Author: Dr. William Rassman

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

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 cm^2. 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.

This is a great result from finasteride. This is the type of results we see, not uncommonly, when finasteride is used for crown hair loss.

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.

Since it is difficult to tell, find a doctor who has the HAIRCHECK instrument and then you will know for sure (see here: https://baldingblog.com/follow-haircheck-test-5-years/)

It is very difficult to tell from this photo if you are receding or developing a maturing hairline. The best way to determine this is to lift your eyebrows so that your forehead wrinkles and the hairline should be no higher than one finger breath above the highest wrinkle. If this is the case, maybe your hairline is maturing.

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.

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