Considering this level of baldness, is 28 too young to have a transplant? (Photo)

Question

I know that rule of thumb is to consider hair transplant after 35, but I guess now its the time that I want to have hair on my head. Can I have at least hair transplant in my vertex region, and later on if I lose hair in the font line, do a second hair transplant? How many graft I need to cover my vertex?

Sanusi Umar, MD · Answer

Actually, there is not a set age for considering a hair transplant. Every person will lose hair at different rates. For some people, hair loss may reach a stable point. And others may quickly reach a state of severe baldness. 
A hair transplant surgeon can best determine when might be the best time to undergo hair transplant surgery and the number of grafts you might need. You can certainly specify if you want to prioritize the vertex and restore your hairline later if you don't want to address both areas at once.  
For an example of a young aged patient having his vertex (or crown) restored while also factoring in the possibility for future procedures watch the video or use the link below.

Jae Pak, MD · Answer

There is no set age of when you should have cosmetic surgery.  Everyone is different. You need to see a doctor if you are considering surgery to understand what is possible.

Kirk Moore, MD · Answer

There is no age requirement for hair transplant. Depends on donor site, extent of hair loss, reasons for hair loss and goals of hair transplant treatment.Cursorily, bars on your pictures, I think you would  be a good candidate for hair transplant, Neograft being preferable.Best.

Mark Berkowitz, MD · Answer

Relo88 from toronto asks is 28 too young fora hair transplant.  Of course an in person consultation is necessary to determine your best course of action.  But at 28 , if you have a good donor area , a transplant can be performed.  Being young plesse also consider medical therapy a the same time:Platelet rich plasma with Acellpropeciaminoxidilbiotinlow level laser light capillus or laser capi would place up to 250 grafts to this area.  Good Luck Dr B

Alan S. Feller, DO · Answer

First, throw out your rule of thumb rule book because it is inaccurate. By the thickness of the hair in your photos it doesn't look like you have aggressive loss in the front and top and that's great. You do, however, have it in the crown. You are one of the few patients I would accept to fill in the crown because I don' believe you will have massive loss in the front. If you were going to, I would suspect you would have had it by now. Put 2500 grafts in your crown. More if you can.

R. Stephen Mulholland, MD (retired) · Answer

Dear relo88,

Thank you for your clinical post and
photographs.  You have some significant
thinning of your middle scalp and crown and some recessioning of your frontal
temporal zones.  This is likely a
familial androgenic male pattern hair loss and you may have some rapid or slow
progressive thinning and recessioning. 
When is the right time to perform hair transplantation varies between
patients depending on the recipient site thinning and donor site
availability.  You appear to have an
excellent occipital donor site and you have enough thinning to warrant
transplantation.

At SpaMedica we have been performing
hair transplantations for over a decade and the countries leading experts on
automated and robotic follicular unit harvest. 
The advantage of NeoGraft and Artas robotic hair transplantation are
that the automated NeoGraft and Artas robotic techniques leave no linear scar
at the back of the scalp.  This allows
patients to feel free to wear their hair short without the stigma of a typical
strip graft scar.  If the crown and
vertex bothers you most, that would be the first place to start.

One of the many advantages of the FUE
or follicular unit extraction technique mentioned above is that the donor site
can be accessed repeatedly over many, many years transplanting grafts, as you
need them and to areas of ongoing recipient site thinning.  At some point restoration in the
frontotemporal line and the temporal sessions would also be required.  Subsequent sessions can be performed as need
and if there is progressive thinning.

There is some benefit profile FUE are
excellent and we have developed an expertise and are very busy performing FUE
hair transplantations. I think you can get an excellent
result but need an excellent centre working with you to be your provider over
the next number of years as your male pattern hair loss will likely progress.

I hope this information is of some
assistance and best of luck.

To find out more or schedule a
consultation, please visit the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Michael Meshkin, MD - Account Suspended · Answer

If the cause of your hair loss is established and you have genetic male pattern hair loss then you are a good candidate for hair transplant surgery, you don't need to wait, you can get an evaluation for your hair loss from a hair restoration specialist and get a comprehensive treatment option that includes both surgery and medical hair regiment routine to slow down future hair loss.

William Rassman, MD (retired) · Answer

Once you are over 25 and have defined the hair loss pattern as you have, you can have a hair transplant. You need to see a doctor to determine your hair supply and what it will take to accomplish your goals.

Considering this level of baldness, is 28 too young to have a transplant? (Photo)

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