Had 3 Transplants 20 Years Ago, Now I Am Losing Temple Hair

Dr. Rassman,

Great website. I am a 50 year old man who had 3 sessions of transplantation in my early 30s. I now am in need of another procedure as my lateral hairlines have become bare, ie temple areas. I still have a good deal of donor supply in back but am not looking to use Propecia, in the past it did cause sexual side effects I was not willing to put up with. What are my chances of success and how common is it to need an additional procedure or 2 as we age? Thanks

I can not tell you how much hair you have left to transplant in the areas that are thinning, as I do not know the following about your case:

• what procedures you had done in the past
• how much area of donor supply was moved
• what your donor density is
• what your scalp laxity is
• what your Norwood classification is
• what your residual donor supply looks like

It sounds like you had your surgeries prior to the advent of the megasession and follicular unit transplantation. It is not unreasonable to have more surgeries as one ages and one continues to progress in the balding process provided that you have a Master Plan which deals with change and hair loss over time. The supply of donor hair is critical in the formulae. If you want to send me some photos I would be glad to look at them and give you better advice (please reference this post when sending).