There is much debate about hair transplants in men under 25 but I think it is an important topic. I have hair loss and I am 24; are there programs your clinic provides to help #1 prevent further loss, and #2 create a plan for multiple transplants with respect to our donor areas. — C. Y.

As a general rule, we like to wait until a patient is 24 years old to perform surgery. This applies to patients with typical male pattern baldness. Every individual situation can differ. When a clear pattern of loss has developed at an earlier stage and it is easy to predict the final hair loss pattern, exceptions can be made.

In most case involving young patients with male pattern loss, a careful approach to the surgery with a conservative hairline is usually the best option. Other types of loss due to traction or an accident can also determine if a patient can have surgery before the age of 24. Preventing further hair loss for a young patients is often the number 1 priority. Your use of Propecia is a general recommendation to most patients with hair loss.

Creating a plan for surgery for young patients is basically the same for any patient. We access the donor area and final hair loss pattern to determine what can be accomplished to provide the best cosmetic result for now while taking into account this result must stand the test of time and will look good many years down the road. When using Propecia combined with our technology and skill, often times one surgery may be enough. Many patients today have 1 or 2 surgeries as opposed to several in years past.

If you have other questions or would like a free hair transplant consultation, please submit a hair loss consultation form.

Jerry Wong, MD

• Crown Hair Transplant 5 Years Down the Road. Here is my case: I am 30 years old, I have been on Propecia for almost 10 years and have a moderate hair loss. I would like to get more...
• Is Hair Transplant Repair After 2 Surgeries Possible? I have had 2 transplants (3800 and 1500). The first left my recipient area pitted and looking like a golf ball or a pin cushion. I had the second one...
• Thickening of Temple Region I have been looking into hair transplant techniques for several months now to see if I could benefit from such a procedure. I am a 28 year old male and...
• Hair Transplant Possible in Patient with Diffuse Alopecia? Good afternoon Dr. Hasson and Dr. Wong, I have a doubts about a hair transplant. I have diffuse alopecia in the upper part of the head. With long hair, I...
• Post Surgery Concealment of Hair Transplant I'll need to fly to Vancouver, undergo a 4000 graft surgery, and be back in the office within three days. I do not want to reveal that I’ve had cosmetic...

• ITALY - Tumor Institute: safer stem cell transplants [/caption] Methods to provide safer stem cell transplants to individuals who are not completely compatible with the donor are being developed. Encouraging results have come from a post-transplant cellular therapy,...
• Verizon Offers Free 3G Tethering on Palm Pre Plus and Palm Pixi Plus Though April Fools Day is hardly the best time to make any genuine announcements, Verizon Wireless did so yesterday. And it made not one but two major announcements yesterday. Both...
• Ask Dr. Rybicki: Basic Weight Loss Procedures Exercise is the cornerstone of weight loss. I advise patients to start slow and develop an exercise program that includes both core strengthening and aerobic exercise. I recommend that they...
• Determining Your Target Heartbeat Rate There are a bunch of little ways to mathematically figure out how you can improve your diet and exercise, and one of these ways is to determine your target heartbeat...
• A New Alternative to Weight Loss Surgery – But is it Safe? The push for instant weight loss has lead to the popularization of surgeries that can dramatically alter the human body and its digestive functions. Complications are numerous, but the demand...

I am turning 20 in a couple of months and have been experiencing hair loss for a year now. My temples are slowly receding and my hair is becoming flimsy and thin. My hair loss is at a point where it is only really noticeable to myself and I comb my hair in a way that hides it. I have hair loss on both sides of my family with the most extreme form being type Va. What can I do at this point to help my deal with the hair loss? I will need a transplant one day, but right now I still have hair on my head, although I can tell its thinning and I will eventually lose it. Is there any way that you can predict a patients hairless while they still have enough hair not to be considered bald? I don’t want to wait until I am completely bald to fix my hair. — M.S.

Thanks for the question, M.S. It is difficult to predict the eventual state of your hair loss. You may follow the pattern that other family members experienced but it isn’t necessarily the case. The best course of action at your age is to see a doctor about a prescription of finasteride. Finasteride (Propecia, Proscar) slows or stops thinning in the mid-scalp and crown and may also promote some regrowth in those areas. It is only occasionally effective for slowing hair loss in the hairline. After taking the medication for a couple of years, a hair transplant doctor will be in a better position to know whether surgery is a good option for you. For now, you’ll have to wait and see.

— Victor Hasson, MD.

Incoming search terms:

• hair transplant at 20
• hair transplant in 20s
• hair transplant 20s
• hair transplant 20
• balding in 20s
• hair transplant at age 20
• hair transplant in early 20s
• hair transplants 20s
• hair transplants in your 20\s
• i got a hair transplant at 20

• Hair Transplants in the Crown / Age I had a question regarding one of the patients in your photo gallery. In number 37, the patient had 1,200 grafts to the crown only. How old was that patient?...
• Average Size Hair Transplant Session I have a question. I have already been in contact with your very help staff but I have a question for you: I had a previous hair transplant and had...
• Scar Revisions - Hair Transplant Repair. Possible? I have had 3 strip hair transplants and one FUE hair transplant totalling over 7500 grafts. The results are poor at best. I am now left with 3 wide scars,...
• Is Hair Transplant Repair After 2 Surgeries Possible? I have had 2 transplants (3800 and 1500). The first left my recipient area pitted and looking like a golf ball or a pin cushion. I had the second one...
• Hair Loss Prevention & Hair Transplants for Younger Patients There is much debate about hair transplants in men under 25 but I think it is an important topic. I have hair loss and I am 24; are there programs...

• Review of The Program: The Brain-Smart Approach to the Healthiest You: The Life-Changing 12-Week Method There are a lot of different books out there looking to help you live a better life. The majority of the books on the market are little more than self-help...
• Popular Options in Treatment of Hair Loss The causes of hair loss of men and women are different in many ways. There are various reasons attributed to hair loss of women, and one of the major causes...
• Is it Advisable to Use Biotin for Hair Growth? The truth is that nowadays we are living in a society where looks are really important. When faced with hair loss it is really easy to end up thinking of...
• You need Biotin for hair growth The problem of hair loss may be as a result of deficiency of one or two vitamins or minerals. People are encouraged to check on their diets in a very...
• Vitamins for Hair Growth Now are a lot things that can assist you to deal with hair loss. A lot of people prefer to avoid the side effects of a few of the prescribed...

I had a question regarding one of the patients in your photo gallery. In number 37, the patient had 1,200 grafts to the crown only. How old was that patient? I am experiencing hair loss similar to him (i.e., my hair loss is limited to the crown so far). I am 27 years old and have been on Propecia for 1 year. I also use Rogaine. I think I have maintained over the past year, but would like more density.

I understand everyone is different (with respect to density, laxity, etc.), but generally speaking, would it be reasonable for someone my age to have a hair transplant in the crown? I have read, in the past, that most doctors will not transplant the crown first in men under 30.

By way of background, my father (54) has significant hair loss in the crown, but maintained his hairline. Also, I have an older brother (29) that is experiencing hair loss in the crown only. However, I do have uncles (on both sides) with varying degrees of hair loss in different patterns.

If you think it would be reasonable for someone my age with my family history to have a transplant in the crown, I will likely submit the necessary information for an online consultation. — B.A.

Thanks for your question. Patient number 37 was in his early 30′s at the time of surgery. Whether it is advisable to have surgery in the crown in your cases depends on a few factors, some of which you have touched on:

1. You have sufficient donor reserves should you eventually need transplants to the frontal zone. This on its own would be enough to justify crown work.
2. You are taking Propecia. This would be advisable but it alone would not justify working in the crown.
3. You likely are following in the hair loss pattern of your father and older brother. This would be a plus and if the situation was borderline, it may be enough to make a case for reconstructing the crown.

It is a reasonable assumption in your case that a transplant in the crown would be safe based on your information. In the end, it comes down to the donor area. The better the quality and supply, the more options. If you would like to send photos, submit a hair loss consultation form. Please follow our photo guidelines before submitting the form. The photos and detailed history should provide us enough information to determine if you are a good candidate for crown reconstruction.

— Victor Hasson, MD

Incoming search terms:

• hair transplant crown
• crown hair transplant
• hair transplant crown only
• hair transplant on crown
• hair transplant crown photos
• dr victor hasson crown
• crown hair transplant pictures
• hair transplant to the crown
• hair transplant age 27
• hair transplant on the crown

• Hair Transplants Effective for My Hair Type? I am located in ---, USA. I was born in India. Is a hair transplant suitable for my hair type? I have been experiencing gradual hair loss since my college...
• Hair Transplant Possible in Patient with Diffuse Alopecia? Good afternoon Dr. Hasson and Dr. Wong, I have a doubts about a hair transplant. I have diffuse alopecia in the upper part of the head. With long hair, I...
• When Is the Right Time for Hair Transplant Surgery? I'm a 26 year old male who just recently realized I was thinning on the top of my head. It's only slightly noticeable in the front at the moment, but...
• How Effective is Propecia? How effective is propecia in halting hair loss if taken early in the process? Will it stop working after a certain number of years or does it usually stop all...
• Crown Hair Transplant 5 Years Down the Road. Here is my case: I am 30 years old, I have been on Propecia for almost 10 years and have a moderate hair loss. I would like to get more...

• Diabetes and Hair Loss If you are losing hair in larger than normal quantities and if the loss does not appear to be common pattern hair loss you should be evaluated by a doctor,...
• Effective Remedies for Women’s Hair Loss Hair loss of women is becoming a common and major problem nowadays, and it’s a difficult thing to solve. If you have healthy hair, that is a sign of good...
• Can Biotin Help Restore Your Hair Zammy Dyke is a dedicated researcher of men and female patterns of lace front; visit her site now at and learn about a new natural hair loss remedy that she...
• Useful Web Apps for Weight Loss Everyone seems to be getting into weight loss, healthy eating and exercise habits these days, and with that, there has been a surge in the availability of web applications designed...
• Menopause causes hair loss?, Yes Hair is indeed very crucial part of our beauty. There is therefore every need for us to worry when we see any signs of hair loss. There are preventable and...