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Aug-20-2008  
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Hair Transplant Questions & Answers
 
Transplanted hairline with a hair system behind
Question: I was wondering if you could share your thoughts on a 24 year old male (norwood 3 vertex) getting hair transplants to restore the hairline and wearing a hair system behind to regain the appearance of a full head of hair. I notice many are of the opinion 24 is too young to consider hair transplantation because of further hair loss. What is your opinion? Also being 24 and considering future hair loss what is your opinion about getting hair transplants to add density to the sides of the head near the side burns - could the hair transplants cause shock to the existing possibly balding hair and leave me with less than I began with?
Asked by: James
Answer: Dear James, It is my feeling that one should not use a hair transplant to supplement a hair system, especially at a young age. We have occasionally performed this procedure in older women. The whole propose of a HT is to be low maintenance. The combination of a HT and a hair piece is extremely fussy. In addition, hair systems cause traction alopecia and the hair loss will become permanent over time, limiting the ability to have a hair transplant in the future. If you need to have the high density of a system i.e. for your career, then just use the system. It will give you more options long-term. My suggestion would be to use finasteride (Propecia) if you have not started already started and be evaluated for a possible hair transplant. Transplanting the temples is not appropriate or necessary for most people. You should have an examination and have things explained to you in person so that you can understand these concepts better and so that you don’t make a mistake and have the wrong type of hair transplant surgery. Sincerely, Dr. Bernstein
Answered by: Dr. Robert M. Bernstein, M.D.

 
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