Author: Dr. William Rassman

Sometimes the balding starts in the corners of the hairline and sometimes it start in the middle and erodes the hairline as shown here

This patient had a hair line advancement surgery to move her hair line down. It will require hair transplanted grafts to bury this scar, so it will not be seen.

The problem I see may be more than just missing areas of hair because the hairline is too ‘regular’ and does not reflect a random placement of grafts. Also, the grafts in the frontal hair line are multi-haired grafts when they should be single hairs. A thick 1/4 inch layer of single hair grafts creates a transition zone in front of any thicker hairline, so it does not appear like a ‘line’. Your transplant, is, unfortunately detectable and needs to have a transition zone built in front of the multi-haired grafts, so that nobody can tell you had a hair transplant.

My biggest shed was at the 1 year mark to the month and it looked way worse than baseline. Like I aged 15 years.

Hair loss can not always to stopped with finasteride. Sometimes while taking finasteride, a man can go through hair loss acceleration. The genetics of Apoptosis is ingrained in each hair follicle and although finasteride does slow it down, it does not stop the hair loss in some men. You should speak with your doctor and if you don’t have a hair doctor, get one.

My hair, black and white picture, which has receded in similar pattern to the colour picture attached. It’s styled so the front is swept to the side and I think highlights my receded hair line, Norwood 2/3, or at least doesn’t make it look good.

I want to keep my hairstyle natural looking while making the hairline look as good as possible. for example I don’t want to push my hair forward just to cover the hairline. Has anyone been in a similar position have any styling tips or ways they get their haircut at the hairdresser’s to make their hair look good without changing the style too much?

That is a good positioning of a mature hairline design, something I have been creating for over 30 years with hair transplants. This is a realistic hairline. The number of grafts to create this hairline would be 1200 if your hair was coarse, 1500 if your hair was medium, and 1800 if your hair was fine.

The scar that shows, is the result of hairloss from the surgery, a non uncommon happening after any facial or hairline surgery. The way that you fix this is to have a hair transplant which will cover the entire scar and put your hairline in the proper position, burying the scar in the newly created hair. Because of this complication, many women and all men (whose hairlines almost always recede from an advancement surgery) choose hair transplant lowering surgery for their hairlines.

I don’t believe that this man who thought he had good work done will be happy with these results. His hairline is straight (no hairline is straight) and the donor area has a large number of patchy areas reflective of a surgeon who used a large punch to perform the FUE. This is a post-operative photo (possibly 1-2 weeks after the surgery) with a lot of scabs sill on the recipient area. The man posted this photo on a forum, but he was proud of it. Detectable hair transplants are never good and this man shows the transplant with an abnormal perfectly straight frontal hairline with straight temple peaks and a see-through donor area from possibly too many FUEs taken for harvesting his donor area. It would have been nice if this man posted a better photo.

These pictures say it all

The scarring you have may be the result of a surgical wound that was closed too tight which is known to form scars like you have. This area can be transplanted filling in the hairline with a forward new hairline created with fine single hair grafts in front and this will hide the scar when done properly. Similar work can be done behind it. Here are some examples of hair transplants performed for female lowering procedures which does apply to you: https://newhair.com/female-hairline-lowering/), scalp micropigmentation can hide the scars inside your hairline easily (https://scalpmicropigmentation.com/scar-covering/#!).