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Administrator
Dr. Marc Dauer - Young Hair Transplant Patients Be Warned!
Spencer Kobren speaks with Los Angeles hair transplant surgeon, and IAHRS accepted member Dr. Marc Dauer about the very real long term consequences of performing aggressive hair transplantation on younger patients.
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Moderator
Everyone under the age of 30 should listen closely to what Dr. Dauer says in this video. Just because we CAN do something when we want to doesn't mean we should. We're moving hair, not making more hair so the law of supply and demand holds true, for now and in the future.
Well said, Dr. Dauer!
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Senior Member
Great video - raises a very common yet extremely important point.
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It's true for patients who are NW3 at 25 for example.
I was NW5 at 24 when I went for my hair transplant.
And it was life changing, the best choice I've ever made.
I got FUE with no visible scarring, chose a conservative NW2.5 and I can now enjoy a framed face.
Even if I didn't have any other procedure, I would still look natural with a huge bald spot at the back of my head.
You can only be young once. Yes, this choice was a leap of faith somehow, but I couldn't envision a decent life by cruising through my youth with a slick bald head.
I think when it comes to hair loss, solutions are always a case by case scenario. You can't say: all men below the age of 25 shouldn't have a hair transplant!
That didn't apply to my case. Just like you can't say: "All guys should just shave their heads and move on!" Which is the popular advice.
One size fits all advices never work when it comes to hair loss.
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Hey guys,
NW2 case here (beginning to recede hairline and thinning of crown, but not noticeable to others yet) What would you recommend that I do as a solutiom??
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Moderator
HI Ian,
The best thing to do is fight the issue by non-surgical means. Medical prevention is the only way to stop your loss as surgery only replaces what has been lost already. Once your medical options are exhausted then and only then should surgery be considered but if you maintain a NW2 status then by all means do not consider surgery at all.
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 Originally Posted by JoeTillman
Everyone under the age of 30 should listen closely to what Dr. Dauer says in this video. Just because we CAN do something when we want to doesn't mean we should. We're moving hair, not making more hair so the law of supply and demand holds true, for now and in the future.
Well said, Dr. Dauer!
It doesn't necessarily matter if you're under 30. What matters is your current state of hair loss, your future predictions of hair loss and your expectations. I had a hair transplant at 32 and it has devastated my life. Why? Because of exactly what this man is trying to clarify. I rapidly lost hair all around the grafts, leaving one area full of transplants and the rest of my head naturally balding. Hair transplants should rarely be used for "touch ups" in the case of men with male pattern baldness, because it is a temporary solution to a permanent and ongoing problem and often the trauma from such surgery can perpetuate the problem.
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 Originally Posted by jamesst11
because it is a temporary solution to a permanent and ongoing problem and often the trauma from such surgery can perpetuate the problem.
This! And it's the case for everyone, no one is safe from hair loss for sure forever.
You could have to stop finasteride for a reason or another, or it could stop working, or you just simply slowly but surely lose ground.
I knew I would need another hair transplant when I had my first one. I'm trying to wait as much time as I can but my crown is almost 70% gone.
When I had a consultation with Bisanga, he told me something like:
"When you do a hair transplant, you only want to do one and be done with it once and for all, don't you think?" Pointing at my NW5 progressing into a NW6.
That is a very utopic statement, people who are suffering from MPB and need a transplant will lose more hair at a point.
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I appreciate the candid response and good ethics by the doctor here but it's very depressing nonetheless. I don't want to be the bald guy who suddenly has a full head of hair 18 months later and has to deal with everyone who knows I've undergone a cosmetic procedure for being so vain. I want to hold on with a short haircut and concealer and make it seem like I responded to one of the current "treatments."
I guess I tricked myself into believing I'd be able to get a transplant within a year or so (currently 25) and wait a couple years for the new treatments that are on the precipice that could have a big impact on maintenance going forward. I guess that just isn't realistic though...****
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Great video, Thank you for sharing.
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