Article Updated August 2022
This Beverly Hills patient had undergone several hair transplant procedures that involved strip harvesting, mini grafts, and micrograft implantation into the hairline starting in the early 1990s. Although these methods were regarded as being state of the art for their time, they were undoubtedly fraught with major limitations. This patient ended up with a harsh, pluggy outer edge in his hairline, which he tried to keep hidden by constantly keeping his front hair layers combed forward. This all changed when he discovered the work of Dr. Umar, who offered him a unique new solution, a hairline reconstruction using leg hair.
Dr.U Shows What Happens When Leg Hair Is Transplanted Into the Hairline
Learn more about this patient’s experience here- https://dru.com/hair-surgery/beverly-hills-patients-hairline-reconstruction-using-leg-hair-makes-hair-transp…
Repair Bad Hairline Transplant – Before Photos:
The hairline serves as a framework that plays a significant role in how others perceive facial attractiveness. During in-person encounters, unusual details like hair clustering (i.e., plugginess) will quickly be noticed and understood as an obvious sign of surgery.
Photos of the patient before his Dr.UGraft ™ hairline reconstruction using leg hair reveal the undisputable pluggy appearance. This resulted from taking naturally occurring clusters of hair from the back of the head, where hair tends to be the thickest.


Fix Pluggy Hairline – Procedure Photos:
To repair the patient’s bad hairline transplant, it was necessary to select finer, softer hairs to replace the thicker ones taken from the back of the head. Such hairs could only be sourced from regions outside the typical donor extraction areas of the scalp. One option is to use nape hair. However, an even better choice is to perform the hairline reconstruction using leg hair, a much closer match for recreating the soft, feathery edge of the hairline.
Both leg and nape hair exit the skin at very sharp angles. Surgeons who use regular straight FUE punches can rely on this cue to guess where the actual hair follicle is. However, when it comes to non-head hair, the angle of the follicle is usually very different from the hair. Therefore, orienting the punch along the same trajectory as the emerging hair will result in a severed (and therefore unusable) graft.
However, with a suitable extraction device, it is certainly possible to perform a hairline reconstruction using leg hair to harvest an abundant quantity of donor grafts that would last long term in the recipient area.
Dr.UPunch i ™ offers a safe and effective way to harvest leg hair
Dr. Umar designed his very own advanced FUE extraction technology to overcome the specific structural barriers that stand in the way of harvesting healthy, robust hair transplant grafts – whether they are taken from the head or body.
The features of his Dr.UPunch i™ (The intelligent Punch) device make hair angulation a non-issue. Even if the surgeon positions the instrument along the same angle as the emerging hair, they won’t run the risk of severing the follicle itself. This is due to the flared punch end. It presents a dull, non-threatening surface facing the graft as the cutting edge rotates away from the follicle.
Furthermore, the textured threading inside and outside the punch grips onto the surrounding tissue. The grip creates a gentle upward pull as the attachments around the follicle are cut away. This balanced pull, combined with the safety of the flared hybrid punch, allows this technology to safely harvest all types of hair found on the head and body.

How the Dr.UPunch i works to safely remove many types of hair to meet different levels of patient challenges for hair restoration surgery. Dr.UPunch i - How It Works
Creating a Natural Looking Hairline –Before and After Results Photos of Beverly Hills Patient
To fix the pluggy hairline, Dr. Umar extracted 1000 grafts for this patient’s hairline reconstruction with leg hair. These follicles were implanted into the outer 1 cm margin. The actual design of the hairline took into consideration the proper height placement on the face. Additionally, Dr. Umar created an outer edge consisting of a central widow’s peak and a single small widow’s peak on either side.
Here are before and after photos showing the patient’s outcome at the 2-year mark following his surgery.


Dr.UGraft ™ Hairline Restoration Using Leg Hair – The World’s First In Hair Transplant History
This patient’s case was featured in a JAMA (Journal of the American Medical Association) publication entitled, The Transplanted Hairline – Leg Room For Improvement. His surgery represents the world’s first hair transplant procedure where leg hair follicles were used as grafts for hairline restoration.
For the longest times, experts have viewed the long-term survival of leg hair with skepticism. However, the patient’s before and after images above, along with follow-up reports and publication in JAMA, confirm that leg hair can most certainly offer a viable choice to serve as healthy and robust hair transplant grafts for natural-looking hairline detail.
Video: Dr.UGraft ™ to Reverse Poor Hairline Restoration Results

In the video below, the patient discusses his experience, outcome, and overall feedback about his hairline reconstruction using leg hair, two years after his operation. He is happy to be able to get out of the shower, comb his hair straight back, put in some product, and not have to think about his hair for the rest of the day. He reports that he no longer has to experience up and down looks from other people as their gaze moves from the hairline to the eyes.
Because he is no longer self-conscious about his hairline, he has even chosen to wear his hair in a ponytail.
Additionally, he reports that no one suspects he has had any cosmetic surgery. And when he does reveal he’s had a hair transplant, people are amazed at the results.
Furthermore, he reveals the status of his leg donor areas which healed exceptionally well.
9-year follow-up after hairline reconstruction with leg hair
Nine years after the patient’s hairline repair surgery with Dr. Umar, he sent in pictures to show that his hairline created with leg hair continued to show strong signs of healthy growth and longevity.

If you are considering a hairline restoration and would like to sign up for complimentary consultation, click this button below.
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Frequently Asked Questions – Dr.UGraft ™ Hairline Reconstruction Using Leg Hair
Which is better for hairline reconstruction, leg hair, or nape hair?
Both types of hair are good options for hairline reconstruction. Since leg hair tends to be finer in caliber, these follicles are ideal for the hairline edge. If these grafts are not an option, then your FUE surgeon can consider nape hair.
Will I have lasting scars if I get leg hair extractions for my hairline?
The answer to this question depends on the type of FUE punch extraction used. Smaller punches would obviously create more minor wounds. But rendering them unnoticeable requires a more advanced design where the punch creates specially shaped wound cavities that allow the skin to heal without visible signs of redness or raised tissue. These capabilities are made possible through the uniquely engineered features of the Dr.UPunch Rotor intelligent.
What causes pluggy hairlines?
Pluggy hairlines are caused by large-sized punches when they are used to extract follicular units with multiple hair follicles. This creates an unmistakable clustered look that people refer to as plugs.
When you’re under Dr. U’s care, you can rest assured knowing that your hair restoration is in capable, experienced hands. If you’ve got any questions regarding undergoing treatment with the Dr. U Hair Clinic, click the button below to get in touch with the doctor himself:
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Further Reading
Find out what the Hollywood Reporter has to say about leg hair transplants for hairline restoration.
References
- NCI Dictionary of Cancer terms. National Cancer Institute. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/hair-follicle. Accessed August 10, 2022.
- (PDF) The Transplanted Hairline Leg room for Improvement. https://www.researchgate.net/publication/221848886_The_Transplanted_Hairline_Leg_Room_for_Improvement. Accessed August 10, 2022.