Abstract
Hairline is a crucial landmark in facial aesthetics. Its restoration in terms of position, continuity and hair growth is of a paramount importance in facial plastic aesthetic and reconstructive surgery. The purpose of the paper is to demonstrate the effectiveness of using local tissue only in the restoration of skin and soft tissue defects affecting the hair-line. A brief retrospective analysis of clinical cases with defects engaging the hairline was made. The majority of the patients (20 out of 22) were operated because of skin lesions of different entities. In 7 of the cases the direct closure technique was applied as a surgical tool for hairline restoration and in 15 of them rotational flaps were the best reconstructive option. A special emphasis is put on the defect size in regards of choosing the right surgical technique for defect closure in order to achieve the best aesthetic outcome in the hairline restoration.