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Great Question! Your final pattern is the pattern you inherit from your family (mother or father’s side). The drug finasteride will slow the transition to balding. However, it depends on the effectiveness of the drug in your situation. If your father and grandfather on both sides of the family had a Class 7 pattern, then it is likely that will also be your pattern. If you have great donor density, then it is possible that hair transplants can solve your balding problem as I have done in many Class 7 men with average or higher than average donor densities. You should find a great doctor who specializes in this field and build a Master Plan with that doctor so you can manage your hair loss. You will not be a hair transplant candidate until the age, at least, of 25.

Will my hairline recede to a NW7 if I use fin? (MPB at 17) from tressless


 Although some hair transplant doctors offer hair transplants for diffuse thinning, I consider this an issue of malpractice because, if it is really diffuse thinning, there is little value of a hair transplant to correct this. Sometimes, a hair transplant for thinning in the frontal area can work in women. For men, it takes a good honorable surgeon who is not in a rush to take your money. So, be careful about hair transplantation to solve this problem. Patterned thinning is often a precursor to balding. If you are a male, have a doctor evaluate you for this then build a Master Plan for your future balding which almost always happens.

Hair transplant for diffuse hair loss from tressless

This is a good review of the various hair loss treatment options with some good photos worth looking at. (Direct link here:



A doctor offered me 8,000 FUE grafts in one session, about 12 hours of surgery. Is this reasonable and safe?

There are many problems with that large number of grafts for a hair transplant, including:

  1. The length of the surgery
  2. The amount of time the grafts are out of the body and
  3. The access to your head with the team placing the grafts.
  4. Can the donor area support 8,000 FUE grafts without becoming bald?

I don’t believe that I ever met a patient who can support 8,000 FUE grafts. If you choose that route, you will have a see-through, possibly bald back of the head as most of the hair would have been removed there. You should ask to meet other patients who had the same number of grafts done in one session and to see the results, not only in the donor area but also in the recipient area as well.  You might find that unless your density is more than twice the density of the average Caucasian, this will not be a safe or a productive procedure in terms of a complication-free hair transplant after the surgery.


Why is the hair from the second transplant just one year ago finer than the hair from my first hair transplant 18 years ago?

The new hair compared to your transplanted hair from 18 years ago should be the same as the hair in the back of your head. Check each area with a micrometer and see if they match.


Anagen is the growth phase which lasts between 2-6 years depending upon sex and age.

Telogen is the sleep phase which lasts about 2-6 months.

These hair cycles occur in every human being on the scalp. It starts when we are born and continues until we die unless we have genetic balding.


The frontal hairline should be created with only single hair grafts to produce a “no-hairline” hairline which means that the forehead transitions to a full head of hair without seeing a hairline.


This is another patient who had his donor area over-harvested with a see-through look that he did not expect. He was never informed that this could happen. He wants something done about it and I recommended Scalp Micropigmentation for him (see:!) which should easily handle the appearance of the see-through donor area. His doctor should have told him that this could happen.

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One option that is worth considering, if you can’t get your hair loss under control, is Scalp Micropigmentation (see


The post-operative picture on the left shows recipient area necrosis (a loss of blood supply to the graft area). This area healed with the scar that you are showing in your 6 months photo as I would have expected (photo to right). You need another hair transplant to fix this. You should ask your surgeon to make it right for you as this reflects a surgical problem.

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