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Be honest and that shows you care. Men often deny early balding and by the time to stop denying it, the are past the point when they might have prevented or reversed it with medications. This goes to extremes and the denial can occur over a generation to the point where men can’t even see what happened to them such as those with the awful comb-overs whose wives and family never say a word. I know your question is really about early balding, but by being open and frank, you can show how much you really care and take a load off of his back.

I noticed that something like this takes only 800 grafts and my hair is not even close to as bad as this persons so reasonably speaking is 500 grafts not a reasonable guess and there is a lot of hair present, so these drugs are the best option. That area would take more like 1500-2000 grafts depending upon the thickness (fine, medium or coarse) of the hair

There is a lot of hair present, so drugs are the best option. If you are compelled to do something, then get Scalp Micropigmentation (SMP) rather than a hair transplant and you will not have a visible balding crown. Our website shows the results we get from SMP: https://scalpmicropigmentation.com/gallery/thinning-hair/

The surgeon who did this hairline lowering procedure with a hair transplant, did not understand many things such as: (1) there must be a transition zone of single hairs in front of the newly created hairline, (2) the hair direction is not radial, but rather follows a discrete direction which was not adhered to here, and (3) there are many two and three hair grafts in the front of the hairline making it clearly Man-made. No hairline should look like this. Unfortunately, too many doctor who don’t understand the process, fail to learn the basics and produce victims who put their trust and their look in the wrong hands.

On September 17th, an Advisory Panel For FDA Recommends Restrictions To Doctors On The Use Of Testosterone on a vote of 20:1. Testosterone use has become more popular among American men and the question that is posed: Is it Safe? Men think that they have reduced testosterone and believe that it may be the cause of reduced sexual function. For these men, testosterone become the dream aphrodisiac to bring back their sexual performance and drive from their younger days. What most men do not realize is that decreased sexual function, from a physiological point of view is common in men over 40. Those with decreased sexual performance impacts (in general) 40% of men in their 40s, 50% in their 50s, 60% in their 60s and so on. Most of these men, especially those in their 40s and 50s have normal testosterone levels so added testosterone may have no know sexual benefit. Obviously from the vote, one panel member did not agree with the rest and this reflects uncertainty in the field. No one knows if the FDA will accept the panels recommendation.

LINK NY Times
LINK Urology Times
LINK FDA

I recently heard of a story(second hand) where a pair of identical twins, due to an unfortunate accident, were part of an interesting experiment.

Apparently at the age of 21 one of the pair lost his testis in some motor vehicle accident. Now both are in their fifties, the one who was in this accident has a full head of hair, and his identical twin is quite bald. Does this mean that removing your testis stops balding?

I am terribly sorry if this a very silly question.

Thanks for your time

Good question! I have not heard of that story, but that is a very real possibility. Male pattern hair loss is in part due to a hormone called dihydrotestosterone (DHT). DHT is a breakdown product of testosterone. If a man is missing his testicles, which is the source of the majority of testosterone in his body, he will have a very low level of DHT and should not bald.

My father (age 60) is pretty bald (Class 6 balding pattern) but he still had hair on the top of his head. I am also a Class 6 (age 40) person but more balding than my father as my scalp is clean of any hair on the top. I went to a hair transplant doctor and he recommended that I get 1500 grafts on the front and top of my head. I was curious as to how much hair that would be, so I asked my dad if I could count the hairs on the top of his head. He had lost his hairline over 20 years ago as I have. I counted about 3000 hairs on his head, so assuming that I get 1500 grafts averaging two hairs each per graft, I realized just how much hair I wold get from such a transplant. He looks sickly with his 3000 hair if it were not for his top shape and his workout routine. Did I do this right to see what I think that I would like with 3000 hairs in the 1500 grafts recommended for me?

Answer: The recommendation of 1500 grafts in a completely bald class 6 pattern, would not give a big impact for you. To cover the class 6 pattern, you would need closer to 5,000-7,000 grafts depending upon the thickness of your hair shafts (fine, medium or coarse). Spreading 1500 grafts around a Class 6 pattern will not give you much coverage unless your hair shafts were thicker than his and the grafts were focused on the front and forward top areas of your head. I found a 44 year old male with a Class 6 pattern on my website (https://newhair.com/photos/patient-xk/). He had 4178 grafts in two sessions. The redness in the front reflected a hair system (wig) he wore which was glued to his scalp. His hair was of medium weight. If you hair is of medium weight, then you could expect to look like this with about 4000 grafts. Look at his before picture and tell me if this is the type of hair that your father has? If so, it might be miniaturized (very fine) so it will not give much coverage, so 1500 grafts of non-miniaturized hair placed in the frontal area might look ok, but significant coverage will not be obtained and these grafts should not be placed in the top and crown area.

To take a look at two other patients, I offer: https://newhair.com/photos/patient-ba/ (patient BA) and https://newhair.com/photos/patient-cd/ (patient CD). Patient BA’s area of coverage with 2184 grafts of medium weight hair that is straight (no wave in it) combs over nicely to cover the bald area. Patient CD had 1349 grafts with good frontal coverage because his hair was coarse and very curly (kinky). Patient CDs hair attributes give more coverage than people with medium weight, straight hair as seen in patient BA. If the hair was fine in either of these men, the coverage would be thinner.

I hope that these comparisons will give you an ability to estimate what 1500 grafts might do. Compare your hair attributes to those of these men and then you might be able to see the value of the recommended 1500 grafts.

I had a hair transplant 3 weeks ago and the scabs are still present. I can not take off my hat. As an executive of a large company, I took off the first 2 weeks, and had to go to work with a baseball hat on. Having a hair transplant was a terrible decision. Whey don’t you guys tell people like me what to expect? I think you can tell that I am angry as hell.

I am certain that we did not do your hair transplant as our patients are devoid of any major scabs after about a week if washed twice a day. More importantly we make every effort to educate our patients of what to expect.

In fact, my wife (Mrs. Rassman) had a hair transplant in the frontal hairline just a few weeks ago, and the transplant was barely detectable by the first day after surgery. The key to keeping a hair transplant less noticeable is to have a washing program that keeps the scabs off. Most of our patients leave the operating room without much evidence of the surgery because we wash the scalp very thoroughly before leaving the operating room. We have the patient usually come back the next day and we wash their hair ourselves and instruct the patient in the washing process. The old adage that cleanliness is close to godliness, applies here in the post operative care of a hair transplant. Your doctor should have explained this to you.

I am 18 years old and I am seeing my hairline rising. Can we stop this change with Propecia?

The mature hairline is present in about 90%+ of men as they mature. I don’t have any experience with stopping the hair loss in the very front of the hairline that is typical of children. At 18, without seeing you, I don’t know where you are in the process; however, I don’t believe that the zone between the leading edge of your juvenile hairline and the place where a mature hairline will end up (see reference above) is mediated by the balding gene as this is not balding in the typical sense of the word. These hairs undergo Apoptosis (cell death) and that is programmed into your genetics. I have had young men on Propecia in the past, and I do not remember any of them where the transition from juvenile hairline to mature hairline was stopped by this drug.