Author: Dr. William Rassman

Nice return of your more youthful hairline, Congrats

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

Age 42, he want on minoxidil and finasteride 3 years ago and look at the dramatic change

The photos tell the story. He maintained and even improved the hairline over the 3 years on the drug finasteride

Recently I’ve started to notice my hairline thinning (I guess its about time at 30 years old) but not receding. Its by no means bad, and the top, back, sides of my head are still thick. Having done research on typical alternatives, it seems to take fin for just hairline thinning and no recession might be overkill. I could use minoxidil but applying it 2 times a day for the rest of my life is a pain. Is the solution for those of us with a thinning hairline, but not receding, and OK everywhere else (hopefully…!) a hair transplant?

If you are in or near Southern California, visit me. Topical finasteride might be a reasonable solution, provided we are sure that you are not balding elsewhere on your head. That is why I would perform a HAIR CHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-and-what-its-value/ ) first to make sure that there is no undetectable balding elsewhere.

I first started noticing my very fine hair was thinning around 5 years ago. I’ve struggled with depression for a long time so I never did much about it, just accepted my fate I suppose. I should also note that I had a thyroidectomy in 2010 due to thyroid cancer.

My mom has very, very thin hair, there’s not much left on her head. She’s 58. I take this as a sign that my problem is genetic.

Well my hair is to the point that I am embarrassed to show it in public. It’s super obvious. I have thin patches on the back of my head and some on the sides, plus right at my hairline, all up by my crown. I’ve decided to actually do something about it. So I started with Rogaine about a month ago. I saw a dermatologist who said he’s ‘never seen anything like it, its unheard of’ (my hairloss), I really didn’t like his bedside manner and didn’t feel comfortable with him. He said to do Rogaine, Biotin, and a Hairmax laser (which is out of my price range). Is it worth it to get a second opinion? I’m discouraged by my first experience but I would like some answers to the cause of my hairloss.

I wrote this on female hair loss and you should read it will give you a good guide through the doctoring process. https://baldingblog.com/female-patterned-hair-loss-fphl-diagnosis-made-biopsy-no-solution-hair-loss-losing-200-hairsday/ . If your mom lost much of her hair, then you need to consider Scalp Micropigmentation which might work for your mom and maybe even for you if you can’t find a cause for your hair loss (see here: https://scalpmicropigmentation.com/smp-for-women/)

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

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.

Knowing that you are 30 years old and assuming that your hair is of a medium thickness (not fine or coarse), it would take about 1800 grafts to fill in this area. More if it were fine, less if it was coarse. The crown is where the hair changes direction, so a good swirl needs to be created which takes more grafts. Thank you for putting your fingers in the photo so it give me a good way to estimate the size of the balding area