Question: It sounds pretty common to have a hair transplant after a facelift. Why is this and is there any way to prevent this?
Answer: I do not think it is horribly common to end up with a hair transplant after a facelift, but the reason why some patients need a hair transplant after a facelift is simply because the facelift surgeon elevated their hairline too high and pulled it too far away from the rest of their face giving what I describe as too much “facial show.” This has an aging effect on people and frequently they will then seek out hair restoration through hair transplantation to improve the overall appearance. The other area where this can be a concern is behind the ear where surgeons will elevate the hairline and create a stepoff behind the ear, which is an unnatural appearance. It makes it very difficult for patients to wear their hair up in the future. I always perform my facelift surgeries through a rather modified incision so that we do not distort the hairline and, therefore, patients will not need hair transplants in the future, at least not due to their facelift surgery.