Surgeons say do not do a hair transplant because I am 24

I’ve been on Fin for 2 years, Rogaine for 6 years, and dermarolling for the past 4 months. Also been using Nizoral shampoo for like 3 years. Talked with 3 different reputable hair transplant doctors and they all said I am too young (24 yrs old) for transplant and that my hairloss seems pretty aggressive. I have diffuse hairloss and was told that my donor reserves are somewhat limited. With the current pattern I will probably end up as NW6/7. I feel like Fin/Rogaine had slowed it down a bit but it seems to be less effective then it use to be and my hairloss is starting to accelerate again. I’ve been thinking about doing PRP now. Any other things worth trying assuming money is not an issue? One of the hair transplant doctors recommended I switch from Rogaine foam to liquid since it absorbs slightly better. I’ve been on it for a couple weeks now and have had major dandruff. Hoping it will clear in a couple weeks otherwise I will switch back to foam.

P.S. I’m not looking for a surgeon to say yes. I talked with some of the best surgeons in the game, and they all said no, so i’m going to take their word for it. I will not go to some shady place to have a hair transplant.

I wrote a paper a bit over a year ago suggesting that when combining FUE (of FUT) with Scalp Micropigmentation, almost anyone can have a hair transplant (https://newhair.com/wp-content/uploads/2018/11/Combining_Follicular_Unit_Extraction_and_Scalp.98621.pdf). A try to teach here that everyone needs a Personalized Master Plan for their hair loss and that includes a hair transplant when appropriate. Although I tend to delay hair transplants on 24 year old men, to at least 25 or 26, if the balding pattern is clearly evident, I have often transplanted someone of your age provided that the man is (1) mature, (2) realistic, (3) has realistic expectations which I help set and (4) they have the financial means to complete what they started.


2020-12-17 07:47:56Surgeons say do not do a hair transplant because I am 24

4 months finasteride use (photo)

Very nice reversal of the leading edge of your hairline loss in just 4 months on finasteride alone. You have an unusual swirl in the frontal hairline that came back with finasteride


2021-10-14 21:36:464 months finasteride use (photo)

Is Avodart Off-Limits for Treating Hair Loss Until it is FDA Approved for Such Use?

Hi Dr. Rassman,

I’ve been on Propecia and Rogaine for 3 years and have been delighted with the results……up until now. Propecia and Rogaine thickened the hair all over my scalp and slowed the regression of my hairline. Unfortunately, it’s becoming apparent that my crown is now thinning, an area that had been strong prior to treatment.

I’m 28 now, and, if possible, I’d like to keep my crown hair for another few years, what are my options?

1) Would upping propecia dosage ever be advisable for a 28 year old?
2) Should I consider Avodart off-limits until it is FDA approved for hair loss?
3) What would you do if you were in this situation?

I’ve a check up with the doctor (who I’m very happy with) that originally prescribed the treatment in a couple of weeks, and will pose the same questions to him. However, your opinion is really important to me, and will help inform any decisions I may have to make. All the best

Upping the dose of Propecia (finasteride) usually does not work in your situation. Rogaine (minoxidil) is fairly effective in the crown and worth trying. Avodart (dutasteride) is an option and some doctors will prescribe it, however, the long term risks of sterility are there (probably remote), and the side effects are more frequent than on Propecia.

Try the minoxidil and give it at least 6 months. Then reassess your situation.

4 months on minoxidil and microneedling (photo)

4 months on minoxidil and microneedling with good initial results. I will be curious on how long it will last. Are you going to stop doing the microneedling and just continue with the minoxidil? You should probably continue the microneedling at least a few times each year.

 


2021-03-04 11:08:334 months on minoxidil and microneedling (photo)

Is Finasteride Growing Black Vellus Hairs at My Hairline? (With Photos)

Hi Doc,

I’m 22-years-old and have been on Finasteride for a little over a year. I had my hair properly examined 4 months ago, and the doctor confirmed that Finasteride has increased my hair density significantly.

I just noticed little black hairs on my hairline. I’m wondering what they are? I don’t believe I had these hairs when I started treatment. Could these be miniaturized hairs that may eventually turn into terminal hairs? They seem a little dark to be vellus?

Thanks

P.S. You’re welcome to use these pictures on your blog.

Click the photos to enlarge:

 

Finasteride 1mg doesn’t usually regrow the frontal hairline or vellus hairs. With that said, everyone has vellus hairs at the hairline, so perhaps you are just noticing them for the first time as you are paying more attention to it. The only real way to tell is if you have a BEFORE photo of the same are. If your doctor does bulk measurements on your hair, it would determine if there is a reduction of hair mass, usually caused by genetic balding.

42 celebrities who had either hair transplants or hair systems

It is always interesting to know that you are not alone when you are worried about hair loss. You are fortunate that you are in 2020 when the art of the hair transplants is as good as the natural hair growing normally. Had you done it 30 years ago, you would not have been so lucky like Joe Biden (had plugs that were fixed) or Donald Trump (who had a scalp reduction and now is probably bald with a good hair system).

See if you can tell who had hair transplants and who has a hair system from this list: https://www.buzzfeed.com/kimberleydadds/42-celebrity-men-who-are-less-bald-than-they-used-to-be

Can I Get just a few grafts?

I was thinking about 50 grafts just to see how they would look on the right corner of my hairline. What do you think?

Ask yourself if is there something called ‘A Little Bit Pregnant’. Clearly the answer is no. The same applies to just trying a few hair transplant grafts. Once you start the hair transplant process you are committing a lifetime of hair transplants to follow the balding as it occur. Imagine that you put a few hair grafts on the Right frontal hairline, then lost hair is lost behind it; these transplanted hair would stick out so everyone could see them as they became more and more isolated from a receding hairline because these hairs last forever, but not the hair behind them.. Don’t do it unless you have a Master Plan which includes hair transplants with a good doctor to fix a real problem.


2019-12-23 07:39:05Can I Get just a few grafts?

Is finasteride working?

I have been on finasteride but still encountering recession in my hairline in terms of miniaturization. But i noticed that my hair fall has actually decreased, so is the fin working or…? Was wondering am i really having Androgenetic alopecia

Yes, it is working but possibly not well on your hairline.

Is it true that minoxidil only works on the crown (vertex)? (photo)

This man is showing that minoxidil has worked on his hairline. The reason that most say that it only works on the crown (vertex) is that the FDA only got approved for claims on the crown (Vertex) when the drug got approved. It clearly works sometimes on the hairline as many men will tell you so and it works well in the crown for many men.