Month: January 2023

I will tell you what I think. The design of the hairline is terrible, the multiple V-shaped protrusions of the hairline is absolutely abnormal. In addition, the crusting is terrible and the patient was never instructed on how to take care of his hair transplant after the surgery. Imagine, walking around looking like this?

How did the doctor decide to do such a transplant? The answer is that they did not want to make a straight hairline and maybe he did not know how to do this. This saw-tooth hairline is most certainly as bad as a straight hairline. A feathered hairline is what you see in a non-transplanted person. Just look at any woman or man’s hairline and you will see that there is no such thing as a hairline, just a place where a bare forehead transitions into hair with a “no-hairline hairline”. Below is an example of just one of over 15,000 surgeries we have done creating feathering hairlines. As you can see, this man (below) does not have a hairline at all, just a feathered transition from his forehead to a full head of hair.

(NOT NHI patient)

Hairlines like yours is easily fixed even with limited donor hair remaining. I have repaired and balanced hairlines like yours in people with depleted donor areas because it often does not require a great deal of hair. Sometimes, hair can be obtained from behind the hairline (mid-scalp) as a donor source. ?

If you are under 25, the drug finasteride might reverse it, especially when combined with topical minoxidil. These drugs work best on young men. If you are over 25 and did not have a response to these medications, a hair transplant is a perfect solution.

Hairline revival possible? from tressless

Hairline after 7 months of minox from tressless

From time to time we treat patients that will then refer other family members. Both the man below and his brother had hair transplants, and they’ve both been just delightful. Jokes and humor abound during the surgeries and the follow-up visits. Such a good natured, fun person to be around. It took 4 surgeries spaced over a few years, but he met his hair restoration goals and is excited about the results. I am too!

Click photos to enlarge.

After a total of 4539 grafts:

 

Before:

 

Update:
I should’ve explained the case better in the initial post, so I’ll attempt to do that here.

The before photos that are posted above actually reflect far less hair than the pictures indicated. The patient’s hair is fine, so each hair shaft has less bulk than an average person with medium weight hair. The hair thinning went back some 5 inches beyond the leading forelock shown in the picture, but I originally decided that just advancing the hairline would suffice without going back to the thinning area. The entire forelock disappeared after the first procedure and he had more hair loss behind the area that was originally transplanted, so the second procedure was done to thicken up much of the forelock area which was lost.

The original plan that was created brought the hairline down considerably. It took two procedures (3288 grafts total) to get him what he wanted and to fill the area behind the site of the original transplant. For the patient that is taking the drug finasteride, rarely some additional hair loss may occur after the first transplant, as was the case here.

He is a bit of a perfectionist and the two other smaller procedures (553 grafts and 698 grafts over a year apart) were done to deal with some more hair loss behind the transplanted hair. He also wanted to put some more grafts in areas where he thought additional hair would help.

The frontal hairline should be created with only single hair grafts to produce a “no-hairline” hairline which means that the forehead transitions to a full head of hair without seeing a hairline.

This man’s photos shows two problems. (1) above the scar, there are areas of balding which indicate that the scar will become obvious, and (2) the stitches were placed far back creating a railroad pattern which will (a) cause hair loss and )b) probably keep elements of this scar. This man will need a hair transplant to fix this once it is healed. Why would any man do this when a hair transplant alone would have solved his hairline recession?

Note that at three weeks, there is nothing to see and the hair growth, when it starts, will continue to grow at a rate of about 1/2 inch per month. The hairline was moved forward 1/2 inch and the right temple peaks, which were lost with age, were replaced to balance out the left side.