Assuming you are a male, have genetic hair loss, and you are taking Propecia (finasteride), then the hair loss should stabilize so that as you add transplanted hair you are gaining, not losing hair. Hair loss is a progressive process, arrested by finasteride in most men. Hair transplants in the front will frame your face […]
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Not really. It is very difficult to move transplanted hair. I tell patients that transplanted hair is always permanent and that is why it should be done right the first time. If removal was to be attempted, it would have to be done with a Follicular Unit Extraction (FUE) technique. You can have a brow […]
I have reviewed your pictures today. You appear to be a Norwood Class 3V pattern. At the age of 23, I would rather that you start taking Propecia (finasteride) before you do anything. If you have a transplant without that drug, you will accelerate your hair loss and if you think you are miserable now, […]
From your brief description, I agree with your doctor that you should be on Propecia for a reasonable amount of time before resorting to a hair transplant surgery — especially at the age of 21. Your doctor seems to be looking out more for your interest than his own bank account, which is definitely a […]
Mapping out your scalp for miniaturization is critical for someone like you. Based on what you’ve described, you may be a Class 2 on the Norwood pattern scale on your way to a thinning, more advanced pattern that will reflect long term hair loss (thinning in the Class 6 pattern, possibly leading to balding in […]
Can you email me pictures of your hairline and forehead with your eyebrows lifted high? Generally the youthful hairline touches the highest crease of the wrinkled brow. The mature hairline usually goes up by about 1/2 – 2/3rd of an inch in Caucasian males. Asians have slightly different maturing patterns, particularly with regard to the […]
Without knowing your hair loss pattern or the degree of hair loss or miniaturization of your hair, it is impossible to comment on your dilemma. Your age may have also played a factor in the different advice you received, as you may be at a relatively early stage of your potential hair loss process. If […]
First, you must recognize that this process is an important lesson in planning for both you and I. I believe that young men like you can receive surgery, but before that happens, you need to have a Master Plan that takes into account all of those elements that make a 20 year old different than […]
We have held this a while
From your writing, it appears to me that you are experiencing male genetic hair loss which has responded to Propecia. I am glad to hear that you have been compliant on Propecia for 2 years, but as you know, Propecia may not solve the problem completely. The science is out on the various laser treatments […]
First, the old plugs can easily be fixed today. Look at the following links for articles and examples of good repair work which can and should be offered to your father: The Art of Repair in Surgical Hair Restoration Part I – General Aspects of Repair and Basic Repair Strategies The Art of Repair in […]
You need to be evaulated. If you density is good and there is miminal miniaturization in the top (area between front and crown), then you may be a good candidate for hair transplants. At 30, your pattern should be evident when your scalp and hair gets mapped out for miniaturization. From that a Master Plan […]
Picking a hairline is a negotiation between you and your surgeon. I have restored the original hairline in men and if this is part of your Master Plan, then it can be done. Be sure to get a great doctor, because these rounded corners can be a difficult part of the art of hair restoration. […]
It does not sound like good advice you got. You need a diagnosis and a good doctor who will map out your scalp for miniaturization. With this done, at age 28 you may be able to predict much of your future hair loss. Then you and a good doctor will be able to develop a […]
I believe that we have no way to determine if and when the medications that are working will lose their effectiveness. Sometimes it will last a very long time and if the medications are not producing problems for you, then it would be generally my preference to stay on the medications and exploit them until […]
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