ABSTRACT
Asians in general have coarser, straight, black hair in contrast to many different color shades found in Caucasians; however, variations exist among Asian ethnicities. Most Asians have black hair and light skin, which creates a contrast rarely seen in Caucasians. Hair loss affects both Asian men and women; however, the incidence and severity of the baldness are less than in Caucasians. The Asian skull has less frontal and occipital projection than the more oblong Caucasian skull, and therefore appears round. However, Asian hair tends to have lower density, making 3000–4000 graft mega-sessions in general more difficult compared with Caucasians. Asian skin tends to have thicker dermis than Caucasians, more collagen density, and larger melanosomes with more melanin production. The difference between Asian and Caucasian surgery results is mostly with the donor scar; again, the wider the strip, the wider is the scar.
