I have male baldness 3 vertex type, have been using Minoxidil 10% last 6 months no result. Is transplant the only cure? (Photo)

If you are not experiencing improvements using medications, you may want to consider a hair transplant procedure. These surgeries involve the transfer of healthy follicles into bald and thinning regions, rather than trying to address chemical pathways. However it will be important to choose the right doctors. One of our patients at the Dr.U Clinic in Los Angeles realized this after a strip surgery when his grafts did not grow in his crown vertex or hairline. Since his donor supply had been largely depleted, we harvested beard hair to create the necessary graft count to achieve his goals. You can learn more about his experience below.

You need to actually see a doctor and obtain a diagnosis and a treatment plan.You need to also understand there is no "cure" for genetic male pattern balding.There are medical and surgical options but you will continue to lose your hair in a genetic pattern.

Have you considered finasteride?  How about low-level laser light therapy?   What about synthetic options in the form of fibers and various hairpieces?   Depending upon some other factors including your age, hair transplant may or may not be the best option you .John Frank MDNew YorkOhio

I’m a board certified cosmetic surgeon and specialized in hair
restoration surgery for many years. I have been in practice in Manhattan and
Long Island for over 20 years. I am happy to say that there is another
alternative to hair transplants, especially for someone like you who is going
through hair thinning and still has hair left. In the past several years, we’ve
developed an alternative treatment called Hair Regeneration which has turned
out to be quite an effective way to treat hair loss, particularly in people who
still have existing hair.



If someone is bald and they want hair placed where they don’t have
hair, hair transplant is still the only option. However, in people who have
thinning hair, Hair Regeneration is a good option. This treatment combines a
material called Acellular matrix which was originally designed for wound
healing, with platelet-rich plasma (PRP). We have treated hundreds of patients
around the world for the past few years, and we have a certain protocol that
has turned out to be close to a 100% effective for male pattern hair loss.



Hair Regeneration is actually an injection. It’s a treatment that takes
less than 2 hours to perform, and we follow our patients very closely after the
procedure. Our data supports the efficacy of this treatment. The earlier we
catch somebody, the more hairs we can save and the more volume we can get back.
Even people who are Norwood 3-4 have had a lot of regrowth and we have been
very impressed with the results.



We have developed a company called Trichostem® Hair Regeneration where
our mission is to bring this treatment closer to many people. We’re honored and
privileged to give patients who come to us from all over the world for this
treatment, but we want to make it more accessible. With this technique and
formulation, we want to ensure a certain level of quality. In most cases,
depending on the level of hair loss, we’ve actually been able to demonstrate
that the injection can exceed the results of two hair transplant surgeries. It’s
a fraction of the cost and the down time of a hair transplant, and it avoids
the downward spiral of patients who undergo a transplant where they run out of
donor area and may not have enough coverage.



We have 5 years of data which show longevity of the treatment. Someone
may need to do this injection every 3-5 years, but doing this is a lot easier
and more desirable than getting a transplant every few years until you run out
of donor area. Hair Regeneration is something that you should certainly
investigate. More than ever, we are very enthusiastic about helping people with
hair loss and it has made a big difference for patients who come to us. I hope
that was helpful, I wish you the best of luck, and thank you for your question.



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I think that you have tried one very useful modality that I also recommend in my practice however, if you have had no results over the last six months, then it's time to re-evaluate the situation. If we are to continue using the medical management of hair loss then at this time I  would suggest that you use a combination of PRP and low laser light therapy. It's quite possible that it will give you the results that you're looking for and I would give this another 4 to 6 months, and if again you are not seeing an improvement which is unlikely, especially if you follow the protocol that I recommend that would be quite surprised however you may be the rare individual that ultimately needs to just bite the bullet and go for a minimally invasive hair transplant procedure and i'm encouraged that you were obtain an excellent long-lasting results. Good luck !

It is very important that you understand a hair transplant is not a cure. It is a tool to help thicken certain areas where you have lost hair. Propecia would be very beneficial for you. It would greatly slow down your loss as well as possibly help thicken miniaturized hairs.

At this stage your best treatment option is to continue using rogaine and perhaps add propecia as well. These two FDA approved medications are usually successful in slowing down the hair loss and sometimes growing some hair in the crown area.  

The 3 Vertex balding with that degree of crown loss is most effectively treated with the drug finasteride, 1 mg per day. Recently, the cost of the drug has dropped and you can now purchase this medication with a prescription at Cosco for $27 for a 3 months supply, down from $80/month for the brand named Propecia.  This should be your first line for treatment and the wait a year to see if the balding is gone. In this way you can avoid a surgery all together and not only save a lot of money, but avoid what may be an unnecessary surgery. It's worth a try.