30 Years Old, Thinning at Frontal Hairline.

Recently I’ve started to notice my hairline thinning (I guess its about time at 30 years old) but not receding. Its by no means bad, and the top, back, sides of my head are still thick. Having done research on typical alternatives, it seems to take fin for just hairline thinning and no recession might be overkill. I could use minoxidil but applying it 2 times a day for the rest of my life is a pain. Is the solution for those of us with a thinning hairline, but not receding, and OK everywhere else (hopefully…!) a hair transplant?

If you are in or near Southern California, visit me. Topical finasteride might be a reasonable solution, provided we are sure that you are not balding elsewhere on your head. That is why I would perform a HAIR CHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-and-what-its-value/ ) first to make sure that there is no undetectable balding elsewhere.


2020-03-17 08:22:2130 Years Old, Thinning at Frontal Hairline.

I Had 3500 Grafts and I Want to Know Is My Donor Area Over-Harvested?

Your donor area may be over-harvested reflecting that either the FUEs were taken too close to each other for the density of the area, the punch was too large or your donor area could not support the number of FUE grafts you received. It is possible that the donor area is undergoing vascular shock loss. If this is the case, it might grow back in 6 months or so. If the area that is shown reflects the height and extent of your FUE harvest, then your surgeon took it too high and too low. You might want to get a second opinion.


2019-02-14 10:55:46I Had 3500 Grafts and I Want to Know Is My Donor Area Over-Harvested?

I’m 22, and I don’t understand why you don’t think I should get a transplant to fix my hairline now.

The reason a man under 25 should not have a hair transplant is because the hair loss patterns just starts appearing by the age of 25-26. So, for example, if you recede 1/2 inch of your frontal hairline at 20, got it transplanted, then by 21 you lost another 1/2 inch behind the transplant and then had to get it transplanted again, and then by 22, you lost another 1/2 of the hair behind the two transplants plus loss in your crown, then you would want to transplant in the frontal hairline and possibly the crown again and so on. By 25, your crown balding may have expanded and if you don’t transplant it, you will have hair in the center of the crown with a bald area surrounding it. Sooner or later, you would run out of money if you were not rich or run out of donor hair (even if you were rich) and be stuck half transplanted with no recourse and nothing to do. If your doctor is sloppy, he would deplete all of your donor hair. I have, in my 27 year career in doing hair transplants, many men caught in this trap, because the doctors make the money (often a lot of money) as they deplete the victim’s donor supply with repeated surgeries on the promise that this next surgery will be their last.

I am certain, that at 22, if your hairline is actively receding, that your future hair loss can’t yet be predicted. That is why I like to develop a Master Plan with my patients so that I can keep them with hair on their head as they continue to bald without depleting their donor supply or promising the impossible. If you were my son, I would not do it any differently. I would do a HAIRCHECK test, treat your balding with the non-surgical options, and then when you got to be 25, discuss a plan with you and what we can do together to keep you hairy and feeling better about yourself.

FUT Questions from tressless

 


2018-12-03 15:34:40I’m 22, and I don’t understand why you don’t think I should get a transplant to fix my hairline now.

Is Avodart Going to Be FDA Approved for Treating Hair Loss?

I read someone’s comment in one of your blog entries from long ago, suggesting that Avodart was seeking approval from the FDA (something about being in Stage 2 trials). We know it hasn’t gotten FDA approval, but are they actually seeking it?

There is a report just published two weeks ago on the U.S. government website ClinicalTrials.gov which indicates that phase III clinical trials are in process for Avodart in Korea. That is great news for us, because the indications are strong that Avodart (dutasteride) will be more effective than Propecia for the treatment of male patterned genetic hair loss. The most pointed questions which need to be answered are the frequency of side effects, particularly sexual libido supression.

There are some studies out there proving the efficacy of Avodart (dutasteride) for prevention of hair loss. It is documented that blocking type one 5-alpha reductase may be as important as type two in treatment of baldness. Unfortunately, the study done at Duke University, published in December 2006, is limited to 24 weeks and we don’t have enough information on the long term effects of dutasteride on hair loss.


2007-03-08 15:35:46Is Avodart Going to Be FDA Approved for Treating Hair Loss?