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.

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I am a 36 year old man whose hair loss began when I was 19. I feel the progression of my hair loss has subsided at least 5 years ago. The proven results of HT being what they are today, I am ready to undergo a procedure. As I am currently not taking any prescriptions, do you require me to take finasteride for a year before I can schedule a surgery?— W.M.

Thanks for the question W.M.
We do not require that you be on finasteride for a year prior to hair transplant surgery. We do require that you stop taking any drug containing ASA (such as Aspirin) 2 weeks prior to surgery, because these drugs thin the blood and cause too much bleeding during surgery.

If you are thinking of having a procedure, I encourage you to visit BaldTruthTalk Hair Transplant Forum or Hair Transplant Network Hair Loss Forum to learn from others who have had a hair transplant.

If you have any questions, don’t hesitate to contact Hasson & Wong Hair Transplant Clinic at 1.800.859.2266 to speak with one of our consultants. Both of our consultants were patients prior to becoming consultants and are can answer most any question you have about hair transplantation.

— Victor Hasson, MD

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Hi! I’m 23 years old. I have been facing hair loss for the last 3yrs and now my head at the corners and even at mid scalp is becoming noticeably thin. I have been taking treatment for the last 2 years (6 months from a small private skin specialist, 1 yr in Dr. —– hair clinic, now taking RichFeel). I’ve noticed hardly any improvement. Although the hair loss has been reduced as the hair density also has been degraded to a great extent. Should I go for hair transplantation at this age or should I continue medication and treatment for some more time?
— H.K.

Hello H.K.
If you are not taking finasteride as one of your treatments, you should start now. If you are presently taking finasteride and you feel your hair loss has stabilized, you may be a surgical candidate. I’d suggest waiting a year after taking finasteride before considering hair transplant surgery. Feel free to submit a online hair loss consultation form. You will receive a recommendation in 3-5 business days. Please be sure to
follow our photo guidelines.

— Jerry Wong, MD

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