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Hair Transplant Before Face Lift?

I have a question about possible future hairloss. I have a list of procedures I want to have done and thought I knew the best ordering of them. I plan on having a hair transplant first, this so my hair has time to regrow. About 6 to 7 months later I would have a SMAS Facelift. However, I have been reading about the hairloss common to post face lifting and now I am perplexed. Bear in mind, my eyebrows are to be lifted with a method that doesn’t go near my hairline on top, however, it is the sides of my hairline, the temple region that has me stressed. A facelift will deal in that area and quite truthfully, I can’t afford to lose hair there. It is already thinned out considerably as it is. But, I need to have the facelift. So, is it possible to have a “temple” hair transplant? I don’t see any way around this. Help me by imparting your knowledge so I make an educated choice. I think I can proceed with the transplant on top, to be scheduled in early december, but what about the temples and future facelift?

Thanks so much for taking the time to answer my question and solve this.

Generally, I like to do hair transplants after face lifts, because if there are any problems to the hair caused by the face lift or brow lift, they can be addressed at the time of the hair transplant. A good deal of my practice is this type of surgery. Clearly, the newer face lift procedures spare some, but not all of the problems. You can follow your facelift with a hair transplant after a few weeks to a few months. If there are hair problems following the facelift, they will be evident by month three.

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Hair Transplant at Early Stage of Hair Loss?

hi doctor,
in your earlier blog you said that best time to do a hair transplant is when the hair loss becomes unbearable and you(doctor) has something to work upon.however in your recent blog you said that it is better to have hair transplant in early stage. what exactly in your view is the better option?

For starters, you need a Master Plan to understand what is going to happen to you.

Hair transplants work well early in some men if there is obvious balding, but just having miniaturized hair and some thinning may be better treated with medications like Propecia (finasteride) before considering a surgical approach. Frontal areas, as they bald, work well with hair transplants, while crown areas may take huge amounts of hair that will not meet your needs in the supply/demand ratios of your hair density and scalp laxity.


2009-03-19 12:23:58Hair Transplant at Early Stage of Hair Loss?

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Hair Transplant and Hypohidrotic Ectodermal Dysplasia

Hi. Yesterday i was diagnosed with Hypohidrotic ectodermal dysplasia. I was wondering if you know anything about having this disease and hair transplants. Since I was born with this can insurance cover it? I have spots and places where my hair will not grow. It requires me to wear hair extentions , and im thinking about a wig. Anyway , i was wondering if you knew anything about this.

Thank you

Yes, I do know about ectodermal dysplasia. It is a genetic trait which can affect hair (among other things). I do not know how insurance coverage plays a factor in this, but I doubt that hair transplantation will be an option. With ectodermal dysplasia there are defects in the hair and skin that may make hair transplants not possible.


2010-10-29 14:18:06Hair Transplant and Hypohidrotic Ectodermal Dysplasia

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Hair Transplant After Radiation Therapy

I would like to know whether it is possible to do hair transplants to someone who had radiation therapy for 6 weeks. The area is about the size of the palm of a hand. Balloon expander was suggested… but 6 months and 2 “operations” is too long and not worth the result…or is it?

Thanks for your advice.

Hair transplants may work in the radiated area, but that depends upon the status of the quality of the skin in the recipient area. I can not render an opinion without seeing you, but it seems like you got advice already from a doctor and an area as large as you report seems appropriate for a balloon expander at first blush.

When I transplant a patient’s hair into an area that received radiation, I often do a test transplant to be sure that the transplants take 100% and are strong and robust.


2009-11-13 08:24:04Hair Transplant After Radiation Therapy

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Hair Transplant Advice

Dr. Rassman:
I am a 25 year old male who over the past 2 years has begun to see hairloss (receding hairline starting at the front middle forehead and working its way back). I am using rogaine 5% and Propecia daily. Its been 12 months and I swear it doesnt seem to be working. Now I never noticed hair on the pillow, etc, but the loss was becoming apparant, and I am still not seeing it on my pillow. I can not go bald (many many nasty scars on the old dome). At 25 is it reasonable to get a transplant if I want to keep from getting to stage 3, 4, etc. My mother’s father was almost entirely bald, but no one else seems to have problems. What else should I try or do? Suppliments? I live in Florida and noticed you are only in California. How can I get an idea of cost, etc without flying to California? Please help!

At 25, with your history, it is most likely that your genetics are dictating the hair loss process. With both Rogaine (weak medication) and Propecia (strong medication) your ability to stop frontal hair loss appears improbable. You must assume that you will be like your family hair loss pattern (worst case scenario) and if you elect to go the transplant route, then starting in the front and working backward is the best way to go about it. It is possible that the medications you are taking may stop the hair loss short of your full family pattern, but I suspect the frontal hair will be lost. These medications work better on the back of your head than on the front. This makes you a wonderful hair transplant candidate, something we do on young men of your age all of the time.

First, take some good digital pictures of your balding head from front, top and sides, wet and dry then email them to me (my address is on the Contact page. If you are not technical, call my office 800-NEW-HAIR and we will send you a disposable camera. Then the next step will be a telephone consultation with us. From that point on, at the least, we can talk from ‘the same page’ knowing what is really happening. If you elect to come to California, then there is air fare subsidization of your trip and a night in a hotel (on us) once you arrive for your surgery. More info on the NHI Travel Program available at this page. When we speak, I can give you a cost estimate, best and worst case.

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I Had a Hair Transplant 6 Months Ago and Now I Look like This. What Is It? (Photo)

The post-operative picture on the left shows recipient area necrosis (a loss of blood supply to the graft area). This area healed with the scar that you are showing in your 6 months photo as I would have expected (photo to right). You need another hair transplant to fix this. You should ask your surgeon to make it right for you as this reflects a surgical problem.

 

 

 

 


2018-09-14 08:42:26I Had a Hair Transplant 6 Months Ago and Now I Look like This. What Is It? (Photo)

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I had a hair transplant 6 days ago and my head is now cracking open

What you are seeing is terrible post operative washing. You should have washed off all of the crusts on the day and the day following the surgery. When this is done correctly, within three days of surgery, you can resume full activities, heavy exercises if you wish.

The recipient area requires daily washes to keep it free of crusts. I generally recommend the use of a sponge and supply my patient with a surgical sponge to fill with soapy water and press on the recipient area daily. By repeating this daily, all crusts can be washed off without any fear of losing grafts. If any crust are present, use a Q-tip and dip it into soapy water and roll it on the crusts. That will lift them off without dislodging the grafts. Never rub them, just roll the Q-tip on the recipient crust. I like to see no evidence of any crusting in the recipient area and the crusts from the donor area gone in 7-10 days with daily washing.

cracking head

 

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I Had a Hair Transplant 5 Years Ago, and Now These Transplanted Grafts Seem to Be Falling Out.

We do know that for a few patients, these permanent hairs may not be permanent after all. We don’t understand what you are reporting, but I would suggest that you see your surgeon and ask him/her to look at the donor area microscopically and see if those hairs are miniaturizing. If the donor areas have miniaturized hairs, this could explain what you are seeing.


2018-06-26 13:04:54I Had a Hair Transplant 5 Years Ago, and Now These Transplanted Grafts Seem to Be Falling Out.

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Should I Have an FUE Hair Transplant, I Am 30. (from Reddit)

Hair transplants work very well when you are balding. I had hair transplants for my crown, and no one knows unless I told them. I performed hair transplants on 6 relatives, including my wife and daughter-in-law, and they were all happy with them. There is a balance between your concerns about balding and your sense of need to do something about it. Hair transplants are not for everyone. Even though I invented the FUE, I still perform half of our hair transplants with strip surgery, often in older men or men who are going to develop an advanced balding pattern. The decision to do an FUE vs FUT is a personal decision for each patient.

Hair Transplant Should I Wait? from tressless