Author: Dr. William Rassman

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.

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

It is difficult to tell if you have shock hair loss or over-harvesting of the donor area. Over-harvesting would be unlikely if your original donor density was normal as shown here (see: https://newhair.com/donor-area/). However, if your donor density was low, then 3000 grafts could have exceeded your maximum number of grafts that can be harvested. There is little you can do now but wait and see what you look like in 5 months or so.

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

 

I love doing Scalp Micropigmentation (SMP) because at times, the results are instantaneously amazing as it was today. Leave aside some mild pink color to the area of the scar that was just treated (it will be gone tomorrow), he was blown away by the disappearance of his scar from two hair transplant procedures in the past and the apparent fill-in of his crown with just the SMP pigments. Scarring like his is unusual and occurs in only a few patients who have stretchable skin (with high elastin collagen). He said his crown looked as good as if he has another hair transplant today with instant growth.

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

The donor area has been significantly impacted by FUE, suggesting that your original donor density was significantly less than what the number of FUE grafts could have supported. Your doctor should have measured your donor area density prior to doing FUE. The limits on FUE is related to your donor density, otherwise it produces significant scarring as this photo shows. If the donor area remains see-through, you should get Scalp Micropigmentation to fill in the missing spaces.

This is the result of a single hair transplant. His smile shows his satisfaction

 

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.