hi dr… will you give a pt a juvenile hairline if they want it and promise to stay on propecia and are 40 yrs old and do not have a lot of balding??? please let me know .. thanks

I have to be encouraged to produce juvenile hairlines in 40 year old men. Included in my criteria are:

1. emotional maturity
2. good, solid thinking
3. a good reason for wanting it
4. some assurance (by examination and from taking a careful family history) that the person does not have advanced genetic balding

The need for Propecia (finasteride) is only critical if there is balding present. I have done hairlines on actors whose youthful hairlines are critical to their professional careers. I have created these juvenile hairlines in other people too, but these men usually bond with me and develop a relationship with me that convinces me that it is the right thing for them to do. Sometimes, when older men want a lower hairline and their balding is stable, I will move it down to a lower position (lower than a mature hairline but possibly higher than the juvenile hairline).