NeoGraft and Frontal Hair line in Young Men


Should a man of 30 or less with a receding hairline use NeoGraft or any hair transplant method to lower his hairline on his forehead?
In most cases probably not because if you have significant hair loss at such a young age, that is an indication that you will lose much more hair as you grow older. You are born with only 100,000 to 125,000 hair follicles, and we definitely don’t want to waste hair follicles that might be needed at a later date as you lose more hair. All follicles must be utilized efficiently looking at long term needs. Generally, a young man with a receding hair line should replace only the hair in the receding areas and any other areas of hair loss such as the top or crown. In the central part of the frontal hair line, hair follicle grafts should be used to maintain the present location of the most forward hair follicles, even though hair may be sparse. That hair can be thickened if needed, however.  In the hair line area, single hair follicle grafts must be used to maintain a completely natural appearance. In addition, every effort should be made to prevent further hair loss with the use of Minoxidil 5% (Rogaine) and fenasteride (Propecia). The Propecia can have some undesirable side effects, such as reduced sexual performance. However, the Propecia has a very short life-time in the body, so there should be no long-term untoward effects if it is discontinued. The combination of Minoxidil and Fenasteride stops or greatly reduces hair loss. Such medications are not needed for the NeoGraft, because the hair in grafts will grow regardless, but the combination of medications will help keep you from losing your existing non-grafted hairs. there are also new products with growth factors that can be applied topically that may be even more effective that minoxidil. We are now also using PRP (platelet rich plasma), which contains growth factors, injects into the scalp. This stimulates hair growth from the follicles that are dormant and those that are not producing hair but have not completely atrophied. It has been very successful in some patients. Additionally, growth factors from amniotic fluid can be micro-needled into the scalp to stimulate hair growth. These procedures can be used in patients having a NeoGraft procedure or in those who just want the growth factors to stimulate their own hair growth. For those who are good candidates for a  hair transplant, the NeoGraft is the most effective and permanent solution.  
Article by
Savannah Plastic Surgeon