Hair Restoration – Does it Work?

/Hair Restoration – Does it Work?
Hair Restoration – Does it Work? 2017-09-01T16:40:33+00:00

Current and modern hair transplantation is, by far, the single most effective solution to combat hair loss in men and women. We have to consider a multitude of factors when reviewing each case to determine the patient’s candidacy for the procedure. Among those factors are:

Age

Many times when a younger male patient is starting to notice hair loss it may not be hair loss due to male pattern hair baldness caused by DHT. Most men, as they mature from being juveniles, will notice some recession in the temple region and immediately think they are going bald. This is not always the case as some temple recession is normal and expected as it is sometimes considered to be the final step to manhood. Low straight hairlines are usually the mark of an undeveloped juvenile. This is not the case for everyone however as some men keep their juvenile hairline through their lifetimes.

Family history

Is there a history of hair loss in the family? If so, how many family members have or are experiencing hair loss? To what degree has the hair loss progressed? What are the ages of those in the family that have experienced hair loss? Many times patients will say that there is no history of hair loss in their family so this can sometimes indicate that there may be another cause for the patient’s hair loss that is not related to genetics. Given the rarity of non-genetic causes of hair loss we must assume that the patient is not fully aware of their family history especially if the loss is in one of several known hair loss patterns found on the Norwood Hamilton hair loss scale.

Medication

The general rule of thumb is that once hair loss begins it is ongoing for life. The severity of hair loss may fluctuate and even appears to have completely stopped for a number of years but hair loss due to a genetic sensitivity to dihydrotestosterone is, in fact, progressive. Medical intervention via topical hair loss medications such as minoxidil and oral medications like Propecia should always be considered as they are the only proven methods to stop hair loss. We know that if one or both of these medications are being used then the patient has the best chance of satisfaction with their surgical result. Without medication hair loss will progress and more surgeries will be necessary to address the newly balding areas.

Degree of loss vs Age

We can assume that if a younger patient, under the age of 30, is already experiencing what can be considered to be aggressive hair loss, beyond a NW3v, the patient has a strong chance of becoming a NW6. This means they will lose hair in their hairline, mid-scalp and crown so we must take this probability into our overall plan for the future, even if the patient is taking medication with evidence of positive efficacy.

When we consider the above factors (among others) we can make a better assessment of the patient’s needs and the patient can better understand the reality of his or her situation. This is key not only  for short term satisfaction with the final hair transplant result but long term satisfaction as well. Hair transplantation works quite well and when it is performed by surgeons that are dedicated to the art and science of follicular unit extraction great results are not only expected, they are experienced.