Author: Dr. William Rassman

You need your donor density and donor hair mass measured to find out if you are a suitable candidate and what you can expect. Make sure that you get numbers from your doctor as this is mathematically based. I have answered this question many times, so read many of my answers here: https://baldingblog.com/?s=how+many+grafts

There is a misconception that many patients and surgeons that they must replace the recipient area density in the balding area when having a hair transplant. Nothing could be further from the truth. Too many Reddit patients are wasting their donor supply by using too many grafts to cover Class 3 or 4 patterns of balding. Too many Reddit patients do not seek a Personalized Master Plan ((https://baldingblog.com/creating-a-personalized-master-plan-for-present-and-future-balding) with their surgeon before they embark on a hair transplant in Turkey or elsewhere. First, look at the analogy and the following numbers: Assuming a surgeon removed 12,500 grafts from the donor area in a Class 7 patterned patient. The average man has 50,000 follicular units (grafts) on his head (race in not dependent upon this number) of which 12,500 grafts reflect the donor area (12,500 grafts reflect 25% of the total follicular units). The total donor supply equals 25% of the total hair supply. This means that if the surgeons did only FUE and transplanted 12,500 grafts in the recipient area, there would be nothing left in the donor area. In such a surgery, the patient would likely become either bald in the donor area or heavily overharvested in the donor area if partial follicular units were excised rather than full FUe grafts. This patient would have a new problem: a bald donor area. His recipient area density would not exceed 30% of the original recipient donor density. With too many grafts removed from the donor area, there is no going back after this is done. Even transplanted numbers of 5000, 6000, or 7000 grafts reported by many Reddit patients reflect the maximum yield of their donor area if they have fine or possibly medium-weight hair. They may end up with a see-through donor area for their entire lives. Many of these Class 3, 4, or 5 balding patterns may leave very few grafts left in the donor area to address almost certain future balding because hair loss is ALWAYS progressive. When I review Reddit’s transplanted patient posts, I often see too many grafts for a particular balding pattern, reflecting poor planning and an impulse surgery decision in men who are often too young.

Am I a good hair transplant candidate?

Yes, you may be an excellent candidate for a hair transplant because you have a persistent juvenile hairline which doesn’t need to suck up grafts and the grafts can be distributed to more easily cover the balding area on top and in the crown.

1- $60 a month is robbery. Morr F is $13 or so.: ANSWER: The FDA is a real problem for this company so that put the following disclaimer on the site: “Information, statements and products on this listing have not been evaluated by the FDA as it is not a prescription medicine and are not intended to diagnose, mitigate, treat, cure, or prevent any disease or health condition.”

The dose in More F is 25 less of a dose than the therapeutic dose required at a minimum and still there is no evidence that this finasteride in the More F solution is effective.

2- Can I dissolve my pills or crush them and then use them on my scalp: ANSWER: No you can’t because it will not get through the skin to where it needs to be

My idea is to use topical once every other day and and oral every other day as well, like

Monday : topical

Tuesday : 2.5mg oral

Wednesday : topical

and so on…

I’m using topical min since 1.5 years now and would like to add oral min to increase effectiveness. It’s also getting really tiring to apply the topical everyday. Topical min was really good for me but I feel like it lost its efficiency. I’m also on 1mg finasteride for 2 months.

This makes no sense to me. If you are on the oral minoxidil, stay on it and forget the topical. You don’t want to overdose this medication because of heart side effects.

I am 39 years old. I have not taken any medication for my hair loss.

I have written about this before on Reddit. Medical treatment is important, but at 39, it is unlikely that you will get a good response to it. It is worth trying anyway. I am concerned about the pattern of balding you are showing. I want to ascertain that this is genetic, not a form of autoimmune disease, as your pattern is not classic for genetic balding. Good doctors routinely perform trichoscopy to rule out diseases of the recipient and donor areas. I would look at the nature of the hair and the skin in and around the balding area. If I am concerned, then I would biopsy the areas of concern because autoimmune diseases of the scalp kill hair transplants. Assuming you have no autoimmune scalp disease, I would establish your lifetime donor supply of grafts, including (1) donor density and (2) hair shaft thickness of the donor’s hairs. This will tell the surgeon what you will look like after the hair transplant, which should be shared with you. Not all grafts are equal; for example, coarse hair has 10 times the value of very fine hair (cosmetic-wise). Hair transplant science is well-established today.

[If you have any questions, you can reach me at williamrassman33@gmail.com]

Yes, you have clear hairline corner recession and this is the signature of male pattern balding. If you are over 25 and have tried finasteride without success, then a hair transplant is the way to go

I am 23 years old and there is no history of balding in my family.

Your hairline is very low in the mid-line so I would expect that the middle would eventually move up about 3/8th of an inch. This would change what the corner looks like. You could have an early Class 3 balding pattern, but I recommend you get a HAIRCHECK test to see if there is balding present that you can’t see.