What Makes a Norwood Class 7 Not a Good Transplant Candidate?

I have heard many people say that Norwood 7s are not good hair transplant candidates. However, two of the most successful hair transplants (Bobman and Jotronic) from another medical group were both Norwood 6’s heading towards level 7. What stops them from progressing further after their transplants? If you get a transplant as a 6, is it really that noticeable if you slowly progress to a 7? Is there something I’m missing altogether?

I have many Class 6 and 7 patients with great results from a hair transplant, so yes, it can be done well, but this is an issue of supply and demand with regard to donor hair. In other words, is there enough supply in the back of the head to meet the demands of the bald top? Take a look at Patient ZU from a past blog post (photos below) — now he has 9900 grafts and yet still has plenty of donor hair for more transplant procedures (which he does not need now) and that is because of two reasons:

  1. His scalp had a great laxity to it.
  2. He had a donor density which reflected an original hair population of 175,000 hairs on his head (normal is about 100,000 hairs).

Not everyone is a candidate and the issues that the doctor and the patient must face are one of realistic expectations and an excellent doctor/patient relationship.

Patient ZU – Before:
Patient ZU – After:

 

Update: More photos! Click to enlarge.

 


2008-05-13 14:47:07What Makes a Norwood Class 7 Not a Good Transplant Candidate?

What makes a good transplant candidate? (reddit)

This Reddit poster did a good job at summarizing the key elements everyone must understand. I would add:

1- understand that genetic balding is progressive and over the years more hair loss may occur until you reach your final genetic pattern so your Personalized Master Plan should account for this possibility

2- be sure you research the doctor you are going to use and develop a Personalized Master Plan for your hair loss with that doctor so you can set realistic expectations. Although coarse hair is the best hair caliber, many men get great results with medium weight hair and even fine hair if the balding pattern is not very extensive.

3- realize that over the years, hair character changes with age, often becoming finer so plan for these changes in your Personalized Master Plan

What Makes a Good Candidate for Hair Transplantation Surgery from tressless

What is wrong with my hair

In a separate picture not shown for confidentiality, I was able to look and measure the proportions of the face. You seem to have possibly two problems. (1) you may have thinning and I would have to examine you to determine this and (2) you have a very large forehead, much larger than the distance between your nose and your chin, a measurement I use for proportionality. If you just have fine hair, then you might have a surgery to consider reducing the size of your forehead. If you have thinning as well, then a diagnosis must be made as to the cause?


2019-10-16 08:48:28What is wrong with my hair

What is your opinion of this transplant (photo)

Too straight, too regular and not enough density. I am being honest. If you end up with a second hair transplant, you can easily fill in the density and make it irregular on the hairline and behind it. Did the doctor put single hair grafts in the front as he should?


2020-11-05 12:32:07What is your opinion of this transplant (photo)

What is wrong with my recipient area (photo)

You likely have an infection present with generalized redness and some pustule formation. Your doctor should drain one or more of the pustules, culture it and then place you on a targeted antibiotic.


2020-08-06 13:57:20What is wrong with my recipient area (photo)

What Is Wrong With Donald Trumps Hair?

I have heard from reliable sources that Donald Trump has had more than one scalp surgery to treat balding over 20 years ago. Many people who have had the older types of hair transplant procedures from the 1980s and 1990s often received deforming procedures that caused significant scarring on the scalp. Visible deformities can be covered up with good styling camouflage. In the 1980s and early 1990s, the hair transplants were created by pencil sized plugs and were often accompanied by hideous looking scalp reduction scars which, when the surgeon tried to cut out a bald scalp, left terrible deformities on the scalp. Today, hair transplants are created by moving hair in their natural growing groups of between 1-4 hairs each from the back and the sides of the head to where the balding problem exists.

I have heard that Donald Trump was a victim of these outdated techniques. Putting things together and relating it to my vast experience with patients who came to me to treat such deformities with ‘comb-overs’ or ‘comb-forward’ hair styles to hide these hideous deformities, I would guess that Donald Trump is a victim of these old surgical procedures and uses his now distinct hair style to cover it up. As long as he maintains this hair style and does not lose more hair, he will hold his iconic look.

The good news is that most people who were so victimized, have since come to be repaired with the more modern techniques developed over the past 20 years or so. Vice President Joe Biden is a good example of a politician who used to have a pluggy frontal hairline. Now, he proudly shows off a nice, frontal hairline with no evidence of any preexisting problems. I suspect, that Donald Trump is hiding something similar, using his dyed blonde hair and his ‘comb-forward’ hair style to hide his secret.

What is This Balding Bump on My Head?

I am currently having a lump/hump(elevated)on my head it’s circle in shape and around that bump is a bald area but inside that circle shaped hump has hair. What should I do sir? Is this some kind of a disease? Should I do something or wait for it to go away. I had this for nearly a year now and I’m still 15 years old. This was small at first but then it became bigger. I fear this can do something bad to my health. Please reply. I really need help. I went to the doctor but the medicine and lotion i received isn’t working. I think she had a wrong diagnosis. 🙂

thanks!

I really couldn’t begin to guess at what the lump is without an examination. It could be a variety of things, but there’s nothing that stands out to me by your description. If you’re not satisfied with your doctor’s diagnosis you should get a 2nd opinion from another doctor. It never hurts to double check!


2010-06-22 08:18:08What is This Balding Bump on My Head?

Hair washing technique after hair transplant

I give the patient a surgical sponge that has no soap in it. The patient then wets his recipient area with softly running water. Any good shampoo can be used with the sponge. Put shampoo into a small bowl of water and then using the sponge, make a lot of suds so that it fills with shampoo. Then with a rolling motion (back to front, not rubbing), press the sponge on the recipient sites so the soap from inside the sponge squirts on the grafts as you press on the sponge holding a mild pressure on the grafts. A back to front rolling motion is best. This process is repeated until all of the crusts are off provided that it is started the day after the surgery. If there are some persistent scabs, use a Q-tip dipped into the bowl. Roll the a-tip over the scab until it comes off. The cotton in the Q-tip will pull off the scabs as you roll in over the scab. If you wait too long, the crusting (scabbing) gets fixed to the scalp and then there is a new problem, how to get off the crusts that have been there for a few days as these grafts are then fixed to the scalp. If you pull them off at this point in time, the grafts will come out. Read this article: https://newhair.com/wp-content/uploads/2018/11/mp-2006-graft-anchoring.pdf

 

What is the timeline for balding?

Well to my dismay I am now a member of this community at 23. The idea of balding hadn’t even entered my mind until my mom mentioned my hairline receding a few weeks ago. Now i see it. Her dad was bald at like 30 so i guess it makes sense. Now i go around staring at dudes’ hairlines and guessing what their NW levels are.

My question is: what kind of timelines have people experienced? Does this ever start and then stop for a decade or is it all downhill from here? Do some people only recede a little or is everyone who experiences any MPB destined to become larry david? Id like to keep my hair at least thru my 20s so do i just need to get on finasteride immediately? Or wait and see a few months?

Balding is progressive in men as shown in this link: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/.


2019-05-19 10:33:08What is the timeline for balding?