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Possible progressive hair loss as we age.

sl

sl

BHR Clinic Patient Advisor
Like most clinics, we get our fair share of patients who wish for surgery at a relatively young age. Often the loss is minimal but devastating and the first thing they want to do is €œfix it € and regain what was lost and hope to carry on as before the loss was evident.

Wisdom often comes with age but not always, and we as a clinic will try to educate the patient on the future loss that is likely and that they are probably at the beginning of their hair loss journey that will continue for years and to varying degrees also.

Nowadays there are options open that were not there in previous years and medication for some is the best option or at least for a good few years before committing to surgery. If the patient is against medication per se then they can also look into natural or supplemental options for DHT blocking also but whatever the method it is important not to jump into surgery just because it is possible, they need to look at if it is right for them with their loss and age and circumstances they have.

Some say to me that they don €™t care about future loss or even how they will look when they hit 40, they just want to look good and enjoy youth in the now. I have hit that age and a good while ago and I still care how I look, so the perception is often very wrong that at €œmiddle age € we stop caring.

A responsible clinic will not just do what is asked but seek to guide the patient to what is best for them and take into account the longevity of any work done. I certainly am glad I never had surgery at the first signs of loss but had the insight to wait and see where my loss was going and if I had enough to get to where I wanted.

A picture often tells a thousand words and the below will give a visual display of how a young man can age to middle and old age and how a transplant at a young age with limited loss would have affected him in later life were he to become an advanced loss sufferer.




 
topccat29

topccat29

29 year HT veteran
I think if you were to ask older guys who made poor decisions in the past they could look back on it now and say what was I thinking as it is all much clearer to them today. The difference of course is knowledge and life experience.

An ethical clinic will help guide them in the right direction but this is not always possible as sometimes our fate seems to have us travel down the wrong road for whatever reason. If that road leads us to an unethical clinic and we lack the knowledge and life experience it is a disaster just waiting to happen.

Some additional advice for someone young would be to read books. I know it can be time consuming and maybe not much excitement. Something interesting about books is most often they do not generate recurring income. It €™s usually a one shot deal so the author doesn €™t have much to gain except giving to you what they believe is honest information. Are there many stories out there on hair transplantation €¦ €¦ €¦ €¦not really but many others works are available in similar areas where you can gain life experience and knowledge very easily from reading about the life of someone else. It can be done in a short amount of time as opposed to life experience the hard way.

Excellent post SL. I really do like the story the pictures tell as it's shows how important it is to think long term.
 
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Bigmac

Bigmac

Administrator
Staff member
Nice post Sl, one problem I see with young patients is they believe in hair regeneration/cloning to save them in the future, hopefully it does happen but at present it's always ten years away when someone claims to have made a breakthrough.
 
Y

Young Guy

Valued member
What solutions for those people then? Be miserable all their youth AND through middle-age?
 
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janna

janna

Moderator
Dr. Sheldon Kabaker's pics have been used to show the hairloss progression for many articles and lectures.

I know what you mean about many patients who think they won't care about hairloss in their 40's or 50's. The median age of our patients is mid 40's so......

Fred,

The solution isn't for people to be miserable but maybe be realistic in their goals and expectations. You can't go into hair restoration surgery wanting a thick and low hairline when you are young. The mere fact that at a young age you have hairloss means you could end up on a high norwood scale. Some patients will shop around for a doc who will say what they want to hear and pass on sound advice.
 
M

Modenese

boy meets quiff
Good post Stephen. When I see comments from men having HTs in their 20s and 30s saying 'my hair loss has stabilised' I'm alarmed by the though of how they might end up, constantly chasing a retreating hairline.

On another forum, I've seen multiple 18 year old patients had HTs with 'recommended' Drs which I think is hard to justify.

So far, I think all of the treatments for 'unlimited donor' just look like BS.
 
Y

Young Guy

Valued member
It depends. An 18 years old NW2 whose relatives are NW7, I agree, it should not be done. A 24 years old NW5 whose relatives are NW5? Please let me look like a normal person for my age again.
 
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Iniesta

Iniesta

Valued member
Sorry But this post was unjustified so I have edited at my own discretion, pm me if you need to talk.
Thanks Bm.
 
sl

sl

BHR Clinic Patient Advisor
Hi Iniesta

Thanks for your input.

The countries I deal with and patients I have personal contact with,(so can speak with authority), we turn down many inquirers that are not candidates and is actually a high percentage of all inquiries that I get and it can be for age or indeed that their goals cannot be met and some posters on this forum we have said surgery is not the best option for them.

If they are young and with minimal loss then often the best route is medication and not surgery (as per this post) and I have many emails a week whereby I am writing this that is obviously not in the public domain but seek to look at the long term and often the patient will say to me that another clinic also said the same thing so there are clinics out there who are not "only thinking about money as such" and I know several clinics who seem very ethical on their approaches to surgery.

When I think of posters here whom I booked like Richtea, Stingray,Levrais, Modenese, MDCFC, ejj, Sparky, they have varying degrees of loss and some repair cases and on the more mature side. Dr.Bisanga section also has an array of different patients and a lot of them are late 20s to mid 30s onwards and are well educated on potential future loss and the benefits of stabilising loss through medication.

As for educating patients we have on this forum alone more educational posts than most clinics be it donor management, FUE and Strip, Extraction patterns, Density v Coverage, which technique first, FUE punches and types etc and all in the aim to share knowledge and to help educate.
 
Y

Young Guy

Valued member
Not necessarily Iniesta, I've been turned down by BHR for example.

But I have my own explanation for that. I'm a 24 years old NW5. During the consultation, I felt like I was the baldest person for my age they had ever seen. Dr. Bisanga knew he could never fill everything on my NW5 area so I would not be a result they could show off here or on their website.

I made it pretty clear that I only wanted the front done to frame my face but they wouldn't do it, so no they're not always after the money but sometimes after holding up to their reputation.

That's why you see so many 25 years old NW3 being treated. Their hair loss will progress of course, but in the meantime, they will have nice before/after pictures to post on their website.
 
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Bigmac

Bigmac

Administrator
Staff member
Hi Fred, You weren't turned down because of forum exposure, it's because the doctor has your best interests at heart and must have felt you weren't a candidate.
 
J

JohnnyDrama

Valued member
Fred, do you feel a clinic should perform a HT on any patient that requests it, regardless of their goals?
 
Y

Young Guy

Valued member
I remember that Dr. Bisanga said to me: "I know I won't earn more money because I'm not treating you, but at least I'll be able to sleep at night."

He has a code and I respect that, but what am I supposed to do? In the meantime, I still have to live my life as a bald person and I'm only 24 years old.

It's so hard psychologically, people often ask me why I have no hair, or just simply make fun of me.

I don't think clinics should blindly operate on any patients if they might end up in worse place later. But it just frustrates me to see those young NW2 getting 2000 grafts when they clearly don't need it. And I see people way balder than me not getting turned down.

At the end of the day, I'm so thankful that a great surgeon like Dr. De Reys accepted to operate on me. Maybe it's a mistake, only time will tell, but I can't imagine how depressed I would be if every single surgeon refused to help me.
 
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Bigmac

Bigmac

Administrator
Staff member
All the best Fred with your upcoming surgery with Dr De Rey's , I'll look forward to your updates February onwards.
 
Z

ziggs11

Valued member
Fred, did Dr DR show you the type of hairline he would place? He did a good job with William38, but that guy had 5000 grafts (though he also did the crown a bit)
 
Y

Young Guy

Valued member
Thank you Bigmac :).

He drew it really low at first, but the thing is that I've always had a very high hair line. I showed him pictures of me younger and he's going to try to reproduce my natural NW2 hair line.
 
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