29 years old: when is the best time to a get hair transplant?

Question

I am 29 M. I have a receding hair line and thinning in the frontal part of my head. I don’t want to take finasteride(already tried, didn’t feel good). I want to get a hair transplant but since my hair loss gonna progress. I don’t know when is the best time to get a hair transplant? Should I wait for my hair to recedide more so I can get it done in fewer sessions(hopefully not more than 2) how should I go about it?

Rahil B. Roopani, MD · Answer

Your question is a very good one as far as timing for hair transplant. Unfortunately, there is no clear cut guidance on this without first understanding (through examination) the extent of your current hair loss. The spectrum of a hair transplant can range from conservative to aggressive and therefore, an examination and history should be taken for the physician to determine best prognostication of your hair loss and to create (with you) a comprehensive approach that not only will hold onto your existing hairs and prevent further hair loss but correct any areas of concern through surgery (should you be a good candidate).

William Lao, MD · Answer

I think if the problem is just thinning you can try multimodality of hair maintenance therapies like topical minoxidil or PRP injection or oral supplement or light therapy and often times they can have good effect after 3 to 6 months. but for the area that already has no viable hair follicles, hair transplant might be the only way to restore hair in that area. Best thing is probably to see a local physician to examine your hair and recommend the best treatment for you.

Jonathan Huber, MD · Answer

There's no one right answer to this question, because every individual has different needs and goals. However, the optimal time to proceed with a hair transplant is after your hair loss has stopped, or at least significantly slowed, one way or the other.
Waiting until this happens naturally is the worst way to do this because you have no idea how much hair you'll lose. It may take years, and you may reach a point where you've lost more than you can restore with a transplant.
The ideal way to do it is to be as aggressive as you can in halting your hair loss with non-surgical therapies, thereby maintaining as much of your own hair as possible, and minimizing the amount you'd need to restore with surgery.
You've tried finasteride, but that's only one option. Other options include minoxidil, low level laser therapy, and PRP. All of these are effective, evidence-based options, and you can even use them in combination with each other for even greater efficacy. 
Once your hair loss is stable on a regimen that you can confidently continue on an ongoing basis, which may take up to a year, that would be a good time to consider a transplant.

Harold Siegel, DO · Answer

I believe the best time to get a hair transplant is when it is affecting your every day confidence. If you have more than your frontal area that is that has extensive hair loss then this would be a good time to start with your frontal hairline. I would also still recommend that you try preventative hair loss therapy such as a laser hair helmet or a derma roller. I would also recommend using minoxidil for both your vertex and your crown area. We here at natural transplants for this reason offer two types of surgeries the HUE which is great for the frontal third area and the HUE plus which usually gets both the frontal third and the vertex or the frontal third and the crown.

Sait Gokhan Bircan, MD. · Answer

Hi! So hair loss will last till patient gets 40 years old generally. It would be better if we could see your pictures and make a full analysis but in your it can be some options like: do a hair transplantation now, solve your problem and maybe you won't lose your own hair so you won't need 2nd session. Or if you'll lose it completely (not transplanted one but your own) you'll do 2nd session to close up the left part of it. Or you can wait till 40's and wait for hairs fall out (maybe it even won't) and do a session (or maybe two if necessary) then.

Joseph L. Williams, MD · Answer

Hi shanug92, thank you for your question. There is no way to determine the level of hair loss you will have in the years to come, so ultimately this decision is up to you. Since Finasteride isn't an option for you, when used properly Low Level Laser Therapy can help the native hair from falling out sooner. Ultimately, if your receding hairline is troubling you then you should proceed to have the hairline rebuilt knowing that in the future you may need to have additional work done.

Ilhan Serdaroglu, MD · Answer

It is better to see your photos  in order to understand the problem you have, treatment methods and/or estimate how much graft do we need to cover area and cost of operation. If  receeding hair line  bothers 
 you  much  you  may  have a  surgery  immediatelly .

29 years old: when is the best time to a get hair transplant?

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Answers (7)

More Hair Transplant Questions

How many hair grafts would I need to lower my hairline? (Photos)

Does preexisting dandruff compromise a hair-transplant surgery?

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