• Archives of Plastic Surgery
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• v.37 no.3
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• pp.271-276
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• 2010

Purpose: The purpose is to present an useful and simple surgical method to improve the aging of upper third face in patients with high frontal hairline as well as low frontal hairline. Methods: Forty eight female patients were treated with subcutaneous forehead lift using an anterior hairline incision over 14 years. This surgical technique is performed under direct vision utilizing a beveled incision made 4 to 5 mm into the anterior hairline with subcutaneous dissection, which is continued near to eyebrow, sometimes extended to supraorbital rim to remove corrugator and procerus muscles. In patients with high frontal hairline, excess forehead skin anterior to incision line is removed. On the contrary in the patients with low frontal hairline, scalp posterior to incision line is removed. Results: This technique provided constant and good results with the forty six patients, who were satisfied with eyebrow elevation and removal of wrinkles in forehead and glabellar region. However two patients were undercorrected, and focal alopecia developed in another two patients. One patient complained of pruritus over one year, but subsided spontaneously without any treatment. Temporary paresthesia developed in the forehead and frontal scalp of all cases after operation but permanent sensory loss never occurred in all the patients. Conclusion: Subcutaneous forehead lift using an anterior hairline incision is suggested to be one of the effective surgical methods to improve the aging of upper third face in the patients with high frontal hairline as well as low frontal hairline.

• Archives of Plastic Surgery
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• v.44 no.2
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• pp.157-161
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• 2017

Background Thin hairs are critical to achieve natural result in female hairline correction surgery. However, there are few studies on the usefulness of hair thinning by intense pulsed light (IPL) after hairline correction surgery in East Asian females. Methods Hair thinning using IPL was performed in 54 women who had complained about thick hairs along the frontal hairline after hairline correction surgery. Patient mean age was 31.2 years old and patients were an average of 2.1 years post-hairline correction surgery. Initial treatment used 10 J, while second and third sessions were conducted with 10 to 15 J according to responsiveness to treatment. Results Mean thickness of individual hairs assessed before the procedure was $78.86{\mu}m$. The mean number of procedures was 1.6 per patient. Forty of 54 subjects (74%) achieved satisfactory hair thinning with only one procedure from 78.01 to $66.14{\mu}m$ after treatment. The measured thickness was $66.43{\mu}m$ at the end of the first year in patients who were satisfied after one procedure. Thirteen cases achieved satisfactory hair thinning after two sessions. Mean thickness was $74.44{\mu}m$ and $67.51{\mu}m$, before and after the second session. One case required a third session with 15J, thinning from 89.00 to $66.50{\mu}m$. Conclusions Hair thinning by IPL is a very useful method to provide a natural look after hairline correction surgery in East Asians, who have naturally thick hair.

• Journal of the Korean institute of surface engineering
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• v.56 no.1
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• pp.69-76
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• 2023

The effects of hairline treatment on surface blackening and thermal diffusion behaviors of Zn-Al-Mg alloy coated steel sheet were evaluated by the three-dimensional surface profiler and laser-flash technique. The metallographic observation of coating damages by hairline treatments showed that several cracks were initiated and propagated along the interface between primary Zn/eutectic phases. As the hairline processing became more severe, the crack occurrence frequency in eutectic phase of coating layer and the surface roughness increased, which had a proportional relationship with the level of blackening on the coating surface. In addition, the higher interfacial areas of the blackened coating surface, caused by the hairline process, led to an increase in thermal diffusivity and conductivity of the coated steel sheet. On the other hand, when the coating damage by hairline treatment was excessive and the steel substrate was exposed, there was little difference between the thermal diffusivity/conductivity of the untreated sample though the blackening degree was higher than that of untreated sample. This work suggests that the increase in the surface areas of the coating layer without exposure to steel substrate through hairline treatment can be one of the effective technical strategies for the development of Zn-Al-Mg alloy coated steel sheets with higher blackening level and thermal diffusivity.

• Archives of Plastic Surgery
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• v.46 no.2
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• pp.147-151
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• 2019

Background Successful aesthetic plastic surgery is devoid of both unsightly scarring and postoperative disfigurement. Patients undergoing midface-lifting surgery are very often disconcerted by an altered side hairline, including sideburns, despite considerable amelioration of facial wrinkles. This study was conducted to identify an effective means of approaching an altered hairline and the unavoidable scarring arising from midface-lifting surgery. Methods A total of 37 patients who underwent corrective surgery with hair transplantation for hair loss or scar deformity arising from midface-lifting surgery from June 2014 to June 2017, and were observed for more than 6 months thereafter, were enrolled in the study. Prior to corrective surgery, the patients were administered a multiple-choice survey regarding their dissatisfaction arising from midface-lifting surgery. Among the 37 patients, 24, 12, and one underwent donor harvesting by the strip method, non-shaven follicular unit extraction, and partial shaving follicular unit extraction, respectively. Additionally, 33 of the 37 patients underwent hair transplantation in the frontotemporal recess area along with hairline correction surgery. The average number of transplanted grafts was 1,025. Results Surgery resulted in a natural and satisfactory appearance in all patients. The average patient and physician subjective satisfaction scores were 4.6 and 4.8, respectively. No adverse events such as folliculitis occurred. Conclusions Side-hairline correction surgery by hair transplantation can be considered an effective method of realigning an altered hairline accompanied by scars following midface-lifting surgery.

• Archives of Plastic Surgery
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• v.38 no.3
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• pp.295-299
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• 2011

Purpose: It is generally believed that alopecia is caused by various factors such as scars, stress, genetical factors, androgens, etc. Androgenic alopecia is one of the most common cause of alopecia and found mainly in males. Propecia (Merck & Co., USA) and Minoxidil (McNEIL-PPC, Inc, USA) were the drugs approved from FDA for treatment of androgenic alopecia. Surgical treatments such as flap, tissue expansion, scalp reduction and hair transplantation can be considered if necessary. Hair micrograft techniques were developed for natural hair shapes and minimal adverse effect. There were attempts to measure the length of the forehead of the Korean young adults. However attempts to classify the shape and location of forehead hairline were rare. This study attempted to find out standard hairlines of young adults in their 20s & 30s and the result would be the guideline of the hairline in hair replacement surgery of male patients in their 40s & 50s. Methods: 200 male adults in 20s and 30s were photographed and measured the length of 11 vertical index lines to determine hairline. The indexes are the distances from hairline to intercanthal midpoint (A), to medial canthus (B), to upper eyelid fissure (C), to lower eyelid fissure (D), to lateral canthus (E) and distance from lateral highest point to medial lowest point, if the hairline is M-shape (F). Additionally, we classified the hairlines into 4 groups, M, horizontal, inverted U and irregular shapes. Results: The most common hairline of male adults in their 20s is inverted U-shape (53.3%), followed by horizontal-shape, M-shape, irregular-shape. In their 30s, inverted U-shape (59%) is followed by irregular-shape, M-shape, horizontal-shape. The M-shape is more frequently found in males in 30s than those in 20s. The mean values of the indexes in their 20s are as follows: A (76.14 mm), B (Rt: 75.78 mm, Lt:76.41 mm), C (Rt: 69.43 mm, Lt: 69.92 mm), D (Rt: 76.92 mm, Lt:77.46 mm), E (Rt: 64.16 mm, Lt: 64.73 mm), F (4.09 mm). Those in their 30s are as follows: A (76.13 mm), B (Rt: 76.114 mm, Lt: 76.02 mm), C (Rt: 69.87 mm, Lt: 70.37 mm), D (Rt: 77.37 mm, Lt: 77.58 mm), E (Rt: 69.63 mm, Lt: 69.85 mm), F (6.14 mm). Conclusion: The knowledge about human body measurement is indispensable to plastic surgeons. In this study, inverted U shape is the most common type of hairline in 30s, and similar distribution is found in 20s. The percentage of M shape in their 30s is elevated more than 10% compared to that in their 20s. The study of hairline shapes and 11 indexes of hairlines can be useful for planning of the hair transplantation and postoperative evaluation. This study being based on photogrammetry, there may be differences between actual distance of curved face and projected distance on flat photographs.

• Journal of Oriental Neuropsychiatry
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• v.32 no.4
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• pp.321-328
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• 2021

Objectives: To compare bone proportional cun and finger-breadth cun in the head area to clearly distinguish the anterior hairline. Methods: In this study, the head area was measured for 50 adult males and females in their 20s with normal hair condition. We compared bone proportional cun and finger-breadth cun in the head area and calculated the error by analyzing the difference between the actual location of the anterior hairline and the location measured with the two methods. Results: There was a significant difference between bone proportional cun and finger-breadth cun in the head area. The two methods showed significant difference from the actual location of the anterior hairline. In addition, as a result of calculating the error between the actual location of the anterior hairline and the location measured by the two methods, the finger-breadth cun had fewer errors than the bone proportional cun. Conclusions: The finger-breadth cun is better than the bone proportional cun as an alternative when it is difficult to find the anterior hairline.

• Korean Journal of Acupuncture
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• v.38 no.1
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• pp.8-15
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• 2021

Objectives : This study was conducted to explain the locations of GV24, BL4, GB15, GB13, and ST8 from classic literatures. Methods : 17 classics of acupuncture and moxibustion literature - 『Huangdimingtangjingjixiao』, 『Zhenjiujiayijing』, 『Huangdimingtangjiujing』, 『Beijiqianjinyaofang』, 『Qianjinyifang』, 『Waitaimiyaofang』, 『Ishimpo』, 『Taipingshenghuifang』, 『Tongrenshuxuezhenjiutujing』, 『Zhenjiuzishengjing』, 『Shisijingfahui』, 『Zhenjiujuying』, 『Yixuerumen』, 『Zhenjiudacheng』, 『Leijingtuyi』, 『Chimgukyungheombang』 and 『Yizongjinjian』 - were reviewed and compared. Results : Location of GV24 was on the midpoint of the anterior hairline before Song Dynasty, but changed to 0.5 cun directly above the midpoint of the anterior hairline after Song Dynasty. The locations of BL4, GB13 and ST8 varied among literatures. Conclusions : The locations of GV24, BL4, GB15, GB13 and ST8 were different from the standard acupoint locations, and were not consistent in 17 acupuncture and moxibustion classic literatures.

• Archives of Craniofacial Surgery
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• v.17 no.1
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• pp.39-42
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• 2016

Forehead osteomas are benign but can pose aesthetic and functional problems. These osteomas are resected via bicoronal or endoscopic approach. However, large osteomas cannot be removed via endoscopic approach, and bicoronal approach can result in damage to the supraorbital nerve with resultant numbness in the forehead. We present a new approach to resection of forehead osteomas, with access provided by an anterior hairline incision and subcutaneous dissection. Three patients underwent resection of the forehead osteoma through an anterior hairline incision. The dissection was carried in the subcutaneous plane, and the frontalis muscle and periosteum were divided parallel to the course of supraorbital nerve. The resulting bony defect was re-contoured using $Medpor^{(R)}$. All three patients recovered without any postoperative infection or complication and symptoms. Scalp sensory was preserved. Aesthetic outcomes were satisfactory. Patients remain free of recurrence for 12 months of follow up. The anterior hair line approach with subcutaneous dissection is an effective method for removal of forehead osteoma, since it offers broad visualization and hides the scar in the hairline. In addition, the dissection in the subcutaneous plane avoids inadvertent injury to the deep nerve branches and helps to maintains scalp sensation.

• Archives of Craniofacial Surgery
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• v.24 no.4
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• pp.189-192
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• 2023

An intraosseous hemangioma of the frontal bone is typically removed via a coronal incision. This procedure, while effective, can be lengthy and may result in complications such as a prominent scar and hair loss. An alternative approach involves a direct incision in the forehead, which leaves a less noticeable scar and allows a quicker recovery. However, in this specific case, the patient declined both coronal surgery and surgery through a direct forehead incision due to cosmetic concerns. Therefore, we proposed an anterior hairline incision. A 35-year-old woman presented with a firm, non-mobile, palpable mass on her right forehead. Preoperative non-contrast computed tomography revealed a heterogeneous osteolytic lesion. We performed an excisional biopsy through the anterior hairline. Postoperative non-contrast computed tomography was conducted 2 and 6 months after surgery. The wound was clean and free of complications, and there was no local recurrence. Partial resection can reduce scarring for patients who are concerned about cosmetic outcomes. However, the potential for recurrence remains a significant concern. We present this case of an anterior hairline incision for a hemangioma located in the forehead, evaluated using serial computed tomography for both preoperative and postoperative imaging.

• Korean Journal of Acupuncture
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• v.25 no.4
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• pp.49-58
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• 2008

Objectives and Methods : The present study was to investigate the change of acupuncture point location of gallbladder meridian in head by way of reviewing classical literatures. Result and Conclusions : 1. The locations of acupuncture points closed-by anatomical marks such as GB1, GB2, GB3, GB11, GB12, GB19, GB20 are clear and accurate. 2. The expression of acupuncture points' locations of GB4, GB5, GB6, GB8 and GB10 are obscure in classical literature, but their locations became clear and objective in recent literatures. 3. The locations of GB9 and GB13 are open to dispute but WHO standard acupuncture point seems to be resonable. 4. In classical literature, the length from the midpoint of the anterior hairline to the midpoint of the posterior hairline is 12 B-cun, and the length from the midpoint of the anterior hairline to the GB19 is 5 cun, 5.5 cun or 6.5 cun. We presume that the length from GB15 to GB19 might have been measured by F-cun.