Diffuse thinning transplant

[HenryBen]

Hi. 23 male here. Severe diffuse thinning. On duta and oral minox for nearly 6 months now. I dont have faith in the meds doing much regrowth at all. My hairloss is stable now tho. I looked for a transplant and got qouted for around 3,5k to 4k grafts. I have heard diffuse thinning is a tricky case for transplants, as the native hairs might go into shock etc. I do have a great donor area so that’s not a problem.

 

[mania]

Hair transplants for diffuse thinning can effectively restore density by means of transplanting healthy follicles into thinning areas, often using FUE or DHI techniques. fulfillment calls for a strong donor area and is nice suitable for androgenetic alopecia as opposed to temporary dropping. A key task is heading off "shock loss" to existing hair, making expert, precise placement necessary

 

[Understanding Hair]

Hi. 23 male here. Severe diffuse thinning. On duta and oral minox for nearly 6 months now. I dont have faith in the meds doing much regrowth at all. My hairloss is stable now tho. I looked for a transplant and got qouted for around 3,5k to 4k grafts. I have heard diffuse thinning is a tricky case for transplants, as the native hairs might go into shock etc. I do have a great donor area so that’s not a problem.

Hi @HenryBen , from your pictures it´s hard to assess the extent of the diffuse thinning, your hair is short and this exposes the scalp more anyway, and it appears the hair is maybe styled to expose more scalp, rather than just being brushed forward, which would make the coverage look more even.

Meds for 6 months is a good start, although it´s not that long to determine how effective they have been, but it also comes down to your personal expectations. If you are expecting to not be able to see your scalp through the hair coverage, that is not a realistic expectation. especially with hair that short, a hair transplant cannot achieve that, as a hair transplant partly works on the illusion of fullness.

You noted the risk of shock loss, which in your case is less risk and more of a consequence of having a hair transplant. To place more hair between the existing hair you need clear space to not damage or transect the surrounding hair, in your case, you do not have the space. Let alone your age, 23, your hair is naturally changing, there is no way to predict how hair loss may continue over the coming years, a hair transplant at this point would not be a good move for you, and any clinic that suggests it should be avoided.

 

[HenryBen]

I know hairloss will continue. That’s why i’m on dutasteride. I just dont see a point in letting my hair go in my 20s and then go and get a transplant when i’m 30. I’m already depressed from this.

 

[HenryBen]

And it is brushed forward. My hair is just very and diffuse like i said.

 

[Understanding Hair]

I know hairloss will continue. That’s why i’m on dutasteride. I just dont see a point in letting my hair go in my 20s and then go and get a transplant when i’m 30. I’m already depressed from this.

With respect, it´s not about seeing the point, something like a hair transplant needs careful planning, timing is so important to ensure you can continue to maintain a natural looking hair coverage. Donor management will determine how much hair can safely be removed over multiple procedures if hair loss continues. The donor is finite, so if not used well and hair loss continues you may not be able to sustain a natural looking hair coverage. Even a good donor may give 5-6K grafts without over harvesting, using so much now with minimal thinning will certainly compromise further hair restoration.

No one denies hair loss in their early 20´s can be distressing, but that does not mean you go for surgery as the solution, you will read cases on this forum of young men full of regrets having surgery around your age. You will always find a clinic willing to take you as a client, the ones to trust are those that turn you away, as they have your short and long term best interests in mind.

Until you are much closer to your 30´s and or the hair loss pattern becomes more obvious, why not consider a cosmetic shorter term solution, to help now. Concealer products help to mask the look of thinning, especially well with yourself and the hair coverage you have. While it is only a mask, it may help you now and wait until you are a better hair transplant candidate.

 

[HenryBen]

I have tried toppik etc. Doesnt work. My hair is so thin, it will clump and actually show more bald spots. I have been on fin longer then 6 months, more 9 months or so and added dutasteride 2 months ago and will switch to duta slowly. I have not regressed, some regrowth but yeah its not gonna be nearly enough as the meds stop progression rather then regrowth. Most people who get transplants young regret it but its because they dont use a strong DHT blocker. I’m not delusional. I know the hair will continue to thin without a dht blocker.

 

[josh145]

DermMatch is a concealer option. Stay on meds for as long as possible to delay a hair transplant because you might not need one.