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Key Takeaways
Sideburns are a small area with a large effect. They frame the face between the hairline and the beard, and when they are thin, uneven or missing, the face can look wider, older or simply unfinished. Men notice it when the beard does not connect to the hair; women and men often notice it after a facelift has pulled the sideburn upwards or left a scar in front of the ear.
A sideburn transplant restores that frame with your own hair. On this page I explain why sideburns thin, who a transplant suits, how many grafts you need, how I design the sideburn together with the temple and the beard, how it is done, what to expect after a facelift or with scars, when you can shave and what it costs. If you are also thinking about the rest of the beard, my beard transplant page covers every zone. For the brows, see my eyebrow transplant page; every area is compared on my hair transplant treatments page.
What Is a Sideburn Transplant?
A sideburn transplant is a hair transplant into the area in front of the ears, between the scalp hair at the temple and the beard on the cheek. Follicular units are taken one by one with FUE, usually from the back of the scalp, and placed at the low angle and direction of natural sideburn hair. Once they have grown in, they behave like the rest of your hair or beard: you can trim, shape and shave them.
It can be done on its own or together with a beard, moustache or hairline transplant in one operation. In this short video I explain what a beard transplant is; the sideburns are one of its zones.
Video: Dr. Gökay Bilgin explains beard transplant, including the sideburns.
Why Sideburns Thin or Disappear
The cause decides whether a transplant will last, so I start there:
Frontal fibrosing alopecia deserves a special mention. It is a scarring condition that, especially in men, often involves the sideburns and beard early on. A sideburn that recedes together with the hairline and eyebrows, with smooth skin and no follicle openings, needs a dermatologist’s assessment before any surgery.
Who Is a Good Candidate for a Sideburn Transplant?
Usually a good fit
- Men whose sideburns are thin, patchy or do not connect the hair to the beard.
- Men and women whose sideburns were lifted, thinned or scarred by a facelift.
- Scars from injury, burns or surgery in front of the ear.
- Patients with a strong donor area at the back of the scalp.
- Patients who also want the temple point or beard line restored.
When it is better to wait or check first
- Under about 25: facial hair can keep filling in through the early twenties.
- Active or unexplained hair loss at the hairline, brows or beard, until frontal fibrosing alopecia or alopecia areata has been ruled out.
- A recent facelift: the scar should mature first, usually for several months.
- Skin problems in the area, such as active eczema or folliculitis, are treated first.
How Many Grafts Do You Need for a Sideburn Transplant?
Sideburns need far fewer grafts than the scalp. These are typical ranges:
Ranges for guidance only. Your number depends on your face, your existing hair and the shape we agree.
Most sideburn grafts are single hairs, especially along the front edge, where the sideburn meets the cheek. Two-hair grafts can be used further back, where density is higher. More grafts do not mean a better sideburn: a few hundred well-placed single hairs look more natural than a dense block.
Designing Sideburns and Temples
A sideburn is not a separate patch of hair. It is the link between the temple above and the beard below, and I design all three together:
- Width and length: chosen with you at the mirror, for your face shape and the beard style you want.
- Front edge: single hairs in an irregular line, so the sideburn does not look drawn on.
- Symmetry: both sides should match, but I follow your natural asymmetry rather than forcing mirror images.
- Men and women: men usually want a fuller, straighter sideburn that connects to the beard; women want fine hairs in front of the ear that blend with the hairline.
Where the Sideburn Hair Comes From
The donor hair usually comes from the back of the scalp, which gives permanent, strong follicles. Sideburn hair is a mix between scalp and beard hair, so I choose donor hairs whose thickness and colour match your sideburns and beard. When the scalp hair is very fine or the scalp donor must be saved, hair from under the chin can sometimes be used; my body hair transplant page explains when.
A sideburn transplant needs only a few hundred grafts, so the donor area is usually shaved in a small patch that the surrounding hair hides, or not shaved at all. My unshaven hair transplant page explains how.
Sideburn Transplant Technique and the Operation
I use FUE for sideburns. Strip surgery leaves a linear scar on the back of the head and gives no advantage for a few hundred grafts. In this short video I explain why FUE is the method for facial hair.
Video: why FUE is used for beard and sideburn transplants.
For the channels I use very fine sapphire blades, or DHI implanter pens when I am working between existing hairs or over a scar. Both allow the very low angle the sideburn needs. My hair transplant techniques page compares them.
Sideburns on their own usually take a few hours. Combined with the beard or hairline, they are part of one longer operation.
Sideburns After a Facelift, and Scars
A facelift tightens the skin of the face and moves it upwards and backwards. Depending on the incision, the sideburn can be pulled up, thinned or partly removed, and a scar can be left in front of the ear. In men, a sideburn that ends too high makes the face look feminised; in women, a visible bare strip in front of the ear is often what gives a facelift away.
- Wait for the scar to mature: usually several months after the facelift, until it is soft and pale.
- Grafts into and around the scar: hair hides the scar and rebuilds the sideburn at its natural height.
- Lower density first: scar tissue has a weaker blood supply, so I place grafts a little further apart, and a second session can add density.
- Large defects: very large areas lost to burns or tumour surgery are sometimes rebuilt with a hair-bearing skin flap by a plastic surgeon, and refined with grafts afterwards.
Women with thin sideburns or temples after a facelift can read more on my female hair transplant page.
What the Research Shows About Sideburn Restoration
Recovery and When You Can Shave
These are the same timings I give for the beard. In this video my colleague shows how to wash after a beard or sideburn transplant.
Video: how to wash the beard and sideburns after the operation.
Sideburn Transplant Results Timeline
Risks and Side Effects of a Sideburn Transplant
How Much Does a Sideburn Transplant Cost?
Clinics usually price sideburns within their facial hair transplant prices. Sideburns on their own sit towards the lower end of these 2026 ranges; combined with the beard or hairline, higher:
Five questions to ask before you book
- Will you design the sideburns together with my temples and beard?
- Will single-hair grafts be used along the front edge?
- Who will open the channels and place the grafts?
- Have you ruled out a condition like frontal fibrosing alopecia?
- Can I see healed sideburn results, not only scalp results?
Frequently Asked Questions About Sideburn Transplant
Is a sideburn transplant permanent?
Yes. The transplanted follicles come from permanent donor hair and keep growing for life. They can be trimmed, shaped and shaved like the rest of your hair.
How many grafts do I need for sideburns?
Usually about 150 to 300 per side for a full sideburn, fewer for filling gaps, and more if the temple point is restored at the same time.
When can I shave after a sideburn transplant?
Trim with scissors from about two weeks and shave with a razor or electric shaver from about one month, gently at first.
Is a sideburn transplant painful?
The local anaesthetic injections are the most uncomfortable part. After that, most patients feel only pressure. Mild swelling for a few days is normal.
Can I have only one sideburn done?
Yes. A scar or gap on one side can be treated alone, matched to the other side.
Can sideburns lost after a facelift be restored?
Usually, yes, once the scar has matured. Grafts rebuild the sideburn at its natural height and hide the scar.
Do women have sideburn transplants?
Yes, most often after a facelift or for thin hair in front of the ears. The design uses fine single hairs that blend with the hairline.
Can I combine sideburns with a beard or hair transplant?
Yes, in one operation, as long as the donor area can provide enough grafts. See my beard transplant and moustache transplant pages.
Does the donor area need to be shaved?
Usually only a small patch at the back of the head, hidden by the surrounding hair. In suitable cases, no shaving is needed.
When will I see the final result?
New hairs start to grow around months three to four, and the final result takes about nine to twelve months.
Frame Your Face Again
Send me clear photos of both sideburns from the side, your face from the front, and the back of your head. Tell me about any facelift, scars or hair loss elsewhere. I will tell you whether a transplant suits you, how many grafts I would plan and how I would design your sideburns.Get a Free Consultation