A 22-year-old has a receding hairline. He wants to know if he is a candidate for hairline lowering surgery.
Dr. Amiya Prasad, a hair transplantation specialist, explains that one of the most common questions raised about hair transplantation is the number of grafts a surgeon can transplant. Technically, he says it is not difficult to address a small amount of hairline recession in a person who is young. Hair transplant is the selective use of genetically resistant hairs from the donor area or the area where the grafts are harvested. These hairs will always be there and are not affected by hormones. However, the donor area has a limited amount of hairs.
Dr. Prasad says it is important that he look at his family history such as the other male members in his family and see their hair loss patterns. Within a family, hair loss is not determined by any specific dominant or recessive pattern. Even within siblings, it can be variable: one brother can have a lot of hair, and another brother can have thinning hair or hair loss at a relatively young age.
In the United States, there are two drugs that are approved for hair loss: minoxidil which is a topical solution or foam, and finasteride which is an oral medication that blocks an enzyme called 5-alpha reductase. 5-alpha reductase blocks the conversion of testosterone to dihydrotestosterone (DHT). A specific subgroup of men with male pattern hair loss have androgen-sensitive hair follicles. Those androgen sensitive hair follicles will thin in response to circulating DHT. By taking finasteride DHT is reduced, thereby restoring the functionality of the hair follicle. However, a significant number of men do not respond to finasteride. In addition, there are long-term sexual side effects of men taking finasteride.
In Dr. Prasad’s practice, he developed an alternative called Hair Regeneration. This is the application of a material called extracellular matrix combined in a specific way with platelet-rich plasma. Over the past several years, he developed his own method of formulation and customization based on a large clinical pool of data. He does a onetime injection that appears to last up to five years. It has been a remarkable benefit for men who don’t want to take Propecia or finasteride, or men who are taking them and are still losing hair. It also has proven to be beneficial for female pattern hair loss.
When considering a solution for a receding hairline, one should think about the future and what could happen if they are 25 or 30-years-old. They should also think about medical options as opposed to surgery and then consider some of these newer treatments like called Hair Regeneration that uses extracellular matrix to help restore the functionality of the hair follicle. Dr. Prasad has been very fortunate that a material that was originally approved for wound healing has been able to help a lot of patients who have male and female pattern hair loss.
To learn more about the Hair Regeneration non-surgical hair thinning treatment, please go to our website: