Masking the Close Eye Appearance in the East Asian Female Population: Infratemporal Hairline Reduction with Hair Grafting

PURPOSE: To investigate the effectiveness of hairline advancement in treating patients with perceived close-set eyes due to a wide infratemple area. MATERIALS AND METHODS: Infratemple area hairline advancement was performed in 19 patients with perceived close-set eyes caused by a wide infratemple area; all were women with a mean age of 29.4 years. RESULTS: The wide infratemple area was effectively narrowed in the frontal view in all patients. The mean reduction in the distance between the bilateral infratemple hairlines in the frontal view was 5.2 mm (range 3.9–6.3 mm). The appearance of close-set eyes was ameliorated, and patient satisfaction was high. No side effects, such as asymmetry or wound infection, were encountered. CONCLUSION: Hairline advancement surgery appears to be a safe and effective means of treating patients with perceived close-set eyes due to a wide infratemple area. LEVEL OF EVIDENCE IV: 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.