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Progressive baldness of the mid-30s is difficult to negotiate for two reasons;
1) Baldness is dynamic and we don’t know what the final stage is going to be.
2) The expectations of these young patients are high and they press for a lower hairline.
In the current case, we tried initially to keep the hairline up in the first sitting. Somehow he was under peer pressure and wanted a lower hairline. Once he got a good result in the first go, he felt he could lower the hairline a bit.
With such discussions, we agreed to lower the hairline by 1-1.5 CM and do some temple job. We did close to 1500 grafts for the second sitting, after 3 years of the first sitting. The hairline consumed 500 single follicle grafts. The outcome after 1 year of the first sitting (4 years of the second sitting) was great.
Unfortunately, he is not willing to take Finasteride and we are chasing his baldness! He has a gene of extreme grade 7 baldness. Now we are prepared to do his crown as well.
Message:
If at a young age, the baldness is progressing, then Finasteride has to be taken. Even the planted hair gets affected by baldness, in these young age people.
1) Baldness is dynamic and we don’t know what the final stage is going to be.
2) The expectations of these young patients are high and they press for a lower hairline.
In the current case, we tried initially to keep the hairline up in the first sitting. Somehow he was under peer pressure and wanted a lower hairline. Once he got a good result in the first go, he felt he could lower the hairline a bit.
With such discussions, we agreed to lower the hairline by 1-1.5 CM and do some temple job. We did close to 1500 grafts for the second sitting, after 3 years of the first sitting. The hairline consumed 500 single follicle grafts. The outcome after 1 year of the first sitting (4 years of the second sitting) was great.
Unfortunately, he is not willing to take Finasteride and we are chasing his baldness! He has a gene of extreme grade 7 baldness. Now we are prepared to do his crown as well.
Message:
If at a young age, the baldness is progressing, then Finasteride has to be taken. Even the planted hair gets affected by baldness, in these young age people.