Would I be able to restore my hairline with a FUE procedure and if so how many grafts?

[Longjonnsilver]

I'm looking to lower my hairline and restore my temple points to a degree. I'm 30 years old and have been receding since high-school. Been on Finasteride for a year which I believe has halted my loss as I no longer have any shedding where as before I was shedding 100-200 hairs a day easily. I would say I am a strong NW3 with miniaturization along my hairline. As you can maybe tell from the provided pictures I still have thick hair on the rest of my head. My grandfather passed away a NW2 at 85 and my father at 65 is a NW3 vertex with nearly the same hairline as me he just is thinning on his crown. Just looking for some NA doctor recommendations and a # of grafts.

 

 

[1978matt]

Probably 2500 minimum.  I think I would caution against temple points due to age.  Maybe save that for a second surgery if the first is a success.

Doctors are too many to list in NA.  Chicago Hair Institute; Shapiro Medical Group, Hasson & Wong, Gabel, Bloxham (FUT only)...

[SeanT1]

Look to have the same hairline I had prior to transplant, happy with the results thus far.

[Melvin- Admin]

The number of grafts depends on how low you want your HT. Can you draw your ideal hairline? We would be able to provide a better guess. You can also send your pictures to some of our recommended surgeons and they can give you an assessment and estimate. 

https://hairtransplantnetwork.com/best-hair-transplant-surgeons

[Longjonnsilver]

31 minutes ago, Melvin- Moderator said:

The number of grafts depends on how low you want your HT. Can you draw your ideal hairline? We would be able to provide a better guess. You can also send your pictures to some of our recommended surgeons and they can give you an assessment and estimate. 

https://hairtransplantnetwork.com/best-hair-transplant-surgeons

Possibly something along the lines of this? This is extremely basic that I just drew up in 5 minutes on paint. May not be realistically possible/feasible but that's why I am here looking for advice.

[Longjonnsilver]

1 hour ago, SeanToman said:

Look to have the same hairline I had prior to transplant, happy with the results thus far.

Do you know what your recipient area graft density was, like how many grafts per Cm2? 

[baldiee]

Oh yeah by those pics, you can easily restore your hairline with that donor. I see no signs of thinning in the crown at age 30. Just confirm with one of the top surgeons in US. There’s a list on this site. 

[Mike10]

I see 2 concerns. You still have a lot of miniaturization in the hairline, not sure Fin is doing the job there. You also need to take a wider view as regards  familiy histroy, 2nd grandfather and uncles etc. You seem to be cherrypicking. It seems doubtful you will follow the same path as the 2 you listed.  

[John1991]

I think your design will use more grafts than would be wise in its attempt at restoring the temple areas.  I drew on different lines.  Perhaps something in-between those two designs would be even better.  My guess is my design would require somewhere in the 2500-2700 graft range.  Your design is pushing the 3300-3600 graft range.  However much you lower, the existing hairline is going to have to be reinforced - just something to keep in mind.  The last thing you want is a lowered hairline that's just as lacking in density/quality as the one you're trying to improve (not that yours is awful, but obviously you want it improved).  It'll take a lot of grafts packed tightly to both lower and improve the quality/density of your hairline - and you look to have a good sized head too, so the number of grafts it might take to achieve a small lowering on your head might be equivalent to a more significant lowering on someone with a smaller or less rectangular head shape.

Edited April 15, 2022 by John1991

[Longjonnsilver]

On 4/15/2022 at 5:29 PM, Mike10 said:

I see 2 concerns. You still have a lot of miniaturization in the hairline, not sure Fin is doing the job there. You also need to take a wider view as regards  familiy histroy, 2nd grandfather and uncles etc. You seem to be cherrypicking. It seems doubtful you will follow the same path as the 2 you listed.  

I only have two uncles, one on each side of the family, both of them in their 50's with NW1/2's. My other grandfather is a NW5 at 82. I was told by my doctor that only in rare cases will Fin reverse miniaturization and for most people it only halts recession.

[Longjonnsilver]

On 4/15/2022 at 6:44 PM, John1991 said:

I think your design will use more grafts than would be wise in its attempt at restoring the temple areas.  I drew on different lines.  Perhaps something in-between those two designs would be even better.  My guess is my design would require somewhere in the 2500-2700 graft range.  Your design is pushing the 3300-3600 graft range.  However much you lower, the existing hairline is going to have to be reinforced - just something to keep in mind.  The last thing you want is a lowered hairline that's just as lacking in density/quality as the one you're trying to improve (not that yours is awful, but obviously you want it improved).  It'll take a lot of grafts packed tightly to both lower and improve the quality/density of your hairline - and you look to have a good sized head too, so the number of grafts it might take to achieve a small lowering on your head might be equivalent to a more significant lowering on someone with a smaller or less rectangular head shape.

Thank you for your input. Yes I agree I want to have more density along the new hairline so I don't that thin/see-through appearance when in sunlight or harsh lighting. I wouldn't say I have an overly large head, probably somewhere in the average range. I do have very extensive Temple recession, more so than any other NW3 I have seen anywhere else, this gives the appearance of a very large forehead along with the high hairline. So I wanted to rebuild my temple points along with lowering my hairline.

[Rahal Hair Transplant]

Longjohnsilver,

Based on the photos you presented, I do believe you would be a candidate for FUE. That said, the number of follicular units you will need to restore your hairline will depend on how low and youthful you want to make it and whether or not you are a good candidate for that. Some of this depend on your age, existing hair loss behind the hairline, future risks of hair loss, etc.

But, based on looking at your photos alone and what could potentially be an ideal hairline for you, I’d say 3000+ grafts.  Keep in mind that this is not Dr. Rahal’s assessment, this is my own based on simply looking at the photos you presented and my experience as a hair transplant patient and educated advocate.

Best wishes,

Rahal Hair Transplant 

[Eugenix Hair Sciences]

On 4/15/2022 at 2:06 AM, Longjonnsilver said:

I'm looking to lower my hairline and restore my temple points to a degree. I'm 30 years old and have been receding since high-school. Been on Finasteride for a year which I believe has halted my loss as I no longer have any shedding where as before I was shedding 100-200 hairs a day easily. I would say I am a strong NW3 with miniaturization along my hairline. As you can maybe tell from the provided pictures I still have thick hair on the rest of my head. My grandfather passed away a NW2 at 85 and my father at 65 is a NW3 vertex with nearly the same hairline as me he just is thinning on his crown. Just looking for some NA doctor recommendations and a # of grafts.

 

 

You would require around 2500 grafts with an average hairline. The most important fact is that you need to take finasteride. If you do not take finasteride then you will experience thinning in your pre existing hair.

[Longjonnsilver]

9 hours ago, Rahal Hair Transplant said:

Longjohnsilver,

Based on the photos you presented, I do believe you would be a candidate for FUE. That said, the number of follicular units you will need to restore your hairline will depend on how low and youthful you want to make it and whether or not you are a good candidate for that. Some of this depend on your age, existing hair loss behind the hairline, future risks of hair loss, etc.

But, based on looking at your photos alone and what could potentially be an ideal hairline for you, I’d say 3000+ grafts.  Keep in mind that this is not Dr. Rahal’s assessment, this is my own based on simply looking at the photos you presented and my experience as a hair transplant patient and educated advocate.

Best wishes,

Rahal Hair Transplant 

Thank you for your input. Does Dr. Rahal have experience rebuilding temple points with the extreme recession I have?

[Longjonnsilver]

2 hours ago, Eugenix Hair Sciences said:

You would require around 2500 grafts with an average hairline. The most important fact is that you need to take finasteride. If you do not take finasteride then you will experience thinning in your pre existing hair.

As stated I am taking 1mg Finasteride daily and plan to do so for the foreseeable future. Have not experienced any side effects so I don't believe that should be a problem.