I'm 35 and have been thinning in the crown since I was 27. The hairline is pretty decent. I'd like to do a FUE now, but considering my age, I'm worried that I'll end up chasing an evenr increasing crown and will use up all the donor hair, leaving me with an unnatural look in the end. I've decided against medication, so I assume the balding will continue. Would now be a good time for a HT, or should I wait until the balding pattern can be established with more certainty?
June 20, 2020
Answer: HT or not? You’re wise to think about all these things. Wise people are generally the most satisfied with the decisions they make about surgery vs waiting. There is no right or wrong decision - but there is a very high chance you’ll be pretty satisfied long term with a decision to proceed to transplant. But as you have pointed out, you might need small touch ups in the future you are correct. You certainly could consider low level laser and see where it takes you in a year or two and reconsider whether or not you want surgery when you reach age 37. You could also consider topical minoxidil or topical finasteride (or both) 2-3 times per week but I understand that you may have given these careful thought already. The reality is that if you choose your surgeon appropriately and don’t overdo the crown you’ll have lots of grafts available to touch up if needed. 1500-2000 follicular units now could give reasonable coverage (provided the surgery is successful and survival is high) and you’ll have 2000-4000 + grafts available for the future. That's alot of grafts. The crown can use up grafts quickly so one needs to think about improved coverage rather than matching the high density of your frontal areas. That, in my opinion, would be unwise, and a waste of grafts. I would like to re-emphasize though that you are certainly a very very good candidate for minoxidil, laser or topical finasteride with all the vellus hairs that are in your crown. Treatment even a few times per week with minoxidil, laser or topical finasteride certainly could bring about some significant benefits.
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June 20, 2020
Answer: HT or not? You’re wise to think about all these things. Wise people are generally the most satisfied with the decisions they make about surgery vs waiting. There is no right or wrong decision - but there is a very high chance you’ll be pretty satisfied long term with a decision to proceed to transplant. But as you have pointed out, you might need small touch ups in the future you are correct. You certainly could consider low level laser and see where it takes you in a year or two and reconsider whether or not you want surgery when you reach age 37. You could also consider topical minoxidil or topical finasteride (or both) 2-3 times per week but I understand that you may have given these careful thought already. The reality is that if you choose your surgeon appropriately and don’t overdo the crown you’ll have lots of grafts available to touch up if needed. 1500-2000 follicular units now could give reasonable coverage (provided the surgery is successful and survival is high) and you’ll have 2000-4000 + grafts available for the future. That's alot of grafts. The crown can use up grafts quickly so one needs to think about improved coverage rather than matching the high density of your frontal areas. That, in my opinion, would be unwise, and a waste of grafts. I would like to re-emphasize though that you are certainly a very very good candidate for minoxidil, laser or topical finasteride with all the vellus hairs that are in your crown. Treatment even a few times per week with minoxidil, laser or topical finasteride certainly could bring about some significant benefits.
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Answer: Crown Hair loss At age 35 it is a good time to proceed with hair restoration surgery for the crown. The crown would require approximately 2500 grafts to repair.
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Answer: Crown Hair loss At age 35 it is a good time to proceed with hair restoration surgery for the crown. The crown would require approximately 2500 grafts to repair.
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