Is this a hair system? (photos)

The photo on the left: Some good laced systems have some fiber/plastic leading edge that create a good frontal hairline that looks completely natural. These system are generally very expensive but still must be changed every couple of weeks as the patient’s own hair grows out from under them. From a close up view, you almost always can detect the laced element of a hair system. I can’t see close enough to determine if this is a very good laced system as this man claims it is. If this is a laced hair system, then this is what I believe that Donald Trump uses.
The photo on the right, is a more typical hair system. Most men never show the hairline of a hair system because of the obvious lack of a good transition zone between the bare forehead and the hair. With the hair combed over the hairline, this hair system on the right can look good. All hair systems need to be adjusted for hair growth every few weeks which makes the user dependent upon the hair system folks who sold it to them.
Both of these hair systems are glued to the scalp.

Is Transplanted hair DhT sensitive when moved?

May I take the opportunity to ask you: once a hair is transplanted from the donor area to the crown/top of the head, does its follicle become a “crown/top” follicle in its identity and sensitivity to DHT? Because I know for sure that the post-transplant therapy includes in most cases (if not always) finasteride and minoxidil. Thank you.

No, the hair that is transplants from the donor area keeps its genetic identify so it is not DHT responsive


2020-11-17 07:24:00Is Transplanted hair DhT sensitive when moved?

8 months on finasteride and minoxidil (photo)

This shows an excellent result from the combination of finasteride and minoxidil over an 8 months period of time. Many people need to wait a full year to see such benefits


2020-11-05 12:42:298 months on finasteride and minoxidil (photo)

Itch and Inflammation Associated with MPB

What is the cause of the itch/inflammation associated with Male Pattern Baldness?

I’ve addressed this before on BaldingBlog.com and you said there is no correlation between inflammation of the scalp/hair follicle and Male Pattern Baldness. If you go on to any Hair loss forum you will see that a lot of hair loss sufferers get inflammation in the areas where they are losing hair. I have all the common traits of MPB and get inflammation on my receding hairline and thinning crown. I’ve seen a slight decrease in inflammation on finasteride but had to quit finasteride due to side effects. Since then the inflammation has become worse and it itches throughout the day. My Doctors have no clue about inflammation caused by MPB and don’t have much of a clue about MPB either. Nizoral was reccomended by forum users online and not by my doctors , it has helped a lot. This isn’t right , it is aggravating and worsens MPB. Here is a article on MPB and inflammation: Hairloss-Research.org

I don’t understand why none of my doctors and many other forum user’s doctors know about inflammation and it’s correlation with MPB. I know a lot of MPB sufferers do not get MPB and therefore it seems that is something else. From looking at online forums and MPB sufferer’s stories I have seen that it happens to people with more aggressive Male Pattern Baldness which is mostly younger people. I’m 19 and I find this hard to deal with. I have to figure out about inflammation myself. There is clearly a correlation between the two.

More articles: AndrogeneticAlopecia.com and SearchWarp

I don’t know where to start. You will have to come to grips with your balding. If you can not use Propecia for side effects reasons, you will have a problem in controlling the hair loss. The inflammation that you talk about has been reported to me by some patients and I suspect that the decreased hair bulk make the scalp drier which can produce an itch. Nizoral is a popular antifungal shampoo, so if that is alleviating your itch problem, perhaps you’ve got something going on with your scalp other than just genetic balding.

Your comments above and your insights will be shared through this site. Thank you for telling your story.

I’ve Been Rejected By Hair Transplant Doctors and I’m Desperate!

I am a 19 year old male, with a naturally high hairline. You can also call it receding if you like, it goes beyond that curve. It’s been like that since I was born. My hairline from centre of my brow is 5cm, top of my brow is 4.5cm. I do not suffer from genetic hairloss, nor does either my family bloodline. When I say genetic, I say this, because when I took minocycline, an antibiotic to help with acne, it made my skin very weak, dry, and fragile, thus some hair fell out because of this. I went off the medication, and I stopped dropping hair. Problem is, I’ve lost the hair I had while on medication, and hasn’t grown since. But I can live with that. It’s only a minor thinning area. No biggie.

I am the only one cursed with this dreadful big forehead in my family. My dad’s forehead is a bit bigger than normal, but mine surpasses his. I have to cope with this everyday of my life, and I finally decided to take up the courage, fight my embarassment and ask doctors around my area. When I finally gained the courage to pick up the phone, I was deeply disappointed as I was excluded, turned down, and rejected hair transplant.

I have contacted numerous hairloss centres and they rejected me for a hair transplant operation to lower my hairline. I feel truly disappointed at this point in time. They only offer treatments for people have lost/losing hair. She only recommended me rogaine, which is unnecessary in my case. I still have a clear vision of a lower hairline of about 2cm-2.5cm.

I am not doing this because I want to look pretty, I want to have a lower hairline, because I no longer can cope with the comments I receive from people. It really affects my daily life. I was made aware of my forehead from my sister, which I never was aware about, and ever since, I have been getting more comments. When I meet people, they would look up at my hair line, not at my face when talking. It makes me so uncomfortable, and the rest of the day I feel so bad and cannot stop looking in the mirror, thinking “I will never get help, even the doctors rejected me”. How many times must I be rejected because of my hairline? Friends, family, now doctors?

I guess in the end, my question is: Can I get hair transplants to lower my hairline from elsewhere? Are there any other possible ways to lower my hairline by 2cm to 2.5cm?

Hair loss is indeed a dreadful situation for those who are afflicted with the unfortunate fate of the hair loss gene. Add to that a congenital high hairline and it can certainly impact a person’s view of themselves. While I sympathize with the negative social implications of a high / receding hairline in your teenage years, hair transplant surgery is permanent. It is not a short, quick fix. In other words, at your age it is almost impossible to predict how much balding you will have and a quick fix may just accelerate your hair loss. You need to start by getting your hair mapped for miniaturization and have a Master Plan of how to tackle your hair loss problem. You may be a candidate for medications such a Propecia. Propecia will not lower your hairline, though. Your “clear vision” of a 2cm to 2.5cm lowering of your hairline may be attainable, but the timing may not be right due to the risk of further hair loss.

Finally, you can probably have a hair transplant elsewhere by doctors who will gladly accept your money. But, that would be in the doctor’s interest, not yours. Whatever you do, even if you find someone to do the surgery, please get another opinion and just don’t get on the first bus that comes along.

I’ve Had No Hair Loss Over the Past Year and a Half — Is Now the Time for a Transplant?

Doctors,

I have been taking proscar, religiously, cutting it up into quarters for the past 5 years. I have had moderate success in keeping what I have, but not any new hair growth. My temples have still receded and a little bit of the front part of my hairline has receded. However, in the past year and a half there hasn’t been any hair loss whatsoever. I am 29 years old, if I haven’t seen any hair loss in the amount of time I mentioned does that mean I have reached my final hair loss pattern and I will no longer experience hair loss, and I can go for a transplant procedure?

The last thing I want to do, go for a procedure and then all my native hair falls out and I am left with only transplanted hair. That is why I am sometimes confused as to how long one should wait to get a transplant and how would one know what the “final” pattern is at such a young age like mine.

The real question is: Is this your final hair loss pattern? You can guess at this, but at 29 years old, that might be difficult. Well-delineated patterns often show the final pattern. That means if you are (for example) a Norwood class 3 pattern, the area where the hair is should not have any miniaturization when looked at under a video microscope, and the hair behind it should not have bulk reductions as measured by a HairCheck instrument.

If you had clean borders and no loss of hair bulk behind your existing pattern then you could assume (not 100%) that for the moment, the hair loss should have stopped. The problem is that many people who see it stop may find that it picks up again years later. With the combination of what I discussed here with the continuation of the finasteride treatment, you may be one of the lucky few. If you are in Southern California, I would be happy to do these tests for you in my Los Angeles office.

A Perfectionist’s View of Transplants

I am 50 with early gray coming on the sides and black hair in the front. I have had 10 hair transplant procedures over the past 8 years [not at NHI]. I go from happy about them (when I had bald areas and then they went away) to unhappy (now). I am bothered about my left frontal hairline in particular. It is obvious to me that it is transplanted. I am not an expert, but I know it is not right, yet it is not the pluggy look like your book shows in the back section. I comb my hair forward to cover the hairline which I should be showing off, not hiding. What is wrong with it and can it be fixed with 100% certainty?

It is clear that you are a perfectionist, for only a perfectionist would notice your problem. The problems are that the grafts in the frontal line are two hairs each, the hair seems to point outwardly, rather than forward and the frontal grafts are a straight line that line up like soldiers. These two problems are not uncommon when a transition zone of single hairs is not created at the leading edge of the hair line. The concept of a hair line should not be taken literally, for there is no ‘line’ in a natural hair line. You were created with a zone of single hairs that transition from a bald forehead to a full frontal hairline presentation. A good hair transplant doctor must create the same transition zone to accomplish the natural look. With your black hair, these changes are more noticeable than if your hair color was lighter, making it easier to detect a transplant. As the gray hair moves forward, the problem will become less noticeable, but I suspect that you do not want to wait a decade or more for that to happen.

The second problem is outward directional growth of the transplanted hair. Judging from your photos, that problem is the result of a radial placement of some of the recipient sites when the procedure was first done. The direction of the hair growth is totally controlled by the surgeon who made the recepient sites. Additional grafts placed in a better position and direction might influence the hair that is growing outwardly. Using the concept of ‘following the crowd’, the normal direction of the new hair can be transplanted to influence how the existing hair will lay.

The third problem is the ‘line-up’ of the hairs in a straight line that is easily detected. The frontal hairs should be irregularly placed so that no line is evident.

The last point of your question talks about certainty in outcomes. Any surgical procedure has risks of failure, so certainty in medicine is more an act of God than an act of a doctor. In my experience, the success rate for building a good transition zone is very, very high. The hope would be to complete the transition zone in one session with 500-600 single hairs in the front. Sometimes more is needed, particularly if your hair is coarse, black and straight. What you need is comfort and that is established with a visit to the doctor’s office. As a perfectionist, you will interview your potential new doctor with an open mind, but keeping some skepticism and doubt, so the doctor will have an uphill battle for your confidence. Ask the doctor to show you people he has done with black hair, you can look at the transition zone and see if you see a ‘line’ in the hairline. I always say, what you see is what you are ‘gonna’ get.