Do doctors tend to avoid transplanting hairs in the temporal peaks? (Photos)

Dear Jacob_93,
Thank you for posting this question. You’re quite observant. It’s true: overly low or full temporal recessions (where the hairline meets ends on each side of the hairline) are a common sign of a hair transplant procedure. Why is this? Because it’s a subtle aspect of the artistry of hair restoration, and many doctors who are less experienced are not aware of many of the hundreds of the aesthetic decision making that goes into hair transplant surgery. The truth is that many patients will ask for *more* hair in these areas, and to make their patients happy, the less-experienced hair transplant surgeon will oblige, and “fill up the corners” as my patients often say. It’s intuitive that hair in the corners looks more youthful. However, it’s important to remember that not everyone can pull off that look. Full corners are more suitable for more round faces, African American faces, and some other cultures where the hairline is naturally rather straight across. You appear to be a Caucasian man, and you would look definitely odd with temporal recessions that were aggressively filled in. It’s a sign of having been “done” in this industry. As the old adage goes, “the good thing about the results of a hair transplant surgery is that they are permanent; the bad thing is that they are permanent.” As men of Caucasian descent tend to have oval faces, being conservative in the temporal recessions is key. Many Caucasian men *start* to lose hair in this very area. If it is overly-done, and too aggressive, then as more hair loss occurs in the future, it can look incongruous. You’re only 32. You could develop crown loss at age 40. Then by 45 you might have a tennis-ball sized spot in the crown. Achieving 100% total crown coverage with hair restoration surgery is difficult, and occasionally impossible due to intrinsic factors of the patient (eg: hair shaft diameters, hair color vs scalp color, etc.) So, suppose you’re going to have a surgery to cover the bald spot when you’re 45...so you will have some coverage, but it will be evident that there’s a light area and you have some hair loss in the crown. However, if your temporal recessions have been 100% corrected, and there’s no loss there, that usually looks unusual in a Caucasian man. So, it’s often best to tread lightly in the temporal recessions as the newly constructed hairline must literally be timeless in nature. It has to look natural when you’re 32, and when you’re 82. I hope this information is helpful to you.
Kind Regards,
Ken Anderson, MD, FISHRS

The overall success of a hair transplant surgery depends on: (1) artistic and technical skill of your doctor and team (2) communication between you and your doctor to establish a realistic goal.Your doctor's technical skill will contribute to how natural your results are. It is important for you to explain your goals and expectations.

Temporal transplantation can be performed. Care must be taken to avoid creating an unnatural, age inappropriate hairline. The temporal hairs must also lay fairly flat to help match the natural hair pattern.

Good question.  Certainly, the temporal area can be transplanted.  However, the hairline should remain age appropriate.  Also, if the temporal area is grafted, one must be sure to blend properly to combat potential future thinning.  In addition, often the orientation of the grafts are more acutely angles here.  Orientation should be respected.  In other words, make sure you go to someone who can create a natural, long lasting result.  

Thank you for your question. The temporal area can be trickier but isnt generally avoided. It does depend on the hair growth pattern and the current state of the scalp; where the hair loss is prevalent and the overall current density. With your hair transplant, it might well be that 1800 hairs was sufficient for what was carried out but for further coverage more hair would be needed.The temporal areas can look obvious but if they are placed with enough density and in the correct direction for growth, then the result can be quite goodI hope this is helpful for youBWRohit SethPlastic, reconstructive, aesthetic and hair transplant surgery

Temple point restoration is commonly performed but the decision to place grafts in the temples depends on the where the frontal hairline location is set on the morning of surgery. If your hairline is drawn rather low on the day of surgery then it would look natural to transplant some grafts in the temples as well (assuming you have enough grafts to do so). If your hairline is drawn on the higher side, then a temple restoration would not look natural and should be avoided. I recommend a consultation with a hair transplant expert to determine if a temple restoration would look natural with your current hairline. If so, then this could easily be performed, assuming you have a sufficient supply of donor hair.

There are a number of considerations when determining when to transplant the temples-  one being the risk of future hair loss.  This area tends to be a bit more challenging to achieve a natural appearing result, and I typically will rely on primarily single hair grafts for this area.

I often transplant the temple peaks with they are eroded from the balding process. The key to good transplants in the temple peaks is to use single hair grafts and to place them flat in the correct direction