Author: Dr. William Rassman

This young man went on finasteride, minoxidil, pumpkin seed oil and used LLT for 3 months, appearing to shrink the size of the balding crown

Amazing results for just three years. Just keep your fingers crossed that these results stay over time. This man is now 30 years old.

Considering that you had 3,000 grafts, two grafts will not make any difference. Don’t worry, wash it up properly and gently and then go on with your life. You clearly used a selfie to show the bleeding area, good job!

There is nothing as good as keeping to a plan daily to get great results like this result.

This man took finasteride for 3 years and has a wonderful full restoration of his original mature hairline

When your original donor density is lower than average, 3000 grafts can be too many grafts harvested through FUE and this causes donor site depletion such that the donor area has a problem with a see-through look. The doctor should have measured your donor density before pushing large numbers of FUE grafts. For some people with very low donor densities, 2000 grafts could cause donor site depletion. It seems that in this situation, the surgeon could not get the entire 3000 grafts from the permanent zone, so the surgeon moved outside the permanent zone into the neck (which is not permanent hair) and possibly also above the permanent zone into another area that may sooner or later may bald. The only treatment for this is scalp micropigmentation, something we do all of the time. https://scalpmicropigmentation.com/ This technique can make your donor area LOOK normal but it will not put more hair there

Men should rarely get a hairline advancement surgery because of the risk of genetic balding that can appear at almost any age and show the scar when that happens. There is no need for a balloon expander in your situation as a hair transplant is more than adequate to address your hairline issue and less intrusive and less disruptive on your life style and certainly far less costly? We do these every day with hair transplantation.

Assuming that all of the grafts grew, your may have fine or very fine thickness hair. The total hair bulk needed to cover these areas are probably insufficient to get the density you want with the length of hair showing. Alternatively, if your hair is medium weight or thicker, it is likely that many of the grafts just didn’t grow. To get a fuller look, (1) longer hair will give you more hair bulk if your hair is fine, (2) more hair grafts will help for fine hair, or (3) if the hair transplant failed to grow all of the grafts, then another hair transplant would be a good idea, possibly with another surgeon, and (4) Scalp Micropigmentation can make the hair look fuller. You didn’t show the hairline so I can’t comment on that.

These are pictures of Donald Kendall, President of Pepsi. The last picture was taken 7 years before his death at age 99. There are 30 years between these photos. When comparing these photos, it is evident that hair loss is progressive with age providing that you have the genes for balding. My maternal grandfather died with his juvenile hairline still present at the age of 102 which clearly shows that he didn’t have the balding genes.

I have hesitation in prescribing finasteride in women who are pre-menopausal because of the risk of pregnancy which may be an unexpected or unplanned pregnancy. There is a direct relationship between this drug and sexual anatomies in the fetus