I am 22 and am thinning on the top, back and sides of the head

If you have thinning along the sides and back of your head as well as elsewhere (thinning on front and top), there is a condition we published called Diffuse Unpatterned Alopecia (DUPA) which requires a doctor to make the diagnosis with a hand microscope showing miniaturization in the sides and back of the head hair.This is a difficult problem to treat and people like you who have DUPA are not candidates for hair transplantation.

At 22, Can I Get Any Hairline I Want? (from Reddit)

A male who is 22 should not have a hair transplant or hair line advancement surgery because if you do and you develop balding behind the corrected hairline, you will not look normal. If you undergo hairline advancement surgery, you will see a scar if recession occurs. If you have a hair transplant before your balding pattern become evident, then you will be chasing hair transplants for the next decade. You should wait until your potential balding pattern becomes evident, which is approximately 25 years of age. Build a Master Plan for your hair loss with a good doctor.

To answer your basic question, assuming you are at least 25, if your balding pattern is not going be be advanced, then you can have any hairline you want, even one better than a few years ago.

is it possible to get hair transplant for naturally receded hairline? from tressless

22 and very depressed over my hair loss! (from Reddit)

Rather than obsess over your situation, meet with a doctor who is in this field of hair restoration and start building a Master Plan for your hair loss. I usually start by performing a HAIRCHECK instrument test on my patients to determine a baseline for the hair loss. Then, I start medications which would be appropriate for someone of your age. I follow the progress over a year or two. If the balding continues and gets worse, I might then consider a hair transplant but I must know you and you should get to know and trust your doctor over that time he treats you with medications. With trust, you can get your hair back and address your depression by taking action.

Balding gave me the final punch into depression, who else? from tressless

22 and just got 4000 FUE grafts in Turkey, but still depressed!

I am 22 years old. I have been balding a lot since I was sixteen. This made me depressive from time to time and fucked up my confidence. I started Fin eight months ago. No sides yet, but there are moments in which it scares the fuck out of me. After thinking for years about it, I finally took the plunge and went for a hair transplant. Iwent to Turkey to have 4000 Grafts transplanted. Hair line with 50 grafts/cm2 and behind 30 grafts per cm2. It was a FUE. I am very happy with the transplant itself, I think the doctors made a good job. What kind of scares me now is that I definitely have to take Fin for the Rest of my time and do not really have a choice anymore. At least the clinic highly recommended me to continue taking fin. Moreover, I do not want to care that much anymore and not constantly thinking about future transplants and possible sides and also somehow think I might have been too young. Dunno, there are doubts now and all of this would not be such a big problem if some company would finally perform and bring me an alternative to fin, but I guess it will not happen. Oh man. Maybe, some of you can relate. Regarding Dermarolling, I start to lose hope because I think it only works for some people and before the hair transplant, I really hoped it would also help maintain. ust want to have my youth now and not constantly feel depressed anymore. Feeling lower than before. I feel like it might have been a stupid choice cause I am only 22. If you could contribute something, I would love to hear honest words from you what to do.

Clearly you seem to understand that hair loss is a progressive process. Now that you had 4000 FUE grafts, you most probably have reached the limit for FUE grafts in the future (see here: https://newhair.com/resources/#tab-id-4. Keep in mind that the donor hair you have left will have to manage all of the hair loss you have in the future. That is why I continually discuss two points (1) never rush into a hair transplant especially if you are under 26 and (2) always have a Master Plan for your future hair loss like how are you going to manage it. Hair transplants can’ cure depression nor cure hair loss because it is a changing process. Get a plan going forward. I would like to see some photos of you now and maybe I can help you plan your future course.

AT 21, am I too young to get a hair transplant?

Yes, 21 is too young for a hair transplant because you will not know what is your eventual balding pattern at 21. If, for example, you transplant a receding hairline at 21, and then should develop significant balding by the time you are 26, you will have hair where the transplant was done and nothing behind it (looking weird). IF for example, you have crown balding at 21, and transplant the bald area in the crown, by the time you are 26, you might have an island of hair surrounded by a ‘bald sea’ and then you would really look weird and everyone would know what you did. Everyone needs a Master Plan for balding created by you with a good doctor who thinks ahead to anticipate what you and he might do as it reflects the progressive nature of your balding that is the consequence of ‘genetic male patterned balding’. I have seen too many freaky looking transplanted men who never created such a Master Plan with their doctors. I have written about this here: https://newhair.com/assessing-hair-loss/

21 years old and just starting my hair loss treatment

So I went to a GP as I wanted to get a prescription for Finasteride. Of course the doctor had never heard of the drug and apparently he had never had anyone come to him about hair loss. He started reading about the drug online and asked if I had tried minoxidil. I told him that I have been on minoxidil for two weeks but I wanted to use both treatments together. He responded to this by telling me that I should only use one treatment at a time and that I would have to choose which one I wanted to use. I told him I’d choose Finasteride and he wrote me script for it. I’m still considering using the two treatments together as I can’t find anywhere that says there’s something wrong with using these two treatments together. Has anyone else heard of this before and do you think that I should still use Minoxidil and Finasteride together anyways?

Brief History: I’m a 21 year old male, started noticing my hairline receding 2 years ago, it has been receding very slowly ever since but my hair loss has progressed to the point where I need to stop it before it becomes too noticeable. No hair loss on the crown and all my hair is still very thick.

If you have a balding or thinning area already, using minoxidil on it in addition to finastetide is something I often recommend. I like to get a HAIRCHECK test on all of my patients to be able to measure the progression or the reversal of hair loss while you are under treatment.


2020-02-04 12:45:3921 years old and just starting my hair loss treatment

21 Years Old and Anti-DHT Drugs Don’t Work for My Hair Loss!

im 21 and have had MPB for quite a few years i tried propecia 1st for a long long time and it did not work, basically with procecia its a low dosage for anti DHT and what was happening was I was still losing hair at the rate i was losing before. i took it for about a year. then tried avodart for 8 months and that damaged my hair even more i think because the Anti DHT dosage is higher.. anyways bottom line is, you have any idea why these anti DHT products arent working? or why my body wont take them? it seems the higher the dose,the worst the situation gets… not sure where to go from here, any suggestions doctor? thank you

You need a good doctor to work with you! Propecia (finasteride 1mg) and Avodart (dutasteride 0.5mg) are prescription items so you must already have a doctor, right? These DHT blockers do not always work at noticeable levels if your genetics are moving very fast.

The way I manage it is to get a baseline by mapping out your scalp for miniaturization and then look what happened over time by analyzing again in a year. This way, I know what is happening and can put a number on it. You need to have a Master Plan with a doctor who cares about you and is competent to manage you.

21 Year Old Male with Hair Medication Questions

Dear Doctor,
I just recently stumbled across your site while doing research. I’m glad that I can actually speak with a doctor, as opposed to self-proclaimed hair loss zealots on forums and other sites. Here is my current situation.

I’m 21 and about four months, and I do believe that my hairloss started when I was just turning 19, maybe even as early as 18. All my hairloss practically is from the crown area. It started with a quarter sized essential bald spot, and its spreading to either side of my crown. My hair was always thick, and it has thinned somewhat, but still remains pretty thick. I have little to no signs of a receeding hairline. I tried finasteride (finpecia, www.unitedpharmacies.com) for six months, and tried generic mixodil 5% for a little over a month. Currently I am taking nothing, and it seems to be getting somewhat worse. I am a college student, so once I get enough money I intend to take finasteride again.

I have the following questions…

  1. Is the generic finasteride I found on unitedpharmacies.com legitimate?
  2. Should I definitely use Minoxidil in conjuction with finasteride?
  3. Are there any shampoos/conditioners, that will help my situation?
  4. I’ve heard that in Canada hair transplants are much cheaper than in America
  5. Is Hair cloning going to be legal in any time in the near future?
  6. Maintaining hair is one thing, but I would really like to regrow. Is there anything besides the above mentioned treatments that may help my cause?
  1. Please be aware that finasteride is covered by a series of U.S. Patents held by Merck (drug company), one of which I believe is about to expire shortly. I am not in the drug manufacturing business so I can not state with any certainty that someone will be able to manufacture and sell a ‘generic’ Propecia in the United States anytime soon. Any generic finasteride you purchase, may or may not actually be finasteride — there is no way for you to easily be sure.
  2. You do not need to use Minoxidil while being on Finasteride, especially considering that you are college student without much money, but crown hair loss (your pattern) is most impacted to finasteride, so that would be my drug of choice here. If you want to be sure and knock down the price, then some people will purchase Merck’s Proscar (5 mgs of finasteride) and cut it into quarters — though it is available by doctor’s prescription only. I can not advise that you do this, but I know that it is done. I believe in Propecia/Proscar/finasteride use in all genetically balding young men.
  3. I don’t believe one brand of shampoo/conditioner is better than the other in saving your hair.
  4. See my blog entry titled The Truth About Cheap Hair Transplants and draw your own conclusions. Buyer beware.
  5. See the Hair Cloning category, but don’t hold your breath.
  6. Not that I can endorse.