mittal's quick guide to the importance of designing a natural hairline for hair restoration.

Have you looked at someone’s face and instantly known whether someone is attractive or not. It takes less than one second. This is because our brain scans the face for desirable features and proportions. Leonardo Da Vinci described proportions of the face as 3 distinct areas as can be seen in the image. Interestingly although Da Vinci described the hairline to the glabella as 1/3 of the face, it isn’t necessarily the hairline but how low you wear your hair on your forehead. If the hair is pushed back then the hairline right at the front of the forehead will appear higher, but the key is to ensure the proportions of the face are best maintained at 1/3 for each segment.

What is a Mature Hairline Surgery Group

As we get older our hairline naturally gets pushed back by 1-2 cms. This is not male pattern baldness but a natural process, this is what is referred to as a matured hairline. On average this hairline will be approximately 8 cm from the glabella region ( this is the area between the eyebrow). The average face from hairline to chin is approximately 21cm, so the average proportion for each section of the face is 7cm. This is why as we get older and the hairline matures it can make a difference to one’s overall face shape. Unfortunately, if the hairline is moving more than 1-2 cm from the origin than this is likely to be more in keeping with patterned hair loss, more common in males.

When we design a hairline for our patients we take a great deal of time considering the face shape, the age of the patient, account for future hair loss, and most importantly what our patient in-front of us wants.

Let’s take each one of the above facets:

Face shape; square face/ round face/ long face. Let’s take the widow’s peak for example. Some men prefer this look and will suit their face. They may have had this hairline when they were younger or that their face is one that appears elongated. This is because it gives the appearance of a slightly lower hairline and brings the face back into proportion. 

What is a Mature Hairline Surgery Group

Have a look at Chris Hemsworth. A straight elongated face suits the widow’s peak, had it have been in line with the rest of hair pushed back, his forehead would have looked a lot bigger in terms of proportions to the rest of his face. On the other hand, feminine hairlines are considered to be lower.

Age; If the patient is relatively young i.e. in their 20’s with ongoing hair loss, we can not place the hairline to forward. This is because patients with ongoing hair loss will lose more behind the new hairline created, and give a poor cosmetic result. So with this in mind, it is more appropriate to position the hairline in restoration slightly higher if possible.

Patient expectations; with all hairline designs it is important to take into consideration what the person in front of you wants. They have an image of what perfect is for them and we work with that image. However it is important we give honest feedback about what is possible, and where the patient’s expectations are unrealistic, we either aim to educate further or with regret not perform a procedure on the patient.

Hope you’ve enjoyed reading the above. It is a short whistle-stop tour on hairlines.

What is a Mature Hairline Surgery Group

Dr. Manish Mittal – Hair Transplant Surgeon

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What is a Mature Hairline Surgery Group
Working with COVID-protected facilities

Working Safely

  • Routinely asking patients for relevant COVID-19 history of their own health and people they are in contact with. It is important that patients provide accurate information.
  • Following social distancing guidelines by limiting the contact of patients with one another whether in consultation or in a procedure and will arrange waiting room seating accordingly.
  • Using suitable equipment/PPE (Personal Protective Equipment) as recommended by the Centre for Disease Control (CDC) or another equivalent governmental agency.
  • Routinely using relevant health histories and daily temperature monitoring of all clinic staff and patients as part of their strategy to prevent contagion. Additionally, and where available, follows all government guidelines on use of testing to monitor staff.
  • In addition to using proper PPE, each clinic uses appropriate cleansing, disinfecting and sterilization procedures throughout the office/clinic. Also, uses proper waste disposal methods for any materials that could be contaminated.
  • Advising patients of handwashing protocols in the office/clinic and how to change gloves, gown and masks.
  • Assuring the public that the staff have received additional training with regards to proper COVID-19 infection control methods
  • And perhaps most importantly, the surgeon you have chosen is the one performing the surgical steps of your procedure, rather than delegating it to unlicensed technicians.


Clinic Advice

Regarding COVID19, we are working with selected COVID-protected facilities who have now reopened. These clinics have started a phased return model for a new normal with various safety measures in place including a limited number of procedures, reduced footfall through the clinic and enhanced PPE for staff. On the day, you will be asked to complete a COVID questionnaire and have your temperature taken on entry, as well as being asked to wash your hands. You will be asked to wear a face mask so that theoretically you are protected and you protect staff members in case anyone happens to be positive whilst asymptomatic.

Surgery Group have adopted guidelines from the International Society of Hair Restoration Surgery for use in all clinics taking into account UK law and each clinic has completed a COVID19 risk assessment of the patient journey through the clinic and taken steps to minimise risk, and we hope that by doing so, the risk of contracting coronavirus is significantly less than your weekly supermarket shop, however, it is not possible to guarantee that the risk of catching it is zero, such as in the nature of the virus.

To be clear, the government’s advice for the time being remains to stay at home unless you need to leave the house for one of 4 reasons including “any medical need” –

Corona Virus Government Advice

Without specific national guidance on hair transplant clinics, we deem it safe to offer the service in a limited capacity with the measures we have taken, but it is up to you to decide if leaving the house to attend a hair transplant clinic constitutes a “medical need”.