Posts in Topic: Age

Can Hair Transplant Restore Hairline in 21 Year Old With Early Hair Loss?

February 16th, 2007

Q: Hi, I am a 21 year old male experiencing the first signs of hair loss as of late. I looked at your before and after pictures of hair transplant patients and honestly right now I have a lot more hair than the patients, even in the after photos. By no means do I intend to criticize your work at all, but I noticed that they still had a receding hairline. I myself am an artist and pay close attention to detail. What I want out of a hair transplantation procedure is to basically have the full head of hair that I had even before puberty. Is it possible for this to be done?

A: Your concerns and goals, although understandable, are impossible to achieve through hair transplantation and is exactly the reason why we don’t perform hair transplants in young persons.

Surgical hair restoration can never give you your original density back since we are just redistributing a smaller amount of hair.

In addition, your original hairline should not be restored since a transplanted hairline is permanent and will not evolve naturally as you age. A mature hairline must be built into the design of the first hair restoration procedure, regardless of a patient’s age.

Topic: Age

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Posted by Robert M. Bernstein M.D. at 9:39 am

Can One be Too Old for Hair Transplant Surgery?

July 6th, 2006

Q: Is there ever an age where you are too old for a hair transplant?

A: One can be too young for surgical hair restoration, but not too old (as long as one is in good health medically).

Older people generally make excellent candidates for hair transplantation since their expectations are generally more realistic and the future extent of their hair loss more predictable than in those who are younger.

We have successfully treated a number of people in their 80s. In spite of the fact that their spouses and friends asked them, “What do you need a hair transplant for at your age,” the patients were uniformly happy that they did the surgery.

Topic: Age

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Posted by Robert M. Bernstein M.D. at 7:12 am

What is Recommended Treatment of Early Hair Loss?

July 1st, 2005

Q: I am 27 years old and have a Class 3 degree of hair loss. Should I should do a hair transplant or consider non-surgical methods of hair restoration?

A: At age 27 with early hair loss, you should consider non-surgical options first.

Propecia is the most important medication, but you need to be on it for one year at the full dose of 1mg a day to assess its benefits.

If you have done this and other parameters are OK for a hair transplant, such as adequate donor hair density and scalp laxity and you have little evidence that you will become extensively bald (i.e. no donor miniaturization and no family history of extensive baldness), then hair transplantation can be considered.

Topic: Age

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Posted by Robert M. Bernstein M.D. at 12:17 pm

What Age is Best for a Hair Transplant?

April 21st, 2005

Q: If my hair is just starting to thin, when should l have my first hair transplant?

A: It is best to wait until at least 25 before considering hair restoration surgery, although there are exceptions. The most important thing is to wait until you have hair loss that is a cosmetic problem. A hair transplant is a treatment for hair loss – it should not be used as a prevention – that is why medications that treat hair loss are available.

Some hair loss in the temples is normal for a person in their mid- to late 20s as this represents the progression to a normal mature adult hairline. The hair loss needs to be significant before you should contemplate surgery.

This issue is detailed in the publication Follicular Transplantation: Patient Evaluation and Surgical Planning.

Topic: Age

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Posted by Robert M. Bernstein M.D. at 9:25 am



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