I have been asked lately to show more pictures after the surgery so that prospective patients can understand what they may look like. Each patient is different because of hair and skin color. The lower the contrast, the less detectable it is, the grater the contrast the more detectable the ‘beard look’ of new hair is. The redness you see will be gone in a day or two. The tape was put there to prevent swelling from creeping down in the forehead into the eyes. Note there is no crusting and the recipient area looks clean because we wash it very carefully. We don’t usually see the patients after the first day post-op to get daily pictures, but as the patients come in, I will try to update these photos.

There are no scars in the area but on the left side of my chin about 3 months ago I developed a bald spot about the size of a quarter. there are some very light hairs but not growing. Also I have developed smaller spots under the chin line. I am on no medication and my hair is a very dark brown.

These balding spots may be a sign of alopecia areata. This is NOT a diagnosis, just a possibility. You need to see a doctor (dermatologist) to get a real diagnosis.

hey doctor. I’m just wondering if I have a mature hairline or is it more? my hairline has certainly changed from when I was 18. also I cannot understand why one side seems to be receding more than the other and has been for years! I have naturally thin hair.

I have attached a picture that tracks my right side for over 2 years. a recent picture with my hair wet and also with a styling product in and then the left side which does not seem to change. you can use this for you site if you like.

Thanks for allowing us to publish your photos. I didn’t use all of them, but I think our readers will get the idea. Click them to enlarge.

 

Some men do not bald symmetrically, and in your case, that seems to be what is happening. The left side appears to be a mature hairline and the right side appears to be beyond just the mature stage. Propecia is a good drug to help slow down the process, though I wouldn’t expect regrowth there necessarily.

Since you indicated that you’re in the UK, I would suggest visiting a specialist like Dr. Bessam Farjo with offices in London and Manchester, so you can get an expert opinion on your hair loss situation.

I’ve done a lot of research on here. I love how I’m not the only one dealing with this. Father went bald at 22 and my grandfather is bald as well.

I noticed hairloss around my sophomore year of highschool. Pretty mild crown bald spot. Had a person come tell me my crown had no hair and that I should move it. Little did I know there was nothing to cover the spot with.

I have very curly hair from my mothers side. I took a lot of her genes from some reason but it seems like the big gene I took from my father is hairloss. Around a year ago I started to use Shea moisturizer curling cream since again I have curly hair. I didn’t realize that the curling moisturizer itself was doing something to my hair until I stopped using it during quarantine. My hair started falling out quite rapidly. ALOT of dandruff which it itched a lot not sure because it was amount of showers I was taking or what. Then again still unsure. I never went outside during this period so my body was all over lol. I returned back to Cantu curling and my hair looks a lil better after a week I don’t know if there’s something in the cream that helps my hair. Anyways besides the point.

I knew I was going bald. My hairline has be receding. There’s nothing but single strands of hair across my hairline that was once there. The top of my head is also. I can pretty much see a lot more of my scalp. But the back of my head has perfect hair. I want to try fin. I’m not to worried about the whole beard and facial hair issue. I have a thick full beard at 18 and seems like I’ve hit the peak of my puberty I guess you can say. I see there’s a lot of side effects going on with ED and stuff then again I’ll just stop taking it if it’s severe. I wanna get this discussed with a doctor first but I would like to hear from the other teens here since I know there’s much more commenting then posting.

-how was fin treated you ? -how bad are the side effects if so how long did they last? -should I really take this at this age?

If your father went bald at 22 and you get his genes, the only possibility to hold on to your hair is the drug finasteride. Men who get a Norwood Class 7 by their mid-20s have never been studied with finasteride at an early age like 17-18. With the HAIRCHECK instrument, the diagnosis may be much easier when the hair loss first starts along this path, possibly as early as 18 years old. This type of balding is aggressive so the treatment with finasteride has to be timely and consistent.

We hold Open House Events every month in our Los Angeles where former patients come in to discuss their experience with prospective patients. I asked them yesterday if they would be willing to allow me to photograph their hairlines. These men said yes. All of these hairlines were transplanted by either Dr. Rassman or Dr. Pak. As you can see, they are each different but they are all normal looking and don’t look like their hair was transplanted but the hairlines were directed by the patient so what you see is individual differences between patients individual tastes. Scroll down to see each patient as they are separated from each other in this post. If you come to one of our Open House events, you can meet and speak to such men.

This patient had his entire head in a Class 6 pattern transplanted including all of the hairline you see.

 

 

 

 

 

 

 

 

This patient had his entire Class 4A frontal pattern transplanted including all of the hairline you see as well as the side hairline.

 

 

 

 

 

 

 

 

 

 

This man had a Class 3A pattern and had his entire frontal area transplants including the hairlines

 

 

 

 

 

 

 

 

 

 

This man has a Class 6 pattern of balding transplanting his entire front, top and the upper part of his crown. The hairline is a completely transplanted hairline.

 

 

 

 

 

 

 

 

 

 

 

This patient just had a surgery 4 weeks earlier (some in the front and most in the crown) and the hair has already started growing. He previously had 2000 grafts for the frontal hairline and frontal area

 

 

 

 

 

 

 

This man had a Class 7 pattern of balding and received 11000 grafts

 

 

 

 

 

 

 

 

 

This man has a Class 5 pattern of balding and had his entire pattern transplanted including his frontal hairline

 

 

 

 

 

 

This man had his entire head transplanted. He was the first patient to get FUE in North America.

Many times the transplant does not provide enough hair to cover an extensive balding pattern because the donor supply density is too low for the high demand of the balding pattern. When that happens, the surgeon who is skillful with both hair transplants and SMP will know how to use the transplants to form a good foundation so that the SMP will make the hair look much fuller.

Here is an example: The picture on the right has the exact same amount of hair as the picture on the left except that SMP was added to fill in the thinning hair.

This could be for many reasons, poor surgical judgement, low donor density, too many grafts for his donor supply. He will have to live with this unless he gets Scalpmicropigmentation (https://scalpmicropigmentation.com/)

I find that the conclusions offered are not justified by the content in the following ways:

1. The authors mentioned that oral minoxidil was superior in the crown.
2. No blood levels were measured for the topical minoxidil; however, systemic symptoms were found, suggesting that considerable minoxidil was absorbed through the skin into the body, so men without the enzyme that converts minoxidil to minoxidil sulfate in the scalp (the active form of the drug), which is absent in 60% of men, still got systemic benefits from the topical minoxidil.

This leads me to conclude that 60% of men without the active enzyme in their scalp who were treated with topical minoxidil received systemic minoxidil through the skin.

William Rassman, M.D.