I have a few questions about getting a hair transplant as a 26 year old. Before I get the “just go bald” comments, I’m not gonna do that, so save your breathe. Call me vain or whatever.

Anyway, I’m currently on finasteride, but I started after my temples had already receded and my hairline is just….a mess. I really, really want to get a transplant on my temples/hairline right now, while my looks actually matter to me. I know waiting till I’m in my 30’s makes more sense, since the balding will likely have completed by then and I can repair it all at once, but my looks are important to me now more than ever. It really hurts my self-esteem…

I guess what I’m wondering is, will it be okay to get a transplant on my hairline now and then just get another one when I’m older/in my 30’s to fix the rest once the balding has completed? The finasteride should keep the rest from falling out until then, right? (It’s been working for me thus far)

By this age, you can transplant the frontal hairline. What you need is a Personalized Master Plan for this process. I would do a HAIRCHECK test (https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) to determine your present balding pattern and try to predict your future hair loss pattern. Then I would quantify your donor supply to know just how many grafts you have in your lifetime so that good planning can start now. With this information, you can be intelligent about how many grafts that doctor is going to use up now, and how many grafts your doctor will leave behind. There is an interesting problem that most men don’t recognize. Too many doctors push graft numbers high because they charge by the graft so they profit from more grafts at the time of the surgery. I have seen many patients that had twice the number expended for a frontal hairline and then down the road they might run out of hair. Get a doctor who understands this process and cares more about his/her patient than their pocketbooks. If you stay on finastetride, you will prevent shock loss and hold on to your native hair.

Looks better in the crown. If you believe it is working, stick to it.

Note that the Alopecia Areata is impacting not only his scalp hair, but his beard and neck hair as well.

Don’t look to blood levels for DHT. Look for response to the lower dose of the finasteride when you drop the dose.

If I take finasteride before going to bed, I will have trouble sleeping.  I will feel agitated and restless.  This seems similar to the caffeine effect on me.  Any thoughts are appreciated.  If I take finasteride during the day, I feel no effect.

You can take finasteride any time of the day. If you prefer to take it in the morning, do so.

So I’ve always had a large forehead and and deep/high temples with baby hairs (since being a kid). Usually I take pictures from the side to track my temples. This time I took one from above with my hair pulled back. Didn’t like how it looked like that. Again, my temples have always been deep combined with baby hairs. I also took photos from the front, top and side with my hair parted. And it looked like my usual hairline again. See mentioned photos. So how come it looks so different when parted? Also, here are photos from my childhood up until now if interested. My age is 28 (29 next month). Why does the topview with pulled hair to the back look so different compared to sidepart?

PS my little sis has the exact same hairline. Very deep temples and fine hair. Looks like a men’s mature hairline.

Are you a female or male? This pattern is often a female pattern with the corner areas thinner as the hairline is evolving. When you look at layered hair, the hair often looks fuller so that is what you are seeing. Many women, like my wife who had your presentation including a high hairline, received a hair transplant to thicken up these corners. If you are a male, please write back to me at wrassman@newhair.com.