4 years ago my brows were week from plucking in hopes of finding the best shape for my face. I had Dr Pak first perform some eyebrow restoration. Later that year Dr. Pak progressed w/ the first treatment w/ another treatment for density. The results were excellent…But being a perfectionist, I continued to pluck & reshaped the brows to being what I always wanted.

This last week I met with Dr Pak, who is a both a wonderful person & an expert Artist in this particular field of specialty for hair restoration. He performed a delicate procedure that was exactly what I was seeking and that resulted finally in a classic slanted full brow.

I could not be happier and many thanks to Dr Jae Pak as well as his assistant, who I found to be extremely kind & professional and who went the extra mile…so sweet & professional as well as fast & efficient. Dr Pak is incredible…one of a kind…understanding & extremely professional & another kiss to his assistant….love you both.

As I’ve written on this site before, we have done many of these types of procedures and the results are very good, but there is an art in the transplant process and a technical skill that is very difficult for many doctors.

I’m glad your expectations have been met (or surpassed). Knowing how pleased you are with the results and the experience is the best part of what we do. Thank you for your incredibly kind words.

Dr. Rassman, I have a question regarding a statement you made on your Q/A blog. You said: “I wouldn’t allow any doctor to transplant into an area that has not fallen out under the excuse that there’s anticipated hair loss (behind the leading edge of your loss), as this will only accelerate the thinning. Some doctors do this, and it isn’t in your best interest, only serving to put your money in his pocket.”

I have had in-person consults with Dr. Pak in the San Jose previously. During the consult when discussing what I’d like done and the procedure itself, Dr. Pak has mentioned that he has to consider my future hairloss when he’s doing a procedure. He said he would work within my current frontal hair to add density to what I have.

So when considering what you stated in the above quote, how does that comport?

Thanks

Almost everyone we transplant has a zone between the bald area and the balding area. We allow the transplant to ‘spill’ into the balding area just in the areas that are evidently in the balding process. We never go back behind it into the area where the hair is normal and not miniaturized.

What I see often is someone with an early Norwood class 3 balding pattern who has some minimal miniaturization behind it (let’s say 25% miniaturized hairs). I might transplant hair about 1/2 – 1 cm behind the posterior bald edge, but not far into the area where there is 25% miniaturization.

Unfortunately, many doctors will transplant 1-3 inches or more behind the bald area, suggesting that it would be to prevent future balding, and it is that process that I warn about. I have recently seen a patient who needed about 800 grafts for corner balding in the frontal area, but his doctor put in 3500 grafts to prevent the balding from spreading. Not only did that cost the patient a bundle of money, but it also almost certainly damaged hair in the normal areas that got the grafts and did not need them.

Hey doc,

you mentioned in a previous post -“The Class 5A pattern does not evolve into a Class 6 or 7 pattern”. does this mean even if I am 23, norwood 4a, and I were to go for a hair transplant at my young age, I should have sufficient hair for full coverage in later years?

thanks doc!

If you are a true Norwood 4A pattern balder, then you should not progress to anything worse than a 5A pattern (not a 6 or 7 pattern). Most Norwood 5A pattern men can get a transplant to manage the entire balding pattern reasonably well. Talk to your chosen surgeon about your candidacy, as I don’t know how the density of your donor area is. At 23 years old, your final pattern may not yet be known.

Norwood 4A

Norwood 5A

Norwood 6