Balding Blog

This man’s photos shows two problems. (1) above the scar, there are areas of balding which indicate that the scar will become obvious, and (2) the stitches were placed far back creating a railroad pattern which will (a) cause hair loss and )b) probably keep elements of this scar. This man will need a hair transplant to fix this once it is healed. Why would any man do this when a hair transplant alone would have solved his hairline recession?

Note that at three weeks, there is nothing to see and the hair growth, when it starts, will continue to grow at a rate of about 1/2 inch per month. The hairline was moved forward 1/2 inch and the right temple peaks, which were lost with age, were replaced to balance out the left side.

These pictures say it all

The scar that shows, is the result of hairloss from the surgery, a non uncommon happening after any facial or hairline surgery. The way that you fix this is to have a hair transplant which will cover the entire scar and put your hairline in the proper position, burying the scar in the newly created hair. Because of this complication, many women and all men (whose hairlines almost always recede from an advancement surgery) choose hair transplant lowering surgery for their hairlines.

One of the complications of a ‘hairline lowering’ or ‘hairline advancement surgery’ is hair loss. When it occurs, it exposes the scar from the advancement surgery. The best and only treatment for this is a hair transplant which can effectively bury the entire scar and fill in the thinning area behind the scar as well. Hair loss can be very extensive, losing the entire frontal area back up to 3-4 inches from the incision, but on the rare times that this happens, in women, this always reverses and the hair loss returns

The scarring you have may be the result of a surgical wound that was closed too tight which is known to form scars like you have. This area can be transplanted filling in the hairline with a forward new hairline created with fine single hair grafts in front and this will hide the scar when done properly. Similar work can be done behind it. Here are some examples of hair transplants performed for female lowering procedures which does apply to you: https://newhair.com/female-hairline-lowering/), scalp micropigmentation can hide the scars inside your hairline easily (https://scalpmicropigmentation.com/scar-covering/#!).

I don’t believe that this man who thought he had good work done will be happy with these results. His hairline is straight (no hairline is straight) and the donor area has a large number of patchy areas reflective of a surgeon who used a large punch to perform the FUE. This is a post-operative photo (possibly 1-2 weeks after the surgery) with a lot of scabs sill on the recipient area. The man posted this photo on a forum, but he was proud of it. Detectable hair transplants are never good and this man shows the transplant with an abnormal perfectly straight frontal hairline with straight temple peaks and a see-through donor area from possibly too many FUEs taken for harvesting his donor area. It would have been nice if this man posted a better photo.

The problem I see may be more than just missing areas of hair because the hairline is too ‘regular’ and does not reflect a random placement of grafts. Also, the grafts in the frontal hair line are multi-haired grafts when they should be single hairs. A thick 1/4 inch layer of single hair grafts creates a transition zone in front of any thicker hairline, so it does not appear like a ‘line’. Your transplant, is, unfortunately detectable and needs to have a transition zone built in front of the multi-haired grafts, so that nobody can tell you had a hair transplant.

Sometimes the balding starts in the corners of the hairline and sometimes it start in the middle and erodes the hairline as shown here

My biggest shed was at the 1 year mark to the month and it looked way worse than baseline. Like I aged 15 years.

Hair loss can not always to stopped with finasteride. Sometimes while taking finasteride, a man can go through hair loss acceleration. The genetics of Apoptosis is ingrained in each hair follicle and although finasteride does slow it down, it does not stop the hair loss in some men. You should speak with your doctor and if you don’t have a hair doctor, get one.