To hair transplant more or not to?

I started losing my hair at 19 and I had a hair transplant when I was 25.
So technically I look like 5a on the Norwood scale. I Wonder if it is feasible to
have a new hair transplant with good aesthetic results or should I quit since I am 30
and my baldness may progress?

The decision to have a hair transplant as a young man is a complex one.
Once you’ve taken the step, however, it seems an easy decision to try keep your scalp as natural-appearing as possible.This may require additional hair transplant procedure(s). In general more hair mass is better than less hair mass so another important component of your long term plan would be using finasteride (1/4 of a 5mg tablet daily) and
minoxidil 5%. These medicines have a high likelihood of stopping the progression of hair loss and of regrowing hair in over half of us.

(Study periods regarding this have only been for 5 years but informal data on these patients suggests the benefits are still present at 9 years and theoretically the benefits should continue for longer term.)

So in summary, I think you should shift your focus to the long term plan instead of the short term one that may have precipitated your initial decision to have the surgery. This long term perspective would include careful consideration of where to place the limited donor hair that you have remaining in a position that will produce a natural-appearing result if you discover that your balding progresses despite using hair loss medicines. In general this means a higher hairline, few grafts into the crown and the greatest density in the central aspect of the pattern.

Sincerely,

William Reed, MD – Coalition Member

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