Why Hair Completely Gone in the 20s May Not be Treated with Transplants and Medical Therapies


Thank you for
your question. You submitted your question without a photo
but in the substance of your question, you are stating that you’re 24 and bald. And
you’ve tried various medications which did not appear to work. And you’re asking, is
there any cure medically to help recover your hair or is hair transplant the only cure for
baldness. Well, I can certainly share with you my perspective
on your question and how I would counsel someone like yourself in my practice. A little bit
of background, I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial
plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island
for over 20 years. I am the founder of TrichoStem™ Hair Regeneration Centers, a system we developed
as a non-surgical solution to help men and women with genetic pattern loss who are suffering
hair thinning. So to begin with, I’m just going to address
the term cure. Unfortunately, there is no cure. Pattern genetic loss accounts for 95%
of hair loss in both men and women. And what that means is, as you have experienced, it
means a progression. So regardless of the different methodologies that we currently
have, we are essentially managing hair loss. So when we think of an oral medication for
male pattern hair loss, it is called finasteride. Finasteride reduces DHT levels or dihydrotestosterone.
It slows the progression of hair loss. It doesn’t cure. It doesn’t stop it. And
so patients come to us who had been on finasteride for 15-20 years and they still progressed.
Treatment like ours called Hair Regeneration, as I described earlier, this is discovered
as a side benefit of helping our patients who during hair transplant using a wound healing
material called Acellular matrix and platelet-rich plasma. What we do is when we see patients,
depending on their age, their gender, their age of onset or hair loss, rate of progression,
degree of hair loss, we have protocols for these injections to help reactivate hair that’s
not growing, prolong the lifespan of existing hair and thicken any hair that’s thinning.
At this point, more than 7 years of data, we know that we’re able to help people for
the majority for about 5 years but again, there are variables that are important. In a situation like yours, you had a very
early onset, you had a very aggressive rate of progression and as you described in your
question, you’re now currently bald. So unfortunately at this point, you are not a
candidate for a type of procedure that would be in the medical side as you’ve already
lost the hair. The hair is not currently residing waiting to be recovered in your scalp. Once
that hair follicle is gone, it’s gone. Now generally speaking, when I meet patients
like yourself, I essentially explain to them that even though there will be doctors who
are willing to do hair transplant, remember hair transplant is not a cure but there is
a very significant mismatch between your donor area and the area that you want to cover such
that you would have a natural appearance for someone in their 20s. So, I would say that
if you really want to have the appearance of a younger person with full amount of hair,
you may be better off looking at hair systems and different types of hairpieces that can
give you that look. Essentially, that would be appropriate for your age. A lot of patients
have come to us who’ve tried to stay in front of their hair loss by doing transplants
at a very young age and they go through a second, third, fourth transplant and they
hit their 30s and they look like they barely had any hair. So that’s not a good outcome.
Essentially, hair transplant has a value but its role for a younger person I think is very
limited especially a younger person who has very aggressive loss. So I hope essentially that you have an understanding
that there isn’t a cure. There’s only management and in your case, you’re far
too advanced to have a procedure that will slow down your progression or maybe recover
some of the hair that may be in a thinning process. And I would say that hair transplant,
you should proceed with caution. You may want to wait where you’re much older when less
hair is needed to have a more natural look for that age. But for now, I think probably
a hairpiece will probably be most appropriate if the situation is that you’re fully bald. So I hope that was helpful, I wish you the
best of luck and thank you for your question.

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