If I’m Too Young for a Hair Transplant, Can I Just Have a Forehead Reduction Now? – Hair Loss Information – Balding Blog

Hi,

I have done a lot of research in relation to hair transplants and forehead reduction as I have been experiencing hair loss over the last few years and I also have a large forehead. As I am only 20 years old I know it’s not recommended to have a hair transplant as there may not be enough donor hair to be transplanted to keep up with further hair loss I may experience over time.

Would it be possible to have forehead reduction surgery to lower my hairline and reduce the size of my forehead and also have a hair transplant to replace hair that I have already lost? I have dark red, wavy/straight hair and my hair is thick at the back where the donor area would be (not sure if this would make a difference).

I’m currently at the Norwood II stage and I am already extremely self conscious about my hairloss and large forehead and it has effected my confidence. I’ve considered using Propecia and Rogaine but I’m terrified in case I experience excessive shedding or erection problems from Propecia as I have read a lot of reviews from people who experienced these side effects.

I am getting desperate now so any advice you could give me would be much appreciated.

Thanks

Block Quote

Great question. I assume you are a male. This makes a difference, as females with this problem can safely have a hairline lowering procedure, as they will not lose the hair above that was moved down. A male with active hair loss will most likely lose the lower hairline and be no better off (possibly worse off) after a hairline lowering procedure.

At 20 years old with no clear examination or diagnosis of male pattern baldness, a forehead reduction may make things worse if you progress to a Norwood 6 (for example). You need a Master Plan and a clear diagnosis. You are young, so let’s start it right, come pay us a visit at the New Hair Institute to have the degree of your hair loss diagnosed.

In the News – Mustache Transplants Are Big in the Middle East – Hair Loss Information – Balding Blog

Snippet from the article:

Thick, handsome mustaches have long been prized by men throughout the Middle East as symbols of masculine virility, wisdom and maturity.

But not all mustaches are created equal, and in recent years, increasing numbers of Middle Eastern men have been going under the knife to attain the perfect specimen.

Turkish plastic surgeon Selahattin Tulunay says the number of mustache implants he performs has boomed in the last few years. He now performs 50-60 of the procedures a month, on patients who hail mostly from the Middle East and travel to Turkey as medical tourists.

He said his patients generally want thick mustaches as they felt they would make them look mature and dignified.

Block Quote

Read the rest at CNN — Mideast men go under knife for manly mustaches

The article was published just in time for Movember.

Could PRP Be Used for Hair Loss Prevention? – Hair Loss Information – Balding Blog

What is the evidence for PRP and hair loss prevention and/or hair regrowth? Is there any evidence that it works along the frontal hairline? What are the biggest risks associated with this procedure? For those that couldn’t tolerate Propecia, is this a viable option? Thank you in advance for your assistance.

Block Quote

PRP means platelet rich plasma, and this is obtained by putting some of your blood in a tube, then spinning it down so that the plasma segment from the mix allows the red blood cells to fall to the bottom of the blood tube. The plasma is on the top of the tube and it is drawn off and then used by doctors to re-inject into your body. Some doctors use this plasma injection during the transplant process. Some doctors use it without transplants, as you suggested here, which is then injected into the balding area.

Some doctors claim that the injection of plasma into the bald skin will reverse balding or slow it down, but there is absolutely no proof that there is any benefit of the process. There is one benefit to the surgeon, though — the professional fee he pockets from performing this technique.

My advice to you is to stick to treatments that work and do not volunteer your body to unproven experimentation. If you can’t tolerate finasteride (Propecia), work this out with your doctor.

Swiss Clinic Offers Stem Cell Transplants to Regrow Hair – Hair Loss Information – Balding Blog

Hello,

I found a website about Ars Medical, a clinic in Switzerland that does stem cells autologous transplantation in order to regrow lost hair. Here is an excerpt: “In ARS Medical, the physicians perform Autologous Transplantation of your own Stem Cells that are harvested from your fat and are activated by specific technique before use. This hair treatment is absolutely natural and safe. There is no risk of side affects of other treatments , such as allergic reactions, infection or irritation to the skin of the scalp.”

Their website is available here: ardsmedical.info

Could you please tell me what is your opinion about this technique? Is is safe and effective?

I have read several articles and from what I could understand, the research is still in progress and not yet reliable.

Best regards

Block Quote

I do not know if it is safe or effective. I wonder if they will be publishing their research or results in peer reviewed journals. Without such publications I would put their claims into the trash heap, and coming to market prior to proof in the medical establishment is borderline scam territory. The site doesn’t show any photos of patients, doesn’t list any doctors that work there, and looks to focus more on selling their shampoos.

I think you said it best yourself, “not yet reliable.” What more can I add to that?

I’m Having a Face Lift Done Soon – Can I Save the Sideburns to Transplant to My Eyebrows? – Hair Loss Information – Balding Blog

I am going to have a face/neck lift in the next few months. The skin on which my sideburns are will be cut out as part of the procedure. I wonder whether I could use those hairs to fill up my eyebrows? Could they be ‘saved’ by the surgeon temporarily for the hair surgeon?

Block Quote

Face lift and hair transplant can be done with the extra hairs harvested from the face lift surgery. But it needs to be coordinated by a hair transplant doctor and be done on the same day.

So technically yes, the hairs could be transplanted to your eyebrows… but both procedures need to be organized so that the grafts are not kept out of the body for too long.

Could FUE Move Hair and Skin to Eliminate Scarring? – Hair Loss Information – Balding Blog

Dear Dr Rassman, please excuse my question if it is stupid. I’m not medically trained!

What is normally discussed is the movement of hair follicles *from* the donor site *to* the recipient site. And this inevitably leaves some form of scarring in the donor area. But is it technically possible (in FUE) to also implant skin *from* the recipient area *to* the donor area, in such a manner to “eliminate” scarring? i.e. for every follicle the surgeon would swap tissues A and B, where A would be the tissue originally at the recipient site, and B the tissue originally at the donor site.

I’m sure this would be more costly for the patient, buy I’m wondering: has this ever been tested? And would it eliminate scarring?

Block Quote

A number of years ago, a well-known doctor preached that small punch extractions of scars would produce “mini-scalp reductions”. It never worked. This sounds like what you are asking about, and if one removes scar from a scarred area, you just get scar to replace it. Not such a good idea.

By the way, there are no stupid questions. Your question reflects an inquiring mind.

Will an Orchiectomy Stop My Hair Loss Completely? – Hair Loss Information – Balding Blog

hello doctor, i am currently undergoing MTF hormone replacement therapy. i have been taking both spironoactone and estridol for about six months. not only this but i have recently had an orchiectomy. before i began i was at around a norwood 2 or 3 and am currently 24 years old. i was wondering if i can expect that my hair loss to permanently halt after such an experience.

at the moment i am also curious as to if the spiro is still needed after an orchiectomy or if it will still halt without the further use of the spiro. i ask this on account of the many myths associated with this and was hoping you could speak from any experience you may have had with similar individuals.

Thank you for you time

Block Quote

I have never seen or treated a balding patient with an orchiectomy (removal of the testicles). In theory, it should help with respect to male pattern androgenic alopecia. Time will tell.

A Specialist Recommended Scalp Reduction Surgery For My Small Bald Spot – Hair Loss Information – Balding Blog

Hello,

After having a bald spot on the left side of my head for 28 years, I’d like to do something about it. The bald spot is circular in shape and 2cm in diameter, about 7cm directly above my left ear. The hair fell out when I was 2 and the bald spot has remained the same size for as long as I can remember. I am able to cover it with hair surrounding it, but it does take an emotional toll on me as I see it every day and I have to be very careful every month when having my haircut. I saw a dermatologist about a year ago who told me it’s triangular alopecia. He was not able to locate any hair follicles under the skin, and told me the chance of regrowth is slim to none, especially as there has been no hair there for 28 years. He suggested we first try cortisone injections which did not work, and then referred me to a specialist. I went to see a specialist and he recommended scalp reduction surgery given the small area and lack of hair follicles.

I’ve done some reading on scalp reduction surgery, on your blog and others. The risks seem to be significant (stretchback, slot scaring, hair angled incorrectly, etc.) and it’s clear you’re not a proponent. I’ve also been unable to find any success stories/testimonials online. I’m going to ask the specialist to share more information (# of surgeries he’s done, before/after photos, # of surgeries I’ll need, risks, type of incision, etc.), but before doing so I’m hoping to get your advice.

Given the small area (2cm in diameter) and being able to cover with existing hair, do you think this is a case for a successful scalp reduction surgery? If not, are there any alternatives you’d suggest (e.g., Rogaine, hair transplant)? Both my dad and grandpa have full heads of hair, so I’m not really worry about the hair on the left side of my head receding back to the site of the bald spot.

Thanks for your help!

Block Quote

You are correct in that I am not a proponent of scalp reduction surgery. This is because over the years I have never seen it work well. I’ve written about this type of procedure before here.

A scalp reduction could be very tempting to the surgeon and the patient, because it makes logical sense — just take out the bald spot — but the best you would get is maybe 50% improvement. Or you might get considerable scarring from this, depending on the location.

There are other options, such as a hair transplant using the follicular unit extraction (FUE) technique into the small area you described. This is a more predictable result, particularly for the small area.

Hemorrhoid Surgery and Hair Loss? – Hair Loss Information – Balding Blog

hi, i am from india. i want to ask 1 question. i am suffering from haemmoroids and doctors have told me to go for a surgery. i am not doing only because of anesthesia. the anesthesia used for surgery is spinal anesthesia. i want to ask can that cause hair loss? or i have 1 more option of rubber band treatment which is done by local doctor and is not that hygenic for which only local anaesthesia is given. what do u say? which treatment should i do? i am really confused

plz reply soon. regards

Block Quote

You really need to discuss these things with your surgeon. Hemorrhoid surgery, called a hemorrhoidectomy, does not usually cause hair loss… though I suppose it is possible that stress from the surgery could cause some form of temporary hair loss (telogen effluvium).

General anesthesia is sometimes referenced as causing general hair loss, but this is generally reversible.

Will We Ever Be Able To Use Other Organ Donors for Hair Transplantation? – Hair Loss Information – Balding Blog

Immunosuppressive drugsI have been asked the question posed in the title of the post many times, and each and every time I answered it on this site, I was emphatic that this could not be done because of the problems that we see in kidneys, livers, and hearts when they are transplanted (i.e. they get rejected by the body). Now, the possibility that this may not be the case was raised by Dr. Sharon Keene after she read this article in the LA Times about a small pilot study which may lead to the elimination of taking anti-rejection medication for life following organ transplants — Study suggests breakthrough in organ transplants.

Japanese doctors tried homografts and allografts of scalp hair back in 1928 and again in 1938. They left detailed descriptions of the results. The growth rate was zero percent; however, we have learned much about transplanting organs since then and maybe we can apply what we learned to allow for a better outcome.

Of course, I am not saying that my answer has changed, but who knows for sure what could happen. Successful transplants have been done between different people, in baby hearts under a year of age and in face transplants where the anti-rejection medications can be far less and possibly stopped, but the experience is still very sketchy, as not many face transplants have been done to really know what it takes to sustain such a transplant without anti-rejection drugs.

There are also ethical considerations and medical-legal ones imposed on doctors who think that they could experiment on people without legal ramifications. When I was in medical school our most famous surgeon was Dr. David Hume, who made his reputation in Boston at the Brigham hospital doing a kidney transplant from one twin to another in the wee hours of the night without the permission or knowledge of the medical staff. It worked and he became a hero, but had it not worked, he would have become vilified and this act could have ended his career. With stem cell progress and some of the tricks outlined below, who knows what the future holds; however, I have long believed that the really important problems we, as doctors, will be allowed to treat, will not initially be for the vanity of perfectly healthy men who are balding.