{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T17:05:20Z","timestamp":1773335120872,"version":"3.50.1"},"reference-count":6,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Hairline reconstruction in men with androgenetic alopecia is one of the most frequently requested and technically challenging procedures. Patients are often dissatisfied with designs that are too aggressive, straight, or rounded and may seek corrective surgery, which requires specialized planning and execution. We describe our approach using follicular unit excision to repair unsatisfactory hairline designs. A retrospective, multicenter observational study was conducted. A total of 20 men with a median age of 37.5\u202fyears who underwent follicular unit excision (FUE) repair of unnatural hairlines were included in the study. A serrated punch was used in 68.4% of cases, with a median size of 0.8\u202fmm, and a single rotation movement of the extraction device was used in 70% of cases. The rates of total and partial transection were high. Approximately four out of five patients showed no visible scarring or pigmentary alteration at 6\u201312\u202fmonths, and only 28% required a second corrective procedure. Patient-reported outcomes were highly favorable, with 95% expressing satisfaction or high satisfaction. FUE is a valuable and versatile technique for correcting poorly designed or excessively low hairlines. These results not only demonstrate the technical difficulty of these cases but also highlight that the majority of them can be successfully corrected with a single intervention. Corrective FUE is a practical and effective option for repairing an inappropriate hairline design when performed with meticulous attention to technical nuance.<\/jats:p>","DOI":"10.3389\/fmed.2026.1735251","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T05:27:19Z","timestamp":1773293239000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["FUE for the repair of unnaturally designed or low hairlines in men with androgenetic alopecia: a retrospective, multicenter observational study"],"prefix":"10.3389","volume":"13","author":[{"given":"A.","family":"G\u00f3mez-Zubiaur","sequence":"first","affiliation":[{"name":"Trichology Unit, Ricart Medical Institute","place":["Madrid, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. M.","family":"Mir-Bonaf\u00e9","sequence":"additional","affiliation":[{"name":"TricologiaMir\u2014Hair Transplant Unit","place":["Palma de Mallorca, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.","family":"Mu\u00f1oz Moreno-Arrones","sequence":"additional","affiliation":[{"name":"Capilderm","place":["Madrid, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Burgos","sequence":"additional","affiliation":[{"name":"Dr. Antonio Burgos Clinic","place":["M\u00e1laga, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"de Hoyos","sequence":"additional","affiliation":[{"name":"CETA Clinic","place":["Madrid, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Va\u00f1\u00f3-Galv\u00e1n","sequence":"additional","affiliation":[{"name":"Hair Disorders Unit, Grupo Pedro Ja\u00e9n","place":["Madrid, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Mart\u00edn-Carrasco","sequence":"additional","affiliation":[{"name":"Trichology Unit, Dermavit Salud","place":["Sevilla, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Mir-Bonaf\u00e9","sequence":"additional","affiliation":[{"name":"TricologiaMir\u2014Hair Transplant Unit","place":["Palma de Mallorca, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Saceda-Corralo","sequence":"additional","affiliation":[{"name":"Hair Disorders Unit, Grupo Pedro Ja\u00e9n","place":["Madrid, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. M.","family":"Ricart-Vay\u00e1","sequence":"additional","affiliation":[{"name":"Trichology Unit, Ricart Medical Institute","place":["Madrid, Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1016\/j.fsc.2013.06.001","article-title":"Hairline design and frontal hairline restoration","volume":"21","author":"Shapiro","year":"2013","journal-title":"Facial Plast Surg Clin North Am"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"4745","DOI":"10.1007\/s00266-025-05018-0","article-title":"The allures and the alarms of the hair transplant tourism industry","volume":"49","author":"Haider","year":"2025","journal-title":"Aesth Plast Surg"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e843","DOI":"10.1097\/SCS.0000000000011231","article-title":"Natural asymmetry in hair growth direction: implications for hairline design in male patients","volume":"36","author":"Kim","year":"2025","journal-title":"J Craniofac Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"184e","DOI":"10.1097\/PRS.0000000000012311","article-title":"Factors influencing patient satisfaction in frontal hairline correction with hair transplantation: a multicenter retrospective study","volume":"157","author":"Fu","year":"2025","journal-title":"Plast Reconstr Surg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"4202","DOI":"10.1111\/jocd.16537","article-title":"The condition of hair follicles produced by different punching methods during FUE surgery","volume":"23","author":"Kim","year":"2024","journal-title":"J Cosmet Dermatol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"21","DOI":"10.5021\/ad.2015.27.1.21","article-title":"Alternative method for creating fine hairs with hair removal laser in hair transplantation for hairline correction","volume":"27","author":"Ark","year":"2015","journal-title":"Ann Dermatol"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1735251\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T05:27:20Z","timestamp":1773293240000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1735251\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,12]]},"references-count":6,"alternative-id":["10.3389\/fmed.2026.1735251"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1735251","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,12]]},"article-number":"1735251"}}