Balding Blog

Nice comment and congrats. Many women with hair loss are not good surgical candidates, but it seems that you were. I would caution many women reading this post to be careful when considering a hair transplant, for hair loss in the female is not like male hair loss.

What you need is to find a doctor who understands the progressive nature of genetic balding in men. With this much balding at 21, you may be heading for a Class 7 pattern but typically Asians do not have the donor supply to treat such a large area of balding if you should evolve into a Class 7 pattern. What you need is a Master Plan for your hair loss, not a hair transplant at this time. I have just received two emails from different doctors who reported that they had patients your age who reversed their hair loss completely with Minoxidil and Finasteride alone and no hair transplant. One of these two enails reported that his patinet had this reversal last since he was 21 years old, which is 15 years ago. Too many doctor will rush to transplant you because they make a lot of money doing it but they would be leaving you with an incomplete end result, so be careful. Try a combination of medications with the help of a good doctor.

If you are under 25, you should never consider a hair transplant. I would try the drug Finasteride as it may reverse the early thinning I see. This would also be true if you were over 25, giving you a try to reverse it without surgery. African hair is better than Asian and Caucasian hair as “it wants to cover the scalp”.

Finasteride may reverse thinning hair in African-American men.

This is a terrible question as it reflects a doctor who is not ethical and a patient who is naive. A 21 year old might have early crown hair loss and frontal hairline loss along the hairline (Called a Norwood Class 3 Vertex pattern) which is not uncommon in a young man under 23 years old. Most of these men can stop their hair loss on the drug finasteride, but of course the doctor can’t make money that way, so this poor fellow had a hair transplant and will be destined to continue having hair transplants until is final balding pattern is evident (about 26 years old). If he does not have the donor density for this, he will look freaky as he runs out of hair chasing possibly the impossible. Ethical doctors are in the business so if you are under 25 and have hair loss, see on of the ethical doctor who does not rush you into surgery to pay for his new car.

I (21F) have always had dense, silky straight hair. Around 2 years ago I noticed some sparser sections along my hairline, but I had pretty bad anxiety so I chalked up to that. About a year ago I went on BC (LoLo Fe) and noticed about 2 months after starting that my hair was starting to thin a lot. I could see parts of my scalp when I pulled my hair back that I couldn’t before, and my ponytail was close to half the size of what it had been (I previously could not see any scalp when my hair was wet, and now can see it along the sides and some on the top). I’ve recently gone off the pill, and noticed some sections of my hairline are growing back, but I still feel like I am losing a lot of hair. I read that going off BC can cause some short-term hair loss, so I am hoping this loss is just from the adjustment period. My question is, what can I do to best take care of my hair while it hopefully grows back? I’ve switched to a natural, sulfate free shampoo, and I do not use heat styling. I’ve also started eating healthier and oil massage my scalp occasionally. Are there any other steps I should be taking, like maybe switching to Nioxin or a different type of shampoo/conditioner? I was also wondering if I should continue to use a wide-tooth comb in the shower when I condition, as I was told it helps to spread the conditioner but it is also when I lose the most hair in the shower (wasn’t sure if this is too harsh on wet hair or not)

Birth Control pills can and often cause hair loss. The question to ask is it possible that you have genetic hair loss. Are any females in your family (mothers, grandmothers, aunts, sisters, have hair loss in any degree. If so, then you need to see an expert to see what you should do. (here are some of my posts on female hair loss which you might want to read: https://baldingblog.com/?s=female+hair+loss+blood+tests)

i’m only 21 so i can’t really get a hair transplant until down the line. i got put on 2.5 mg minoxidil earlier this year and i passed on using fin. i’m fine with using this pill for the future because it hasn’t really affected my day to day life in any way and my health is fine, but i was just wondering if it’d even be worth getting a hair transplant down the line if my balding is genetic and it will keep slowly spreading, wouldn’t i have to get like several transplants over time?

I make my living doing hair transplants, but I almost never have done it on someone of your age. I wait until 25-6 before even considering it. Maybe the oral minoxidil will work and you will not bald. Give the drug a chance and stay on it.

You are a great candidate for medications and microneedling. Your age means that the hair loss is recent and your chances of reversal of the hair loss are good.