Can I Have Hair Transplanted from the Crown to Make a Juvenile Hairline?

Dear doctor,

So far I have read that transplanting back a juvenile hairline (from a mature, assuming the person is not balding) is a bad idea due to the risk that the patient may suffer from balding in the future, leaving a permanent transplanted section at the front, which would look ridiculous.

Could this not be avoided by transplanting hairs from the top of the head (rather than from the ‘permanent’ zone of the back/sides) to the front, so if that person does end up balding, those follicles will be equally affected by the DHT, and so will not remain permanent? What’s more, those transplanted follicles could therefore be treated by minoxidil and propecia if need be?

On the other hand, if the person doesn’t bald, they will retain the lower hairline. It seems like a win-win situation. I only ask because I think my hairline is maturing (it remains to be seen if it will become balding) and I want to maintain a straighter hairline because it looked much better on me and had better styling options.

Many thanks

Yes, you can technically take hair from the crown and put it in the hairline… but if you harvest from the crown, then you’ll have a potentially bald-looking crown. I wouldn’t recommend this being done.

For example, let’s say your genetics might just have crown loss in your future, in that case you would’ve had an unnecessary surgical procedure if those transplanted hairs start falling out with the rest of your crown hair. You must remember that Propecia doesn’t protect you from hair loss forever, as your genetics will eventually win out at some point down the road.

I think you need to understand the importance of a Master Plan, where the doctor and the patient plan out a specific plan on how to address the evolving balding process. If you plan it right, you don’t have to worry about the “ridiculous” look of a partial job.