Is it rational for me to think that either a forehead reduction or a hair transplant at 24 is a good idea because my forehead bothers me?

I never TELL patients what to do, I just educate them. At 24 for a male, it is rarely a good idea to do any hair work unless you have certainty about your balding pattern, have a HAIRCHECK test to help you determine that pattern, sit down with a very good skilled doctor who cares about you and not the money he will make from giving you some type of surgery. Get it?

https://www.wsj.com/articles/losing-your-hair-why-this-solution-is-no-longer-shameful-11582299915?mod=itp_wsj&mod=&mod=djemITP_h

HAIR UNAPPARENT The celebrities and pop-culture icons to the left have been Photoshopped to remove some or all of their hair. Can you still recognize them?

ILLUSTRATION: SEAN MCCABE; GETTY IMAGES (CELEBRITIES)

This man had his hair wash this morning. There was no crusting on his head.  I recreated his natural swirl which doesn’t show up well in these photos.  The tape was placed to minimize any swelling that would follow a procedure of this size (which would otherwise produce swelling in the forehead and possibly the eyes within 3 days of the surgery).  He slept well and drove in this morning feeling completely normal and pain free.  He will now starting doing his own washing.  That is not blood you are looking at below his head but a flower on his shirt. I told him that he could  begin exercising in two more days.

The third picture was taken a day 6 and as you can see he looks much better. He is having no difficulty washing his own hair and has resumed full activities

 

 

 

 

 

 

 

 

 

 

 

What If the Donor Area Is Not Particularly Dense Though?

I always measure the donor area density and total supply and then match the donor area to your ‘worst’ case possible hair loss. I always create a Master Plan individualized for each patient so that they always know what is going to happen to them. This is critical in hair transplantation because both doctors and often patients rush to use up all of their donor hair before the balding pattern is complete, leaving the patient stuck with an incomplete job.

The best test to get is the HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) to get a good baseline for your hair loss so you know, when you repeat the test yearly, if you are controlling it or losing the war.

Human steroid 5 alpha-reductase type II is a prostate-specific, membrane-associated enzyme that catalyzes the conversion of testosterone to dihydrotestosterone, the most potent androgen in the prostate gland. Genetic variants of this enzyme have been associated with both the development and the progression of prostate cancer. Both finasteride and dutasteride are competitive inhibitors of the type II steroid 5 alpha-reductase that have been effectively used for the treatment of benign prostatic hyperplasia. Finasteride has also been successfully utilized for prostate cancer chemoprevention. We here investigate 5 alpha-reductase inhibition assays in vitro to measure the effect of incubation time on the apparent inhibition constant (K_i) for both constitutional and somatic (prostate cancer) enzyme variants. Our systematic pharmacogenetic analysis shows that both finasteride and dutasteride are slow, time-dependent inhibitors of steroid 5 alpha-reductase type II, and that the inhibition kinetics depend on the 5 alpha-reductase genotype. We also show that, overall, dutasteride is a more efficient steroid 5 alpha-reductase inhibitor than finasteride. Based on our data, we are able to map areas of the enzyme that are responsible for this time-dependent inhibition for either (or both) enzyme inhibitor(s). This comprehensive pharmacogenetic analysis of steroid 5 alpha-reductase variants unveiled significant pharmacogenetic variation for both finasteride and dutasteride and thus should be taken into account when designing protocols for treatment and/or chemoprevention of prostatic diseases with either one of these 5 alpha-reductase inhibitors since there is considerable pharmacogenetic variation for both drugs.

Hair loss is progressive and this man shows why. He had a hair transplant 15 years ago in the frontal area (marked in the photo as front), and he lost hair behind the hair transplant. He is now 49, so he was 36 when he had his hair transplant. Had he been 25, it is likely that he would have lost it faster than 15 years, and if his final balding pattern was not defined, then he might have lost far more hair at 25.  At the age of 36, hair loss usually slows down and the hair loss patterns are more stable.