When we speak of the “temples,” we are referring to the vertical front wall of the hair that is above and to the front of the ears, usually featuring some degree of “temporal point” on each side.
Many of the men we transplant who suffer from male pattern baldness also have an erosion and thinning of this front temple hair. Obtaining a natural final result is only partially met by filling in the top of the head, as there isn’t any hair “holding up” the frontal projection of hair on top.
In recent years, we have become quite artistic in re-creating these temple areas with the dense-packing of tiny lateral slit grafts. Approximately half of our patients over 35 years of age have the temples also filled in. Examples of this surgery are seen on this page and in our temple photo gallery. It generally takes around 300-500 extra FU grafts to include the temples in the overall hair transplant plan for a single session.
Temples – Transplanting Them
In the past several years, it has been become much more common for us to include the filling in of the side temple or temporal area scalp hair, in addition to filling in the top of the scalp.
The chief benefits to adding this to a man’s transplant plan are the following: building up the temple hair better frames the face and serves to “hold up” the hair projecting out in front. If the temple hair under the frontal hair is weak and stringy in appearance, it will appear unnatural and sometimes even give the impression the frontal hair may be a hairpiece. Also, since many men have their hair turn gray or white in the temple region, transplanting this region just naturally darkens the hair there and makes it more youthful, since most of the donor hair comes from the back of the head, where the hairs are darker. This will be noted in a couple of the examples that follow.
Not all patients are good candidates for this. In general, it is desirable that the patient be over 35, have relatively straight, “non-kinky” hair, and a plentiful supply of donor hair. In most “forelock” projects, there is by definition usually not enough donor hair to add this task to that of framing the face on top. We include transplanting the temples for approximately 30% of the male patients who come to us, and in almost 90% of the females. It usually only has to be performed twice for most patients, each time involving placing around 100-160 FU’s on each side per session. Several examples are shown on this page.