While highly directional communications may offer considerable improvements in the link data rate and over-the-air latency of high-end wearable devices, the system-level capacity trade-offs call for separate studies with respect to the employed multiple access procedures and the network dynamics in general. This letter proposes a framework for estimating the system-level area throughput in dynamic distributed networks of highly-directional paired devices. We provide numerical expressions for the steady-state distribution of the number of actively communicating pairs and the probability of successful session initialization as well as derive the corresponding closed-form approximation for dense deployments.