Hello Dr. William Rassman,
I’m 23 and i have been seeing thinning of hair well in the past two years. i have been on propecia for two years, which did stop my hair loss to a certain level but lately im noticing more hair loss even on propecia. i had an appointment at a hair transplant doctor in the past week to go see if i can get a hair transplant. I saw a counselor, not a doctor who told me that no surgeon will perform a hair transplant on me because of my age. Me being too young, he said i have to wait till i go all bald. Can you help me or suggest me of any products, any new advances medications?

It is generally true that young men under 24 should not get a hair transplant, but it is a crazy thing to be told that you have to first go bald. Generally, I judge everyone differently, make few rules other than protect my patients from me, themselves and poor decisions. Because I am not a salesman, I make judgments all of the time about the maturity of the person I am talking with, their ability to understand what a Master Plan for their balding is going to be, and their response to drugs like Propecia. I find immature 50 year olds, and very mature 20 year olds. As I get to know the person, I would not say that someone of your age can not get a hair transplant. Medicine and surgery are a combination of art, science and compasion. You need all of the benefits of this with a caring doctor while making your Master Plan. Then and only then, can your candidacy be determined.

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