{Reference Type}: Journal Article
{Title}: Management of Cowlick in Female Hairline Correction Surgery.
{Author}: Park JH;Manonukul K;Ho YH;
{Journal}: Aesthetic Plast Surg
{Volume}: 0
{Issue}: 0
{Year}: 2024 May 3
{Factor}: 2.708
{DOI}: 10.1007/s00266-024-04023-z
{Abstract}: <B>OBJECTIVE: </B>To investigate the results of two grafting methods to manage CLs in the FHL of women.<BR><B>BACKGROUND: </B>The present study was performed to investigate the results of two grafting methods to manage cowlicks (CLs) in the frontal hairline of women.<BR><B>METHODS: </B>Patients were categorized into two groups based on the grafting method: the matching with the original hair direction (MOD) group and the matching with the CL hair direction (MCD) group. Satisfaction ratings were compared between the two groups.<BR><B>RESULTS: </B>Among 80 patients, 77 had a single CL and 3 had a double CL. In the MOD group, 7 of 12 (58.3%) patients underwent a touch-up procedure for density enhancement with an average of 123 follicular units; the average patient and physician satisfaction ratings were 4.84 and 4.60, respectively. In the MCD group, 7 of 68 (10.3%) patients underwent a touch-up procedure for density enhancement around the CL; the average patient and physician satisfaction ratings were 4.64 and 4.50, respectively.<BR><B>CONCLUSIONS: </B>In female hairline correction surgery, the surgeon must choose between MOD and MCD by considering the location, shape, and pattern of the CL; the facial shape; and the patient's preference. Delicate graft placement is required to obtain natural-looking results.<BR><B>METHODS: </B>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors. www.springer.com/00266 .