You have a Class 4 frontal balding pattern and your bigest concen is that this may progress over time. To turn your hairline into a female hairline it will take about 2500 grafts assuming that your hair is fine or medium weight.
The answer is no, you cannot have a hair transplant. I also always perform bulk measurements with an instrument called HAIR CHECK which is a good way to determine just how much thinning you have that you cannot see. Once this test is done and you have gone a year, I often repeat the test as it gives an excellent measurement on what happened to your hair over the year. If it got better and some of the thinning reversed, maybe you won’t need a transplant and that is the goal that you should look to do. Of course, a good doctor is critical to this course.
You seem to have poor growth and I would go back and see your doctor and ask why this happened and what he will do about it. If you were one of my patients, I would fix it at no charge
The two pictures are when I was 13 years old and I’m and 18 girl. My hairline shape is changing. Should I be worried about this?
The 18 year old picture needs better quality, but it does look like the shape is changing. This is not uncommon. I studied children from the age of 5 (both boys and girls) and saw rounded hairlines if preadolescent children change in both boys and girls as they got well into their teens. The rounded hairline when you were 13, has flattened out now and that is very common and normal. If you think that you are losing hair, then see a hair doctor.
If you have a dry recipient site, you can apply a lanolin lotion to it and use a good conditioner along with a shampoo that will not cause more drying. This will help reduce the dryness.
I am now 26 years-old and seem to be losing ground on my hair since I was 17 years old. My father and my two brothers have a full head of hair so I have been denying that I am losing hair. I need to know if this can be fixed.
Yes, it does look like you are balding as your frontal hairline is distinctly receded and eroding. A hair transplant can restore it. If you pulled back your hair and your eyebrows are lifted high so that your forehead creases, the proper place of the hair line is one finger breadth above the highest crease. I believe that you will see that your crease is probably at least two finger breadths above the highest crease. A hair transplant would certainly put your hair back to where it normally would be as shown in another patient to the right of your picture. This was a patient I found in my library who looked just like you looked at 17 after his hair transplant.
What you have appears to be an infected hair follicle cyst which we often call a boil. You should see your doctor and he most likely will drain it and relieve your pain.
My hair has been getting worse for the past 3 years. At times I get a lot of hair loss. What is wrong with me?
Women with hair loss need to see a doctor. There are many causes for female hair loss and they include medications (birth control pills for example), hormone problems (thyroid disease) etc.. I have written about the work-up for this in the past.
See here: https://baldingblog.com/2009/03/13/woman-with-handfuls-of-hair-that-come-out-every-morning/
Sometimes, there is no real solution for for these women who can see through their scalp, we offer Scalp MicroPigmentation which works really well.
See here: https://scalpmicropigmentation.com/smp-for-women/
I will be frank and honest. I think that you did not need 4,500 FUE grafts. I think 1,800 or so would have been adequate provided you were on the drug Finasteride to help stop the progression of hair loss and prevent shock loss from happening. Your age put you on the marginal edge of a hair transplant and it is possible that you might have reversed the balding just with the drug. What is even more disturbing is that 4,500 grafts taken from your donor area will deplete your donor area possibly enough to impact hair needs in the future. The rush to hair transplants are the fault of both you (who my not have gotten second opinion) and the doctor’s need to make money (at your expense). The doctor clearly put hair where you were not losing it and that is poor ethics.
I will tell you what I think. The design of the hairline is terrible, the multiple V-shaped protrusions of the hairline is absolutely abnormal. In addition, the crusting is terrible and the patient was never instructed on how to take care of his hair transplant after the surgery. Imagine, walking around looking like this?
How did the doctor decide to do such a transplant? The answer is that they did not want to make a straight hairline and maybe he did not know how to do this. This saw-tooth hairline is most certainly as bad as a straight hairline. A feathered hairline is what you see in a non-transplanted person. Just look at any woman or man’s hairline and you will see that there is no such thing as a hairline, just a place where a bare forehead transitions into hair with a “no-hairline hairline”. Below is an example of just one of over 15,000 surgeries we have done creating feathering hairlines. As you can see, this man (below) does not have a hairline at all, just a feathered transition from his forehead to a full head of hair.
(NOT NHI patient)
I am 18 and my father has lost a lot of his hair in the back of his head. Have I started balding in the back of my head?
You seem to have black hair and have combed your hair so that the scalp is showing, This is not balding and anyone with your hair color who combs their hair this way will see their scalp. Stop worrying and go on with your life as if you are not balding. Maybe sometime in the future you will follow your father’s pattern of balding but it is not present now.
I did not see any hair come out and it appears that my hair is growing.
There certainly is a suggestion that the hair is actually growing but there are small areas that do not contain hair suggesting that some shedding did occur. I see full growth rarely, but when it occurs, you can get full growth in 4-5 months. I think that you are only partly there.
I have actually two bald spots on my beard like the one in the photo. What is it and what can be done about it?
You need to see a dermatologist to make the diagnosis about this spot on your beard. Alopecia Areata is the most likely cause. This is a genetic condition and can be treated. It also runs the risk of more spots appearing in other parts of the body like the scalp. That is why a diagnosis is important.
A hair transplant in one session is never normal hair density for the size of the area you are transplanting. You can see it by looking at the lack of density of the grafts, but in your case, the area covered could have had more grafts. I don’t like the line-up of the hairs that were transplanted as they should have been more randomly placed. Your grafts were placed far too orderly for me but another hair transplant with more random placement of the grafts will solve this problem and give you more density. If this is the way your doctor does his transplants, I would look for another doctor.
One of the complications of any facial surgery, such as a brow lift, is hair loss and when this happens in women over 40, it is often permanent. As you are now eight months following the surgery, you should speak with your doctor about this. A hair transplant into the corners solves the problem, something we have done with great frequency on female face lift patient, brow lift patients and some forehead reduction surgeries as well.
