Author: Dr. William Rassman

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

In the US, this type of surgery would be considered malpractice. You have almost certainly used more than half of your donor hair for the recipient area that was transplanted, so if you lose more hair behind this, you may not have enough hair left to follow the hair loss behind the transplanted area. You must recognize that hair loss is generally a progressive process and you need to have a Master Plan to account for the progressive nature of your hairloss. I hope that you don’t bald further but if you do, find an honorable doctor who understands such situations and will work with you with a high standard of care and management. Most young men are limited to between 5000-7000 FUE grafts during their lifetime unless their donor density is very high.

I (21F) have always had dense, silky straight hair. Around 2 years ago I noticed some sparser sections along my hairline, but I had pretty bad anxiety so I chalked up to that. About a year ago I went on BC (LoLo Fe) and noticed about 2 months after starting that my hair was starting to thin a lot. I could see parts of my scalp when I pulled my hair back that I couldn’t before, and my ponytail was close to half the size of what it had been (I previously could not see any scalp when my hair was wet, and now can see it along the sides and some on the top). I’ve recently gone off the pill, and noticed some sections of my hairline are growing back, but I still feel like I am losing a lot of hair. I read that going off BC can cause some short-term hair loss, so I am hoping this loss is just from the adjustment period. My question is, what can I do to best take care of my hair while it hopefully grows back? I’ve switched to a natural, sulfate free shampoo, and I do not use heat styling. I’ve also started eating healthier and oil massage my scalp occasionally. Are there any other steps I should be taking, like maybe switching to Nioxin or a different type of shampoo/conditioner? I was also wondering if I should continue to use a wide-tooth comb in the shower when I condition, as I was told it helps to spread the conditioner but it is also when I lose the most hair in the shower (wasn’t sure if this is too harsh on wet hair or not)

Birth Control pills can and often cause hair loss. The question to ask is it possible that you have genetic hair loss. Are any females in your family (mothers, grandmothers, aunts, sisters, have hair loss in any degree. If so, then you need to see an expert to see what you should do. (here are some of my posts on female hair loss which you might want to read: https://baldingblog.com/?s=female+hair+loss+blood+tests)

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.

This patient came today at the age of 44. He start to lose hair just 3 years ago, an came because he wanted a hair transplant. His hair is black, medium weight and it has a good wave to it. He is of Italian heritage which gives him a terrific hair character. I measured his hair bulk with the HAIRCHECK instrument and found that he lost 66% of the hair in the front and 55% of his hair in the crown. Considering that is hair is black and his skin is light, he still have good coverage in the front of his head which shows something very important, that you really only need 33% of your hair when the quality is there to have a reasonably full look. This is the type of look to generally achieve in a single hair transplant in a bald man.

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.

Should I get a HT ? Im 23 i used minoxidil for 2 years and did nothing just stopped the shedding so what you advice me to do ?

Past three months my hair loss has been really bad. I’ve checked my blood for problems with my thyriod, iron and hormones with a doctor and my blood work turned out ok. It is all okay, so I’m assuming it might be genetic since it is in my family on my father’s side. My mother and sister don’t have this problem.

Female genetic hair loss can usually be seen on the female side of the family (mother, aunt, grandmother, sister) but not always and your male connections with balding really don’t count. When the diagnosis is not clear, the problem of thinning impacts the social life of the woman. We have been using Scalp Micropigmentation (SMP) for many of these women with great results and although the hair loss may not have been diagnosed, the fullness comes as a result of the SMP process (https://scalpmicropigmentation.com/smp-for-women/)

Yes, I am concerned. 2000 grafts is about 25% (possibly more) of your entire donor supply used for just the frontal ½ inch of hairline. The doctor should have known better, so yes I am critical of the decision the two of you made. What is your Personalized Master Plan if you should develop advanced balding as this man did: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/. Note that he wasn’t very bald at 22 but evolved into a bald man. I don’t want to panic you, but you need to think this through as you would be this man shown as he aged. Balding is progressive in 100% of men.