Transplanting Into Thinning Hair vs Bald Spots

I heard that thinning hair can not benefit from surgery. That the hair follicle will be over impacted along with area around it? Just balds spot can be helped.

This is a partial truth. When transplanting thinning hair, one must worry about precipitating hair loss. That is why I do not recommend preventive hair transplants, because there is always a damage risk. If the thinning is very advanced, then my view may change, for the value of the residual hair may not be great. There is a balance between the value of thinning hair vs the value of transplanted hairs. Propecia works well for preventing hair loss damage (shock loss) in some situations. That is where the experienced surgeon that is honest has great value. Please note that I use both terms — experienced and honest. Many doctors who treat thinning as a balding problem and do not weigh out the long term value of these decisions may have lots of experience doing hair transplants on thinning men and women, yet their lack of integrity may be more the rule that is in play.

For the crown, the degree of miniaturization does relate to the decisions for transplantation. If the degree of miniaturization is high (above 70%) and does not respond to finasteride, then transplantation may be a reasonable decision. By reasonable, I mean that there will probably be a visual benefit from the transplant. Decisions for crown transplantation must weigh the supply and demand issues reflecting existing or progressive hair loss, considering the Master Plan for long term hair loss as the primary focus. For the advanced balding patterns, crown transplantation may not fit well into a long term Master Plan if considerable frontal loss is either present or predictable. If the patient is very young (under 30) then the risks of accelerated hair loss may be a problem, so isolated crown transplantation may be contraindicated.

In conclusion, thinning hair can be transplanted effectively in some patients, while in others, it could be a disasterous step in accelerating the hair loss process or leaving patients with a limited remaining hair supply for treating future hair loss.