How many FUE grafts will I need to make forehead smaller? (Photo)

Question

I am 24 years old. I have always has a large, wide forehead. However I have started to recede at the temples and hairline which makes my forehead disproportionate to my face. I hate it and it makes me very self conscious. As my hair is fine, it is difficult to style. I take finasteride which has stopped loss. But I want the width narrower from temple points and the hairline lowered by 1cm (it is currently 8.5 cm long from eyebrows). Will I be a suitable candidate and how many grafts would it be?

Lucy Barr, MD · Answer

Thanks for your inquiry.  When considering hair transplant surgery, it is very important to evaluate you, your age, your rate of hair loss, your donor hair density, the laxity of the back of the scalp and also very importantly your family history.  You are very young and I'm glad to hear that you are on Finasteride.  (Minoxidil is also beneficial in slowing the rate of hair loss).  If you decide to proceed with hair grafts, you will need to be conservative.  Currently the limitation to hair transplant surgery is the number of grafts you have to donate over your lifetime (how much hair you have in the donor site) compared to how much hair loss you have (and will eventually have) on the top of your head.  If you have a family history of extensive hair loss, you are likely headed down that path as well (slowed of course by the medication).  You need to keep that in mind when designing your surgery.

Ozge Ergun, MD · Answer

Thanks for the question. Based on your photos, the 1500-2000 grafts might be good option for you, but it would be wrong to say something for sure. You should see a board certified surgeon. You can then plan the process together and discuss the results. I wish you all the best.

Jae Pak, MD · Answer

You need an exam by a doctor for an accurate recommendation. You also need the exam to make sure you do not have the potential for further hair loss or balding.  Finasteride does not stop genetic balding.Numbers can range from 1500 to 2000 grafts depending on how extensive the work and your specific goals. (Maybe more.  Maybe less)

Hannah Vargas, MD · Answer

Again, you are in the tricky situation of being young with significant hair loss.  If someone corrects you completely and you continue balding (which is likely) then you will need further transplant sessions.  This is okay if you continue to have good donor hair to transplant.  My advise is if you do decide on transplant to go with a more conservative one.  Then you can continue to bald and replace more naturally.  Find a surgeon that you trust.  Good luck.

Shim Ching, MD · Answer

Your hairline is quite high, unfortunately.  Based on the length of your hair, I would probably suggest you consider the strip method, as the cost will be less and more grafts could be done at each session.Ideally, you would have two sessions of 2500 grafts to fully restore your hairline and create the necessary density.

Anastasios Vekris, MD · Answer

You are a suitable candidate for hair restoration. As you are very young you need to continue your conservative treatment with finasteride and/or minoxidil. In order to lower your hairline and cover your temples with adequate density you would require approximately 2000 hair follicles which could be transplanted in 1 day session.

Kyle S. Choe, MD, FACS · Answer

Dear Autumndays,If you are suffering from hair loss at age 24, it is very likely that the process will continue. It is most likely that you have a strong genetic predisposition to alopecia. Having said that, it is possible to receive help for your concern. I would advise that you contact a qualified hair transplant surgeon to discuss permanent options. One of the major mistakes young patients make is getting too many grafts placed at a young age. Your hair loss and pattern will evolve over next several decades. You will need to plan for future transplants.

Rashid M. Rashid, PhD, MD · Answer

Depending on your graft size and follicle size it could be between 1200-1800 grafts for some thing like this to be completed.  It is a good idea to get an in person consult on the matter and make sure you talk to the MD.  Also make sure to consider FUT vs FUE options.

William Rassman, MD (retired) · Answer

For the specification you discussed, will be about 1500 grafts. In that estimate I am assuming that your hair weight is not fine, as fine hair takes more hair for the same sized area and may reflect a second transplant if it is not thick enough.  The pictures in the 4 women below  in the web reference, show hair graft transplant in the 1500-2200 range. If you go to our website and the gallery, you will see hundreds of men whose hairlines were lowered with before and after pictures as well as number of grafts performed and the number of procedures done to get those results. .

How many FUE grafts will I need to make forehead smaller? (Photo)

Answers (9)

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