Am I an eligible candidate for a hair transplant? (photos)

Candidate for possible hair transplantation or Fleming-Mayer Flap. With hair transplants and the Fleming Mayer flap I have found that there is no other treatment other than the finasteride to restore hair. You need to see a very experienced surgeon and wait until your total hair loss is established before beginning.

If you have genetic male pattern hair loss, you may be a candidate. A doctor needs to examine you first to make sure you are a surgery candidate with good donor hair. The examination may find that you may be at an increased risk of further hair loss and the surgery may actually make the you look WORSE or require more surgery.

You also have to understand that hair transplant surgery is not a cure and that they will continue to have further hair loss of non-transplanted hairs. You need to have realistic goals and understand what is possible and what is not possible with surgery.

You may want to speak to a hair restoration surgeon who can
give you a more specific answer for your particular condition.

In many cases, younger patients are still undergoing the
hair loss process and will continue to do so for years.

Getting a hair transplant too soon may create the necessity
for additional surgeries. Bald patches
behind the recipient area (where grafts were inserted) may develop if the
person’s hair follicles are continuing to miniaturize at a high rate.

A good hair restoration specialist will be able to assess
proper timing for a transplant procedure as well as disclose the possible risk
of needing additional surgery.

Younger patients should also consider their financial
resources and whether or not they would be fully prepared to pay for multiple
hair restoration operations if this should become a necessity.

This can't be definitively answered unless there has been an individual examination. However I can elaborate a little on what we consider when we decide upon a patient's eligibility.
We definitely proceed with caution before we approve candidates who are under the age of 18. In rare cases, people that young do want this procedure and they will be carefully vetted before being approved, if they are approved at all. So, age is a factor. 
Another factor is the general health of the patient. For example, a surgeon will look at medical history, current health conditions (if any) and then decide if it’s safe to perform the procedure. In some cases, a candidate may need to resolve health issues prior to being approved for the surgery. 
Also, patients should have immune systems which are strong enough to allow them to heal properly after their operations.
Doctors prefer to perform hair transplants on patients who live healthy lifestyles. So, following a healthy diet, getting moderate exercise and practicing stress management will boost your odds of getting the “ok” for this type of surgery. 
A surgeon will also look at your degree of hair loss and how much donor hair you have available.
These are some variables. If you really want to make sure about your candidacy, you could book a consultation with cosmetic surgeon in your city. Just make sure you choose a skilled, experienced, certified and well rated surgeon. 
This will be the best way to see if you’re a viable candidate for this type of procedure, as every patient is different. Only a surgeon can tell if this procedure is right for you.

While it can be very stressful to lose hair at your age there are two reasons to consider holding off on a hair transplant: 1. You are young, and is difficult to predict what your final pattern and degree of hair loss will be. 2. As stated you are losing hair actively despite finasteride. The best candidates have mature, and stable hairlines. That said, it is not a bad idea to consult with an experienced and reputable hair transplant surgeon who can examine you more thoroughly to go over your specific options, including risks of hair transplant for someone your age. The good news is the field is continuously evolving and we expect more options in the future. Best of luck!

It's impossible to give a precise answer without knowing all your medical history and family historyin general, you are a bit young and waiting until 24-25 (or later) may be your best long term option. But meet with a few surgeons for adviceThere are important options to consider right now including:adding dutasterideUsing platelet rich plasmaUsing the laser combUsing copper peptidesBe sure to meet with a few specialists to plan this out very carefully. You are at risk for significant hair loss and you want to make sure your decisions now look good when you are 32, 42, 52 and 62 years old. I have seen too many young men regret poorly made decisions in their early 20s. 

Your biggest enemy is the
progressive thinning leading to a balding pattern that is not evident at this
point in time. The degree of thinning that you are showing would suggest that
you should see a doctor who most likely will get Bulk Measurements of your hair
to determine the degree of the thinning that you are presently having. If the
diagnosis is early genetic hair loss, then the best treatment would be the drug
finasteride which is highly effective in men of your age and may not only stop
the hair loss but possibly reverse it. If you are developing a more advanced
balding pattern the best test to get will determine the Bulk Measurements of
your hair and this will show, over a one-year time frame, how effective the
treatment will be. Once you know this information, then you and your doctor
need to develop a MASTER PLAN which will define what you need to do over the
years to come.

it is best to wait until the pattern of your hair loss is established before doing hair transplant. Having said that, you seem about a grade two on the Norwood scale of hair loss. You can see a hair transplant specialist for an evaluation. 

I do not think you should get a hair transplantation. I recommend you seeing a dermatologist specializing in hair disorders. If you get a hair transplant, the transplanted hairs can shed too. You need to find the underlying reason for the rapid shedding. A blood work up and even a scalp biopsy can determine a better diagnosis. Once you have the best diagnosis you can get, then seek treatment. 

You are someone who has the manifestations of male pattern
hair loss. The onset of your male pattern hair loss has been early in your life
and it is progressing very fast. Those two factors are very important in your
decision about undergoing transplant. From a pharmaceutical perspective, there
are only two drugs that are used and approved for male pattern hair loss: minoxidil
(Rogaine)and finasteride (Propecia). Finasteride is a drug that is used to
block an enzyme called 5-alpha reductase which converts testosterone to
dihydrotestosterone. Dihydrotestosterone
has been identified as a factor to cause susceptible hair follicles to become
thinner. Hair thinning doesn’t mean that existing hair goes from thick to thin.
Rather, during the normal growth cycle as the hair is shed, the hair that comes
back is thinner.



Finasteride has been shown to help people with male pattern
hair loss reverse the thinning process, but there are some limitations to the
use of finasteride that you should also be aware of. From my clinical
experience, I have been prescribing finasteride since 1997 and 1998 when it was
first approved. Younger males who have aggressive hair loss typically don’t
respond as well as males who are in their mid to late 30s who are starting to
have a slow ad progressive expansion of the bald spot area. Even on those
medications, people still do progress. There has also been a concern about the
long-term sexual side effects. Interestingly in our practice, we have patients
who have been taking finasteride for 20 years and they are fine and even
patients in their 50s who are coming in for prescription renewals. At the same
time, we have patients who are coming in their 20s and 30s who won’t take
finasteride because of its side effects.



When you first noticed hair loss you’ve already lost 50% of
your hair. The rule of the thumb for hair loss is the Rule of Decades - in your
20s, about 20% of your contemporaries have hair loss. That means 80% of your
contemporaries have lots of hair. As you get to your 40s and 50s, 40 to 50% of
men have significant hair loss. I’ve seen so many patients who got hair
transplants in their 20s who continue to lose hair because they were not able to
take medical treatment like Propecia. What are left in their scalp are the
transplanted hair.



When I first trained in hair transplant surgery over 20 years
ago, I learned from my teachers to avoid doing transplants on younger males
like you. Men in their 20s who are losing hair, with a rapid rate of loss, combined
with the unexpected results, are unfortunately
too many unfavorable variables. Unfortunately in the modern world, with
aggressive internet advertising and television commercials, medical procedures
are sold and overhyped. You are only shown the benefits and given very
compelling testimonials that make you want their products. However, the reality
is that the area where the transplants are taken from called the permanent zone
or the donor area is very limited. That limited area is at the back of the
scalp where the hair won’t fall out. In hair transplant surgery, the strategy
is to take those hairs physically as units and place them in areas in the
scalp.



In my practice, I developed Hair Regeneration which is a
method and a procedure that combines a material called extracellular matrix
which is derived from pig bladder and originally designed for wound healing, with
platelet-rich plasma - a byproduct of your own blood that has growth factors.
Platelet-rich plasma is commonly used to help hair loss but on its own, it
doesn’t reverse hair thinning. We reverse hair thinning with our Hair
Regeneration treatment. This is something that we have developed for several
years and we can boast close to a 100% success rate for male pattern hair loss.
This is a onetime injection and literally reverses the thinning of hair and thickens
the hair.



There is a lot that is yet to be understood about the causes
of hair loss as well as the ways to reverse hair loss. For 30 years, several
biotech companies have tried to get some kind of solution and for my
perspective, this use of extracellular matrix, which happens to be an
accidental discovery, has resulted in greater benefit to patients with hair
loss than the work that hundreds of millions of dollars has been invested in
the goal of hair cloning or trying to grow hair in the lab and implant those
hairs. I would love for this stuff to materialize because it would give one
more tool to help surgeons like me to help people like you. At this time, the
material we are using is only FDA approved for wound healing. It isn’t approved
specifically for hair loss but as a surgeon and physician, it is common to have
off label use of materials as long as it is clinically appropriate.



I would recommend Hair Regeneration as a treatment for you. We
follow our patients very closely and see people at one month, 3 months and even
up to 2-3 years. Once a patient is in our practice, the door is always open. I
would just like to remind you to be mindful of the limitations and expectations
of a hair transplant procedure and learn about this extracellular matrix
technology and Hair Regeneration and see if you could find a provider that
would be right for you. I hope that was helpful, I wish you the best of luck,
and thank you for your question.