Hairline Design: How Is It Drawn to Look Natural?

Hairline design is essential for hair transplant results to appear natural. The intricacies involved in the design process can determine the overall success of the surgery. While it may sound easy and simple enough, many patients worry about it for the right reasons. Because if done poorly, you may be stuck with that hairline permanently. That’s why it’s better to have an understanding of how the surgeon draws the hairline to make it look natural. 

Why Hairline Design Is Important?

For many people, their hairline is the most problematic area. In pattern baldness, it continues to recede, forming bald patches around the temples and then diminishing altogether. In traction alopecia, the hairline commonly gets affected. It’s the hairline that’s at the front and centre, so it draws quite a lot of attention towards it if it’s balding or has any bald spots in it. 

A hair transplant intends to restore it to its original shape and density. That’s why a hairline design is so important. Your results may appear very unnatural if the design of the hairline is “wrong.” Also, if you do not have enough donor area, it might not be possible for you to make any changes to it in the future. So, you can be stuck with it permanently. That’s why doing it right the first time is important. There are different factors that affect that. 

How Is A Hair Transplant Hairline Design Made?

Before heading for the surgery, the surgeon will draw your hairline using a marker. Keep in mind that there’s no fixed formula for a hairline design. It can vary between patients. Usually, the following is taken into consideration: 

Face Shape – The shape of your face can affect your hairline. It is possible for you to have a high, low, straight, or curved hairline. It is important to note that there can be differences between genders and ethnicities. 

Forehead Structure – When drawing the hairline, the surgeon takes note of the different sizes and proportions of the forehead. Normally, a distance of 5-8 cm is kept between the eyebrows (measured from above) and the hairline. If you have a very large forehead and want to decrease its size, you can make the request to your surgeon. 

Natural Hairline Pattern – Your surgeon will try to mimic the natural hairline pattern if possible. For someone who has a curvy hairline, a straight one can look quite unnatural. This is easier to do in females who rarely lose their hairline. However, in males, who can end up losing their hairline entirely, the surgeon takes other factors into consideration to make the natural hairline pattern. 

Facial Muscles – To mark the spot where the new hairline will begin, some surgeons ask patients to fully raise their eyebrows. The hairline is then drawn at a higher level than the facial muscles.

Age Since the skin laxity of the patient can change with age, it is also taken into consideration. Also, the age of the patient matters in regards to pattern baldness. If it sets in at an earlier age, it is likely to undergo a recession over the years. So, the hairline design requirements of a younger patient can be different from when they’re older. 

Will You Have a Say in Your Final Hairline Design?

After the surgeon draws the hairline, the patient looks at it using a mirror. You may be asked to look at it from an eye level so that you can see how it will look. You should also look at it from the sides. If you want, you can ask the doctor to make changes. 

It is possible that you find it uneven. To avoid this from happening, the surgeon measures the distance of the hairline from both the eyebrows. However, it can still result in some an error in the hairline design in hair transplant. Here, you can share your concerns with the doctor and ask for alterations in the final design. 

As a result of the blood and the surgeon wiping it off, the marker with which the hairline design is made can come off during surgery. However, the surgeon redraws the hairline before making the incisions in the balding areas. Here too, you will be asked to make a final check. 


A hairline design in hair transplant is very important for the results to be natural-looking. Before and while designing it, there are different factors that the surgeon takes into consideration. Keep in mind that hairline design for men may be different from hairline design for women due to differences in face shape, forehead structure, natural hairline pattern, etc. The patient’s ethnicity can also play a role in the final design. 

If you find any problem with it, you should communicate it with your surgeon before the procedure. You should also check it from different angles to see if you find it satisfactory. Only then should you proceed with the surgery itself. 

Reviewed and Approved by Trichologist Yaprak Yazan

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