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I am a girl, 15 years old. I have had an awkwardly shaped forehead all of my life and it has made me extremely self conscience over the years. I’ve always wanted to put my hair back with a cute headband, but my hair line has made me too self conscience to feel comfortable with it. I start with a widow’s peak (which is already far back), then it goes back to a few centimeters away from the center of my head above the outside of my eyes. What would you suggest doing about this? I just want it fixed, and I don’t know what my parents would say to surgery or anything like that, but it’s my dream to have my forehead fixed to a normal size.

Thank you so much !

There are procedures to move your hairline forward which work very well, such as forehead reduction or hairline lowering. There are doctors who specialize in these procedures, but at 15 years old, you need to get the support of your parents on such a decision.

There are photos at Dr Aharonov’s site if you’re curious about results.

I have a high forehead but I don’t want a hair transplant surgery. I found on the Internet that Dr Gal Aharonov in Beverly Hills California is offering hair line lowering or forehead reduction surgery. His results look impressive and I saw him on the Doctor show. It seems great for women with a high forehead but what are your thoughts on men?

I have seen Dr Aharonov’s patients personally and the results are indeed impressive, but there will always be a fine scar at the hairline if you look close enough. Most of the time, the scars are well hidden and are difficult to pick up. There is also an option to take the extra scalp (from the surgery itself) and use the hairs for a limited hair transplant surgery in front of the scar. This will maximize the aesthetic value of the surgery and softens the hairline.

This sort of procedure is more commonly seen in women (that don’t have that same risk of MPB that men have), but with respect to hairline lowering surgery in men, we must first establish that there is no risk of male pattern hair loss or hair recession.

You can find more on Dr. Aharonov’s site here.

Is it possible to treat a Norwood 7 (not a head full of hair but a decent result) using Hair Transplant + Body Hair Transplant?

Thank you!

At NHI, we do not recommend body hair transplants (BHT), as the results are highly variable and unpredictable.

We do have patients in our Photo Galleries that were Norwood 7 and had great hair transplant results from using scalp hair, but I must point out to the readers curious about hair restoration that every patient is different and the fullness will never be over the entire scalp. It’s about creating the illusion of a full head of hair by using the available donor hair efficiently. You just need to have a clear understanding of what “decent” result you are expecting.

I fell against an open fire surround when a child. I suffered a bald area 3 inches wide by 2 inches long. 15 years ago I had an expander inserted and about 90 percent of the bald spot was removed. This was okay but now my hair is thinning around the scar area.

I am female over 55 and am very conscious of this as I am very limited in my hairstyles. As the thinning area would hopefully now have enough blood supply from the ajoining hair, would I be able to have transplants inserted into the thinning area?

Also, how do I find a good surgeon in the Northern Ireland area. Thanks

Each case is unique, so there’s no way I could know if you’re a candidate for transplantation without an examination. I could evaluate you, but from Ireland it would be difficult. Look to the ISHRS for doctor recommendations in Ireland.

Dr. Bessam Farjo is one a contributor to this site and is based in the UK, so it may be worth a trip to have him evaluate you.

Can you explain to me what laser-assisted hair transplant surgery is? And why don’t more doctors do this? Advantages/disadvantages?

I read an article on your New Hair site from 1996 - here - that said the lasers weren’t sophisticated enough for this kind of procedure, but that was 15 years ago. What is your opinion now? Thanks

Lasers are wonderful devices, but I would not recommend their use in hair transplant procedures in any manner. When they were used, they produced significant burns adding to complications that rarely occur otherwise.

I’m 26 I had 3 brain surgeries 5 years ago and have a large scar the shape of a horse shoe on the left side of my head. this is causing severe depression. I’d like to know who can I see and what I can do to cover this scar. my hair is no longer thick enough to cover the bald spot and I simply can’t wear a hat all the time. I’m looking for information on doctors in the boca raton area or near palm beach that can help.

thank you so much. this is my prayer to look normal again.

Scars from brain surgeries, as you describe, can be addressed with a hair transplant surgery or with Scalp MicroPigmentation (SMP). Treating brain surgery scars take some experience, as hair that is transplanted into the scar tissue may not fully grow. Be sure that the doctor you see has experience with transplanting into scars.

I would recommend that you not limit yourself to just your immediate area. See as many doctors as possible to get a good idea about what is possible and what the expectations should be. There are many hair transplant surgeons in Florida, and you can find doctors in your area by using the physician search at ISHRS.org. Just be sure to do your research and meet with doctors to form your own opinion on who has the best results.

Dear Dr. Rassman

I hope you can help explain something to me regarding the treatment of hair loss with PRP. I was considering have a treatment of PRP + Acell but then read that one of the growth factors in PRP is TGF-B1 which has been claimed to be something that actually causes hair follicle death. Could you please explain to me how this growth factor supposedly helps when introduced to the scalp in PRP treatments? Is it somehow changed? or do the doctors using PRP not see it as harmful?

Thank you in advance for you answer and insight.

Regards

The use of platelet-rich plasma therapy (PRP) is a good way for a doctor to make money and probably not harm his patient. It’s the buzz du jour and is an excuse for some doctors to sell something extra. I’ve yet to see any satisfactory study that shows using PRP in a hair transplant has any value.

The NY Times wrote about PRP earlier this year — Does Platelet-Rich Plasma Therapy Really Work?.

hello mr Rassman long time reader here, you doing a great job here i must add. my question today is regarding my Diffuse Unpatterned Alopecia (DUPA). i’ve had dupa since the age of 17 im now 24 and i still have a decent amount of coverage.

i was thinking about a possible body hair transplant in the future and was wondering if hairs in the beard, pubic area and chest are viable as im looking for the fullest coverage. i for one don’t care about growing this hair out i would plan on keeping it very short shaved. as i am still 24 and still going through changes in terms of body hair i want to wait till im in my 30’s so i have more hair to harvest

what do you think of my chances in terms of having a transplant like this? would i need to take meds after this to maintain the new hair? is the hair permanent? thank you for your time

Body hair may or may not be permanent. I have never done a complete body hair transplant for a DUPA patient so I can not talk with experience under my belt. I suspect you can find someone willing to experiment on you to achieve the goal you defined above, but it would not be my recommendation.

Do you have any knowledge or opinion about prosthetic follicles? I was imagining a tiny hypo- or non-allergenic device of plastic, silicone, etc that could even eject broken hairs and be reloaded. If they can replace heart valves and if they can make silicon wafers with microscopic transistors, artificial follicles hardly seems unfeasible. I googled my idea and actually found something:

A hair prosthesis consisting of allogeneic hair and polypropylene mimicking follicular units: long-term result and histocompatibility in rabbits

This sounds wonderful for balding or bald rabbits. There’s still a lot that needs to be done before it is shown to be safe for humans.

There is reasonable experience in artificial hairs and the history is not pretty, with infections that really mess up the scalp. I have personally seen the results of artificial hair over the years and have removed them in patients I’ve seen, but the problems never seem to clear. They look good when they are initially done, but hopefully people will live long enough to regret the decision to do this.

Dr. Rassman,

In many of your posts regarding body hair transplant, I see that you tend to discourage the use of body hair for transplants. Some of the reasons include the fact that body hair is curly and does not grow long enough. I am a black person who grows a short Afro. I have a bald spot of the right front side of my scalp which I have managed to concealed with my own pubic hair. It just so happens that my pubic hair is just as curly and has the same texture as my scalp hair. So what I do from time to time, is cut my public hair, wash it thoroughly and then get it entangled with my scalp hair in the balding area. The entangling is due to the curliness of the hair and it holds even in the wind.

So far no one seems to notice. In fact, when I first saw a hair loss doctor, he was amazed at how well I concealed my hair loss.

In any case, I think transplanting hair from the pubic area for African Americans may be a viable option since both the pubic and scalp hair in African Americans is curly and perhaps has the same texture in most African American(as is my case). In any, what is your take on this issue.

I have done a few pubic hair to scalp transplants and they work very well. I recall one African American fellow in particular and a few Caucasian patients that had this done over the past many years. The FUE technique may have a good role here.

I have also seen another person who used pubic hair to entangle with their afro to add bulk with the same observations you demonstrate. It’s certainly not for everybody, and I still say scalp hair works best.