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I start to get bald from top of my head. The other areas are staying strong so far. Although the front headline go up a bir, it is not at a level it concerns me much. On the other hand, I have a very thick beard. It is actually more than I like at this point. I want to use this beard to close the balding spot. I don’t really care if the beard will be a bit curly since I don’t plan to have a very long hair. Do you think this would work? What is your experience after a year or more if you had a similar operation? I would like to know what are the results of people who have similar experiences with me.

Scalp hair is the ideal hair for a hair transplant. Beard hair is only used if you run out of scalp hair from overharvesting. Overharvesting reflects poor planning on your doctor’s part. Beard hair, when used, is never used in the leading edge of the hairline because it looks like beard kinky hair.

I just had an FUE and want to know if I can use Minoxidil and when. Incidentally, is it true that there is benefit on using Minoxidil on the implanted hairs?

The use of Minoxidil on the recipient growth can be started once the crusts are all off. I ran a study on half of the head on a few dozen patients where I put Minoxidil on half of the head and not the other half. There was no value seen on the Minoxidil side.

I’m 31 years old. Last year people really started to notice my hair loss… I recently discovered FUE. I expect my hairline to further recede as I age. What age should I wait to – if I should wait – to start to seriously consider FUE (or similar measures)?

Hair transplants come in two flavors (1) FUE where the surgeon uses a punch like instrument to remove single follicular units ‘one at a time’ ( https://baldingblog.com/class-23-patient-just-5-days-after-fue-procedure-with-photos/ ), this is the surgery I pioneered worldwide, and (2) the strip surgery (often called FUT) where the surgeon removes a strip of scalp and they sews it closed. Both cause scarring, the FUE causes very small punctate scars and the strip surgery causes linear scars (usually just a fine line but sometimes these will stretch). You should ask yuour surgeon to allow you to meet some of their patients (we hold open house events monthly where former patients come in to discuss their experience and show off their work). At 31, you can do either type of hair transplant, just find a good surgeon. We offer Reddit readers 5% off plus we offer travel reimbursement programs for out-of-town patients.

Recently, i have to start shaving my mustache once every 3 days since the growth is much more noticeable and i have started growing a visible soul patch??? I don’t have a speck of hair for a beard and under my lips, so a soul patch is so off-putting when i saw it in the mirror. Also, i only apply the min on my scalp so its weird seeing growth on places other than the top of my head. I will just take these changes as a good sign!

It means that you are absorbing enough minoxidil in your body though the skin to produce hair elsewhere. When women use it and this happens, they get facial hair and body hair as well. maybe you are using too high a concentration of minoxidil?

Donald Trump had a Scalp Reduction surgery in the early 1990s (the surgical removal of his balding area), and may have had hair transplants producing a depleted donor area, strongly suggested by what we see in the video. The back of his head now appears bald which is most likely the result of many hair transplants procedures. The fact that he dyes his hair platinum blonde, again, strongly suggests that he had the old fashioned plugs, which is heavily softened by the blonde color. At the time his hair was worked on, few doctors were doing the surgery that we do today. I have been performing today’s technique since 1991 at about the same time as when he had his scalp reduction surgery. He has to keep his hair sprayed to keep it together, but obviously, the wind was worse than anticipated.

Hi Dr Wrassman, was wondering if you could shed some light on this for me… After seeing the results on here and elsewhere, I’m considering using minoxidil foam on my beard area and potentially my balding crown. However, I have a young daughter and I don’t want her to be impacted in any way whatsoever. I’ve done lots of reading and question asking and the general consensus is that if I wash it off the minimal residue won’t do anything. However there are now reports to the contrary. So, I was wondering is there any way of removing all residual traces from your skin when using a topical medication like minoxidil? Sorry if I’m not allowed to contact you directly and I understand you probably get tons of questions daily but I’m at a bit if a loss as to who to ask this

I generally advise men who use topical minoxidil to take it at night (the liquid for the hair is better but the foam or the liquid for the beard should work) after a hot shower. This will soften the skin and possibly reduce the barrier to absorption. You daughter will be sleeping so at night there is no possibility of transmission. Then you can shower it off in the morning. I don’t believe that there is much of a threat.

A year ago, I got my synthetic hair implant in another country clinic, since they really persuaded me to try out their biofiber synthetic hair implant made from Italy. Now I started having inflammation and redness and itching, I visited a dermatologists who recommended that I get these removed immediately.

I have seen such patients and their entire scalp becomes very infected and scarred, even after the removal of the synthetic implants. This takes a long time and many visits as some of the implants get burried in the scalp. Fortunately, these have been outlawed in the US and many countries, but a few clinics remain in Europe and elsewhere offering it and some people think it is a great idea and may pay heavily for the decision to get them.

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In your experience do patients typically require more transplants down the line, if so how many typically? I can stay on fin to help with this, but I’d like to avoid having to do multiple down the line. Maybe one more in my 30s/40s to keep the hair looking natural if recession drastically continues, but I’m a little hesitant as I don’t want to get roped into having to do continuous surgeries every 5-10 years for the rest of my life.

I have had patients stop at one hair transplant, more common in the older male population when their Norwood Balding pattern is stable. In younger men who jump the gun, following the hair loss with additional hair transplants is not uncommon. That is why careful planning is critical in using up a limited donor supply. A good Personalized Master Plan for every man is needed.