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The following statistics are very troubling

  • Suicide is the SECOND leading cause of death for ages 10-24. (2015 CDC WISQARS)
  • Suicide is the SECOND leading cause of death for college-age youth and ages 12-18. (2015 CDC WISQARS)
  • More teenagers and young adults die from suicide than from cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza, and chronic lung disease, COMBINED.
  • Each day in our nation, there are an average of over 5,240 attempts by young people grades 7-12.
  • Four out of Five teens who attempt suicide have given clear warning signs

This young man brings the crisis that hair loss has in many young men. Maybe suicide it not the most common option, but when it does happen it is a real tragedy. Depression and many accompanying psychological conditions run parallel to the stress brought on by hair loss. I know that I personally spend a lot of time when I identify such men and I am not always successful because the accompanying infrastructure in my practice just isn’t there. Maybe by posting this, I can bring this to the attention of our readers so that they will be aware when one of their friends or family find themselves in situations like those defined above.

The following was posted on Reddit, a hair loss forum where many young men meet and share their hair loss problems:



Sometimes when a woman has a forehead reduction surgery, or even a face lift, they could develop thinning of the hair on the corners and/or the sides of the hairline. If this is a recent surgery, I would wait a full eight months to see if the hair comes back. Shock loss in women is often reversible on its own. If it does not get better in a year, this area can then be transplanted to make it thick again.

female hair loss


Your present hair growth appears to be happening now and if you wait another couple of months, the hair should grow to styling length. A laser hat will not help but it will not hurt either.

5 months post transplant



The pictures below were taken three days after an African American had 1,000 FUE grafts in the frontal hairline. Please note the very small FUE wounds are barely detectable as are the grafts.  He had no swelling and he had no crusts because we washed them off after the surgery.

African American 3 days PO donor

African American FUE three days after surgery, wounds are closed.

African American 3 days PO

African American three days post-op FUE surgery and there are no crusts present.


The average Caucasian has 6,000-7,000 hair grafts, the average Asian or African has 80% of those numbers, so you can do it again with some to spare.  It is not uncommon to repeat the surgery a second time for more density.

2000 grafts


This is an example of a young man who had a hair transplant in the first one inch of the frontal area and in the crown of his head. His hairline was perfectly restored and he loved it. During the year following the hair transplant, the hair that he had behind the hairline, which was strong before the transplant, fell out.  This is not uncommon in young men as loss of the native hair in a person who has a hair transplant happens as the hair loss process seems to accelerate in men in their 20s following a hair transplant. This man was classified as a Class 3 Vertex pattern of hair loss (frontal loss and crown loss) so we fixed what he wanted fixed.  Then, as hair loss is progressive, he lost the rest of the hair behind the hairline as shown in the photo below. He will now have one more hair transplant to fill in this area.  This is the photo taken on the day of this second hair transplant to show the extend of the hair loss he had in just a year.

more transplants


Dutasteride is not approved by the FDA for hair loss.  Documentation about such sheds is not available except in the hands of the doctors who prescribe it in what is called an “off label” circumstance. I am sure that it behaves like Finasteride, which suggests that the shed should reverse in 2-3 months. This patient should go back to the doctor who prescribed it and ask him/her what to expect. I hope that this drug was not purchased “over the internet” because the drug may not really be what he expected he was purchasing.


A 4,000 graft FUE surgery, with lower than normal hair density, will produce a depleted donor area as shown in the photo. The see-through look shown may be with him for the rest of his life.  FUE is a terrific procedure but when done in excess quantities, balding in the donor area appears.  Scalp MicroPigmentation can solve the problem at the cosmetic level.

depleted donor 8


This photo clearly shows the location of the permanent zone of hair.  Many men, when they get older and have Class 7 patterns of balding, will develop balding above and below this permanent zone which usually measures 2 1/2 – 3 inches high. As you can see, the neck hair is being lost and this man will eventually have no neck hair. This is why a surgeon should never use neck hair for a donor source.

permanent zone


Britain’s 2008 top talent winner shows off his hair transplant experience. See here:


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