Defining Temporal Hairline Landmarks

Nagarkar, Purushottam; Cheng, Jonathan

doi:10.1097/prs.0000000000003322

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…8,9 However, the temporal hairline which is also important for hairline design has not been well described. 10 Moreover, normative data of the infratemporal portion of the forehead and other common female hairline findings, including widow's peak, cowlick, and lateral mound, remain inconclusive in Asians.…”

Section: Introductionmentioning

confidence: 99%

Characterization and classification of different female hairline patterns in the Thai population

Natpracha

Sukanjanapong

Chanprapaph

et al. 2020

J of Cosmetic Dermatology

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Background: The hairline is an essential component of the human face. Disfigurement of the hairline may cause physical and psychological problems. Standard guidelines do not exist for female hairline designs, average values of infratemporal portion, hairline classifications, and preferences. Aims: We aimed to study hairline characteristics in Thai females and further compare the values with previous studies in different populations. Furthermore, we aimed to introduce a comprehensive hairline classification system that allowed an easy and detailed phenotypic characterization of female hairline. Patients/Methods: Healthy Thai females aged over 18 years were included in the study. Collection of demographic data, infratemporal measurements, and standard photography was performed. All collected data were analyzed to determine the standard values of each hairline dimension for comparison to previous studies. Results: Two hundred and twenty-nine females, with a mean age of 32.4 ± 8.6 years, participated in this study. The mean mid-frontal line was 6.45 ± 0.89 cm, which was not correlated with age. Lateral mounds, widow's peaks, and cowlicks were observed in 42.35%, 24.45%, and 1.74% participants, respectively. Our study revealed five patterns of the frontal hairline and four patterns of the temporal hairline. The mid-frontal line in Asian females trended longer than that in Caucasians, without statistical significance. Conclusions: Measurements of the infratemporal portions in Thai females revealed no change with age, and the mid-frontal line showed no statistically significant differences between Korean and Turkish participants. The hairline classification system introduced in our study was comprehensive and would be easily applicable in clinical practice. Female hairline dimensions and patterns reported in our study could provide reference values for hairline design in hairline restoration surgery as well as assist in accurate diagnosis of hair disorders.

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Section: Introductionmentioning

confidence: 99%

Characterization and classification of different female hairline patterns in the Thai population

Natpracha

Sukanjanapong

Chanprapaph

et al. 2020

J of Cosmetic Dermatology

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A Simple Clinical Application for Locating the Frontotemporal Branch of the Facial Nerve Using the Zygomatic Arch and the Tragus

Sanderson

Conti

Colussi

et al. 2019

Aesthetic Surgery Journal

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Background The seventh cranial nerve (CN VII), also known as the facial nerve, is an anatomically intricate structure the branches of which serve several physiologic functions. CN VII innervates the muscles of facial expression which are crucial for eye protection, oral competence, and social interaction. The temporal branch, clinically referred to as the frontotemporal branch (FTB), is the most superior of the 5 branches and is at risk during cutaneous surgery of the parotid gland and in the temporal region. Several methods for delineating the FTB trajectory exist, the most widely known being Pitanguy’s Line, which is defined as running from 0.5 cm below the tragus to 1.5 cm above the lateral eyebrow. However, variations in eyebrow location, often affected by modern-day cosmetic trends, complicate the accuracy of this approach. Objectives The aim of this study was to develop a surgical landmark to identify FTB location without relying on soft tissue structures. Methods To minimize variation, we chose landmarks that were both consistent and easy to locate based on simple surface anatomy. Twenty-one cadaver hemifaces were dissected in order to locate the FTB in relation to the inferior border of the zygomatic arch and the apex of the tragus. Results We found that the mean ± SEM distance from the apex of the tragus to the point where the FTB crossed the inferior border of the zygomatic arch was 3.21 ± 0.05 cm. Conclusions Through the use of this measurement, we aim to avoid the pitfalls of previous techniques by providing a widely applicable clinical tool based on landmarks easily found on any patient. Level of Evidence: 4

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Defining Temporal Hairline Landmarks

Cited by 2 publications

References 8 publications

Characterization and classification of different female hairline patterns in the Thai population

Characterization and classification of different female hairline patterns in the Thai population

A Simple Clinical Application for Locating the Frontotemporal Branch of the Facial Nerve Using the Zygomatic Arch and the Tragus

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