Enhancing Mid-Upper Facial Contours: Hairline Transplant Solutions for East Asian Women With High and Wide Foreheads

Wei Wu ¹, Chi Liu ², Peiqi Zhang ¹

⁰Department of Plastic and Reconstructive Surgery, Ninth People's Hospital Affiliated to Medical School, Shanghai Jiaotong University, Shanghai, China.

Journal of Cosmetic Dermatology +

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August 4, 2025

View abstract on PubMed

Summary

Follicular unit extraction (FUE) effectively reshapes high foreheads in East Asian women, improving facial balance and aesthetics. This hair transplant technique offers high patient satisfaction and safety for enhanced contour and femininity.

Area Of Science

Plastic Surgery
Aesthetic Medicine
Dermatology

Background

High and wide foreheads are common in East Asian women, causing disproportionate facial features and reduced femininity.
This morphology can lead to appearance-related anxiety and affect self-confidence and social interactions.

Purpose Of The Study

To evaluate a personalized hairline design strategy using follicular unit extraction (FUE) for East Asian women.
To enhance mid-upper facial contours and improve aesthetic balance in patients with high and wide foreheads.

Main Methods

60 East Asian women with high and wide foreheads underwent FUE hair transplantation.
Personalized hairline design was based on East Asian facial proportions.
Follicular units were transplanted at a density of 50-60 FUs/cm² to reduce forehead height and width.

Main Results

Significant reduction in mid-frontal height (1.33 cm) and intertemporal width (1.47 cm).
High patient satisfaction scores for mid-upper facial contour (4.70) and hairline appearance (4.52).
Minor postoperative discomfort with no severe complications reported.

Conclusions

FUE hair transplantation is effective for improving facial proportions in East Asian women with high foreheads.
Personalized surgical design enhances forehead contour, creating a softer, more three-dimensional appearance.
The procedure demonstrates high patient satisfaction and a favorable safety profile for clinical application.

Keywords:

hairline transplant high and wide foreheads mid‐upper facial contours