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Hairline design

My hair, black and white picture, which has receded in similar pattern to the colour picture attached. It’s styled so the front is swept to the side and I think highlights my receded hair line, Norwood 2/3, or at least doesn’t make it look good.

I want to keep my hairstyle natural looking while making the hairline look as good as possible. for example I don’t want to push my hair forward just to cover the hairline. Has anyone been in a similar position have any styling tips or ways they get their haircut at the hairdresser’s to make their hair look good without changing the style too much?

That is a good positioning of a mature hairline design, something I have been creating for over 30 years with hair transplants. This is a realistic hairline. The number of grafts to create this hairline would be 1200 if your hair was coarse, 1500 if your hair was medium, and 1800 if your hair was fine.

 

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Hairline Advancement Surgery Scar (photo)

This patient had a hair line advancement surgery to move her hair line down. It will require hair transplanted grafts to bury this scar, so it will not be seen.


2018-06-22 10:33:18Hairline Advancement Surgery Scar (photo)

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Hairline advancement Surgery for men is a NoNo!

If the person has never had diffuse hair loss (like me). I suspect if it was in my genes, the so-called “diffuse thinning”, I would already have it and as you can see my head is full of hair, I’m merely a “receeder” not a “diffuse thinner”, Could the forehead reduction surgery ON ITS OWN cause diffuse hair loss?

As a general rule, I believe that forehead advancement surgery in men puts them at risk of balding and showing the scarring and making it look unnatural if that should happen. IF a man had a Bill Clinton hairline or a Ronald Reagan hairline, and they were over 45 with a normal HAIRCHECK test, I would not have a problem with a hairline advancement surgery on them.


2020-09-15 12:43:53Hairline advancement Surgery for men is a NoNo!

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I Had a Hairline Advancement and It Looks Unnatural, What Can I Do? (Photo)

A typical female hairline is rounded and the leading edge should have a no-hairline hairline. This means that the transition zone should be built between your forehead and your thicker hairline so that there is no beginning of the hairline that looks like a ‘line’. Your picture on the left should be compared with a hair transplanted no-hairline hairline on the right below. Note the rounded soft nature of the hairline on the right which was completely transplanted, including the temple peaks and an advancement of the middle hairline about one inch, while the photo on the left is straight enough to draw a line connecting the hairs. I would build a transition zone with hair transplants to soften the abrupt hairline that is shown.

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HairGenesis

Dear Dr. Rassman,
I’ve been taking propecia since I first noticed my hairloss, at age 20. Now I’m almost 24, and while I’ve retained some hair in the vertex, there’s been substantially more loss in the front/temple areas. Transplants are probably not a financially plausible option for me presently, so I’ve weighed other solutions (mostly vitamin/herbal supplements), bearing in mind the advice published in your blog. The website for “hairgenesis” touts an FDA-regulated published study supporting it’s claims: Is this information credible, or is it merely a marketing ploy? What other information should I look for when considering treatments other than propecia and surgery?

Thank you in advance for considering my question.

I do not like the Hair Genesis site, because it is very heavy on claims that appear unsubstantiated. As I have no experience with it, I can not tell you what I do not know or have not learned, but when there are so many claims and reflections on FDA ‘endorsements’, I would doubt their credibility. The field of homeopathic and herbal medications is generally unregulated, but it is not proper or ethical to claim FDA ‘endorsements’ like this company seems to have done. To my knowlege, only minoxidil and Propecia have been FDA approved for safe and effective hair loss treatment and there is good scientific evidence that minoxidil and Propecia works. When it comes to natural and herbal medications, there are many harmful natural and herbal medications. Arsenic, of example, is a natural medication that has been used in historical medicine for the treatment of syphilis, but I would not use it for prevention of syphilis nor for any human use as it is a well known poison, so ‘natural’ does not imply safety. The message here is BUYER BEWARE, and remember that just because claims are posted on a website, it does not imply true safety or effectiveness.


2005-11-21 13:40:42HairGenesis

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HairDX Showed I Had Only a 30% Chance of Propecia Response

Dr Rassman, If you had a male patient who was 43 years old and is only approaching a Norwood 2A pattern, showed to have the balding gene based upon the HairDX testing and showed to have only a 30% chance to respond to Propecia based upon the HairDX, would you still advise the patient still continue taking Propecia. Also has father who is a NW7 and started balding at 18.

Secondly, would he still be a good candidate for a hair transplant to thicken the hairline even if he may not respond well to Propecia? My doctor advised me to continue taking the Propecia. Would you do the same?

I am not your doctor and you need to discuss your treatment option with the doctor who ordered the HairDX test. Is a 30% chance a worthwhile investment for you to take a pill a day? You can discuss your risks and benefits with your doctor.

I would not know if you would be a good candidate for hair transplant surgery because I do not know what you want or what your goals and expectations are, as I have not examined you. If you indeed have a Norwood class 2A pattern of “balding”, I would doubt that you are a candidate for a hair transplant at your age, but I would have to see you (or at least see some good pictures) before drawing any conclusions.

Hair transplantation is an elective cosmetic surgery. If want to lower or thicken your hairline and change your look that is your prerogative, but your response to Propecia and your candidacy for surgery are not related. The hair transplant surgeon’s job is to guide you, give you realistic expectations, and an overall Master Plan.


2013-10-13 14:45:05HairDX Showed I Had Only a 30% Chance of Propecia Response

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HairDX Genetic Hair Loss Test System

Just wondering if you could speak about the HairDX test and whether it is useful to use for men who want to know how severe their future hairloss will be.

HairDXMy knowledge of HairDX is limited to what I can find on the Internet (not much outside of their official website and official press releases). Assuming HairDX works and does give you an accurate genetic testing profile, why would you want to spend $149 when you can get a free consultation with a doctor? I guess some people just don’t want to meet with a doctor at any cost. Furthermore, I personally base my medical and surgical recommendations on a physical examination, history, and a miniaturization study. I would have a hard time recommending surgery or medication (Propecia) for men who show no signs of balding, but do have a positive genetic test.

It is nevertheless an interesting test from a marketing and consumer perspective and as more genes are identified that contribute to the hair loss process (MPB), then this approach may help us find better treatments and possible cures for genetic hair loss.

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HairDX for Women

From the press release —

HairDX, LLC (www.hairdx.com) pioneers of consumer-friendly genetic tests for hair loss, today introduced the first meaningful test using genetic markers strongly associated with Female Hair Loss (Female Androgenetic Alopecia). The easy to understand test provides an accurate and understandable genetic analysis of a woman’s likelihood of developing this common type of hair loss.

The HairDX test for Female Hair Loss provides women with a score, called the CAG repeat score. A smaller CAG repeat score is associated with a higher risk for significant hair loss (Ludwig grade II or III hair loss) while a larger repeat score is associated with a lower risk for hair loss. To be tested, a woman swabs her mouth (inside cheek) for several seconds and returns the swab to the HairDX lab. The results are delivered confidentially and anonymously via a secure and private Web site.

HairDXFull article — Revolutionary Genetic Test For Women’s Hair Loss Launched

Like the HairDX test for men that was announced earlier this year, this is an exciting finding, but it may be difficult to understand how to use it since there is not a one-to-one ratio between the presence of the gene (the score) and the connection to female hair loss. As we all know (or hopefully know, since I’ve written about it many times before), the hair loss evaluation for women requires many tests, because there are many potential causes of hair loss in women that are not genetic. I certainly will evaluate the value of this test in the diagnosis of female hair loss.

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HairDX Announces Finasteride Test for Women

Snippet from the press release:

Genetics research and a clinical study are today bringing significant news to women experiencing hair loss. A new breakthrough test can now help doctors determine if a woman is likely to benefit from anti-androgen therapies.

Genetic dermatology research and development innovator DermaGenoma, Inc. today announces the HairDX Genetic Test for Female Androgen Sensitivity. The test offers a new genetic screening for women suffering from or at risk of androgenetic alopecia (AGA), and is making its debut to physicians at the International Society of Hair Restoration Surgery’s 18th Annual Scientific Meeting in Boston.

The HairDX Genetic Test for Female Androgen Sensitivity (to be available through dermatologists at a suggested price of $399) examines genetic and epigenetic (genetic control mechanism) variations in a woman’s androgen receptor gene. This analysis will assess her androgen sensitivity to determine if her hair loss has an androgenic origin.

Read the full press release — Breakthrough Genetic Discovery Helps Dermatologists Prescribe Effective Treatment For Female Hair Loss

Women have few options when it comes to treating genetic hair loss, and this new HairDX test seems to point out which women might respond to finasteride and which will not. I heard the announcement at the ISHRS meeting in Boston, but it’s important to note that finasteride is not FDA approved or recommended for treating female hair loss. The drug can pose a serious risk to those women that are pregnant or can become pregnant.

We previously mentioned the HairDX pilot study about finasteride response in women here.

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Haircut After Hair Transplant

When is it OK to have a haircut after a transplant, especially for the transplant area? Thanks.

After a couple of weeks you should be able to get a regular haircut. Don’t expect that the transplanted hair will grow out in less than 5 months.


2007-10-10 08:34:21Haircut After Hair Transplant