This 23 year old male who wanted to find out if he was a good candidate for a hair transplant. His present Norwood pattern of hair loss is an early Class 3 pattern. At 23, I normally would not offer hair transplants to someone of his age because: (1) the balding pattern is not completely […]
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Young man started treating balding in the old days (15+ years ago) first with scalp reductions trying to cut out the bald spot, eventually getting transplants into the bald spot. He continued to bald and ended up with an oasis of hair surrounded by a bald scalp. This is the way it was, thankfully, not […]
I have a fairly aggressive form of androgenic alopecia. By 26 most of the hair top of my head was gone. So decided to get an initial FUE transplant for at least the front of my head. It was roughly 1500 grafts. Result was moderate, while a huge improvement to what it was, I could […]
This patient had a hair transplant many years before. The surgeon clearly didn’t understand the hairline or the balding potential for this poor man. He is now stuck with a terrible frontal hairline presentation and an isolated hair transplant in the front and top surrounded by his balding scalp. He needs to have a real […]
Say you are 19 with male pattern baldness. How do you figure out who’s pattern he will be following? For a 19 year old developing that hairline, it would be critical to get to see a doctor who is an expert in the field of hair restoration as you need to have a Personalized Master […]
The circles show where the hair loss has progressed since his hair transplant. I tell 21 year old men who want a limited hair transplant to wait until at least they are 25 or they will be back every year as the hair loss progresses as shown in these photos with the circle just one […]
A colleague of mine was walking and saw this man. He asked for permission to take a photo of him and found out that he went to Turkey for his FUE. He had two FUE surgeries. What is impressive is (1) the now almost bald donor area and (2) the terrible growth and distribution that […]
I get a good family history and try to match the patient’s hair loss pattern with his family history. Then I mark where the patient is in his hair loss process, usually deploying the HAIRCHECK instrument test (https://baldingblog.com/haircheck-test-how-it-is-done-video/). Then I discuss the various options that are age related. Many of the men under 25, who […]
I have been doing hair transplants for 29 years and started off doing Follicular Unit Transplants (which I pioneered) with large sessions of follicular units rather than the old type of plugs as well as FUE which I started doing in the mid-1990s. I first published the idea that a Master Plan is critical for […]
According to this man’s text, finasteride and a hair transplant worked together to help him get his hair back. Great job! [Before/After] 8 years of DHT blockers, Minox, and a hair transplant in India from tressless
These photos were taken from an article published in the Hair Transplant Forum by Manny Marritt, M.D. in October 1993. Dr. Marritt died a week ago, but his ideas helped many of the caring doctors in the field of hair restoration think of the patient’s future hair loss when considering a hair transplant. The need […]
Each and every patient is different and there is no rule. You can have Scalp MicroPigmentation (SMP) first and a hair transplant later. Or you can have the transplant first and SMP later. I have had patients who had SMP on a completely bald scalp and later had a small FUE surgery to add texture […]
First, you need to know that almost every person with a Norwood class 6 and 7 balding pattern will see those patterns develop well before they are 30 years old. The older you are, the easier it is to predict future hair loss. At 22 years old, it might be difficult if you are not […]
Without a Master Plan, a Norwood Class 7 patient can be exposed to the worst of the problems in planning. An unfortunate example of this is a patient with a complex surgical history that I just saw who had three procedures with three different doctors over the past 10 years. His balding pattern was heading […]
After mapping out your scalp for miniaturization and knowing your donor density, scalp laxity, and your hair and skin characteristics, I can usually tell where your hair loss pattern is going. Your question is appropriate about a long term Master Plan. Generally, if we transplant the frontal area to a line drawn between your ears, […]
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