I Am a Bad Scar Former — Would FUE Be an Option?

I have hypertrophic scars from numerous cutaneous surgeries, and even under modest tension my scars tend to spread quit a bit. None of them have an adequate cosmetic result in my mind for a hair bearing region. As a result, harvesting grafts with a strip is something I am not considering. Given my propensity for making ugly scars, am I likely to have abnormally visible scarring from follicular unit extraction at the harvest or transplant site, or are these so small that hypertrophy and spreading are of little concern?

Nobody wants a bad scar, but for hair transplant surgery (or any surgery on the scalp), the scar should always be hidden under the hair if you keep it at a normal length (more than 2 inches). Even a bad scar can still be hidden after a haircut with a #3 clipper most of the time. I also realize many men would like to cut their hair very short in the back where the scar may be visible, and that’s when follicular unit extraction (FUE) may be a better option. However, if you have a tendency to have hypertrophic scars, then even the FUE may leave you with hundreds of noticeable dots.

As with everything in life, you need to have some perspective on what you are doing and what you are willing to give up. Nothing is perfect. There is no such thing as scar-less surgery. There are men who choose to have hair in the front and top, but sacrificing the gain with a scar in the back of their head. There are men who do not want any scars on the back of the head (linear or otherwise), and for them surgery is simply not an option. There has to be some give and take that you have to be comfortable with.

Think about cosmetic surgery on women: Women who want larger breasts will sacrifice their gain in cup size with a scar under the breast, around the areola, in the armpit, or in their belly button. Women who want a face lift will sacrifice a youthful face for a scar along the back of their ear and behind their front hairline.

Remember, keeping your hair very short after a hair transplant will not give you the best cosmetic results no matter how many grafts you transplant. A very short hair style will look much thinner than a longer hair style, which covers more of your head. This is because the surgeon is working with a limited number of grafts to cover a big area.

I Am a 21 Year Old Female and I Want a Rounded Lower Hairline

I have a very square hairline along with a large forehead. I have heard that a forehead reduction can lower the hairline but that hair transplants would be needed as well to round the hairline out. Is it possible to round out the hairline with just a forehead reduction (by taking the forehead down/in more on the sides)?

This can only be created with a hair transplant. A hairline reduction surgery can lower it but not round it. I wrote a chapter in a bood on this subject here: https://newhair.com/wp-content/uploads/2018/11/phenotype-article-published.pdf


2020-01-31 15:20:47I Am a 21 Year Old Female and I Want a Rounded Lower Hairline

Will finasteride impact my athletic performance?

I Am a 20 Year Old Male College Athlete Taking Finasteride. Is There Any Impact on Athletic Performance? Are there any treatments that won’t affect my endocrine system? I’m aware that muscular weakness is a well-documented side effect of Propecia. I’m a college athlete and I can’t afford the potential drop in performance that finasteride could cause.

Many athletic associations (including the Olympics) say that finasteride is a performance enhancing drug (Lance Armstrong was on it, as many other athletes). The best way to determine this is if you are on it is to compare your athletic skills since you went on the drug, to when you were not. Frankly, I am not absolutely sure.


2020-02-07 08:47:55Will finasteride impact my athletic performance?

I am 29 years old, what can I do about this balding (photo)?

You have a Class 3A or 4 pattern of balding. At your age, you are an ideal candidate for a hair transplant. The frontal area with a normal hairline will make the man in the mirror look like he did 10-15 years ago.


2019-03-28 08:50:48I am 29 years old, what can I do about this balding (photo)?

I Am 25 Years Old And I Am Scared I Will Bald In 2 to 3 Years.

Am 25 yrs old. I am suffering from hair fall since 3 yrs. Am not bald but scared that i might get bald in next 2-3 yrs. wen i suffer more hair fall, shortening and regrowing hair gives me good result, but as the hair grows longer,again i suffer more hair fall..over these 2 yrs, i can say my hair has thinned and reduced in density .consulted dermatologist and i was suggested to use minoxidil topical solution(mx-10) + finasteride. I don’t have hereditary. As my dad and grand dad has good hair… so using minoxidil + finasteride is a good move?. after gaining hair back, can i stop using minoxidil as i don’t have hereditary?

Genetic male pattern balding is hereditary but it does not always follow a specific inheritance pattern. If you have the gene for male pattern balding there is no definite cure. There are medications such as Propecia and Rogain to help slow down and even reverse some hair loss but in the long term it is not a complete solution. The first thing you must do is establish a good diagnosis by your doctor and come up with a long term Master Plan and treatment plan. We have written many times that even those people who appear not to be balding but have balding in their families, can be balding and would not know it unless they lost more than 30% of their hair. We can detect that level of hairloss in our office with a special instrument that measures the hair bulk in various parts of your scalp and compares it to the back of the head where balding never really occurs. IF you should have clinically detectable hair loss with out instruments, then taking drugs like finasteride work great to slow it, stop it or reverse it.

If you don’t have genetic male pattern balding, Propecia will not help. This is why you need to talk with your doctor and have a good understanding of your long term goals and plans.
Rogaine and Propecia are long term medications. You don’t just take it to try it you come to a doctors’s office and get your hair bulk measured.

Am 25 and want a Little Hair Transplant, Thoughts?

There is no such things as a little hair transplant. A hair transplant requires local anesthesia which can be the beginning of a cascade of hair loss in a 25-year-old not on finasteride. See this link: https://baldingblog.com/need-master-plan-think-hair-transplants-photos/ as this could be you. Whatever hair you use now should be part of a Personalized Master Plan that will follow your hair loss as it occurs. Even the man in the link, with a Personalized Master Plan, could have hair for his life.


2020-06-20 10:57:53Am 25 and want a Little Hair Transplant, Thoughts?

I am 23 male, am I balding?

Probably not. What I see is that you appear in the front to be transitioning into a male mature hairline as the widow’s peak is a remnant to where your hairline receded as it is moving to a mature hairline. Some men retain this widow’s peak unless they undergo genetic balding in which case they may lose the widow’s peak and the entire hairline as well. It appears that your left side is maturing faster than your right side.


2020-07-07 15:44:29I am 23 male, am I balding?

I Am 21 Years Old With Norwood 2 Pattern, Is It Going To Get Worse?

I’m 21 years old, and I fear I may be losing hair. About a year and a half ago I noticed that my temples were a little thinner in the corners. Now my hair is getting longer, and there are thinner hairs that hang down at my temples. Also, the shallow edge of the scalp is visible. Am I definitely balding? Is there anything I could do about that, and should I even worry? I checked with that chart, and my hairline looks like an NW2, but even with it getting longer, the temples are somewhat visible. I know people way older than me with a
hairline like this, but if I’m already noticing at 21 (almost 22) that seems like a bad sign right?

Genetic Male Pattern Balding (MPB) can start in the teenage years after puberty. Norwood 2 is not really balding, but if you are noticing other patterns of hair loss, then it may be an early sign. Without an examination, anything is possible.

I am 20 years old, what should I do about my hair? (photos)

Fortunately, you supplied just barely enough of a view of your hair in the two most important areas (front and crown) to show that you have thinning in both areas. You have a strong forelock in the center of your thinning frontal area and this forelock may stay even if the hair around it disappears. The best treatment at your age with this condition is the drug finasteride which may reverse it at your age. Also look at this post for more direction: https://baldingblog.com/haircheck-test-how-it-is-done-video/


2019-05-10 12:18:39I am 20 years old, what should I do about my hair? (photos)