This insightful information was posted on our hair restoration forum by Dr. Martin Tessler Southfield, MI who is an elite member of the Coalition of Independent Hair Restoration Physicians.
I have thinning hair on my crown and have been losing my hair for about 3 years now. I am 25 and it is really starting to disturb me and curb my social activities. I am worried about continuing further hair loss and it getting even worse. I want to get a hair transplant to thicken up the crown area and perhaps look at adding something to the receding hairline. I’m currently on Propecia (finasteride) and Rogaine (minoxidil) for about 1.5 years. Any thoughts would be appreciated.
Without examining you in person it is difficult to give you a definitive answer. From the photos you look like you have a fairly dense donor area and that your hair has some curl to it. Also, if you have a lot of finer, shorter hairs in the crown that are only an inch or so in length you could be a candidate for a relatively small hair restoration procedure even though you are only 25. Over the past 10 years I have done a single smaller surgery on hundreds of young balding men who are willing to take Propecia. The surgery and the Propecia work together, where we see very significant hair growth that exceeds expectations. Most of these hair transplant patients have had minimal further hair loss as long as they continue Propecia. Since a very small amount of donor hair is used, in many there is no real downside. They return for refills on their hair loss medication, not more surgery.
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