Regular Member singh Posted July 3, 2023 Regular Member Share Posted July 3, 2023 (edited) I'm 20 years old, diagnosed by traction alopecia by my dermatologist (Sikh pattern from religious turban all my life, males on both sides of family show little to no MPB until 35-40+). Dad still has thick hair at 50. There is a 1cm area on my hairline where the density has noticeably decreased, although it used to match the rest. I consulted Eugenix and they recommended 1200-1500 grafts to restore the density and also suggested lowering the hairline. However, my initial request was simply to improve the density of my existing hairline. They advised me to start taking Finasteride, but I am uncertain about this since my hairline and density has remained stable since 2020, when I stopped tying my hair tightly. Currently, I only lose about 10-20 hairs per day. I'm willing to take it in the future when the MPB kicks in but I want to avoid taking it before I need to. My concern is that I don't think my hairline was ever lower than where it is right now, and lowering it would look unnatural. Would no doctor be willing to do a procedure without significant hair loss? Am I really NW II? I see plenty of people IRL and models with the little M hairline at NW0, I seem to have the same natural hairline shape???? I don't really care about making it straight. I've attached a picture from the clinic and another recent selfie with how my long hair looks when I don't pull it back and part in the middle. Edited July 3, 2023 by singh Link to comment Share on other sites More sharing options...
Valued Contributor A_4_Archan Posted July 3, 2023 Valued Contributor Share Posted July 3, 2023 (edited) @singh Imo you are right and you don't need to lower your hairline and you can just densify it...you are just 20 and you need to preserve grafts for future hairloss (if it occurs) About medication i can understand you are hesitant to use it..finasteride do help alot but as you said if you don't think that you are losing hairs and there is no such pattern than you can delay the medication ...but for that you have to be extremely sure that you are not using ground...around 100 hairs will fall everyday and thats natural... Edited July 4, 2023 by A_4_Archan 1 Check Out My Hair Transplant Journey --> My Thread 3611 FUE Grafts With Dr Kongkiat Laorwong | Norwood 5 | 2nd May 2023 Link to comment Share on other sites More sharing options...
Senior Member StillAlive Posted July 3, 2023 Senior Member Share Posted July 3, 2023 Man, your hair looks amazing. Stop pulling it tightly and it'll recover on its own. Enjoy life and stop going crazy on the forums. 2 Link to comment Share on other sites More sharing options...
Regular Member singh Posted July 3, 2023 Author Regular Member Share Posted July 3, 2023 (edited) @StillAlive Hey man thanks but over the last 3 years only some tiny hair has come back. My hair is affecting my social life so I wanna get this over with, I'm kinda tired of wearing hats. Luckily I haven't lost any since I stopped pulling though Edited July 3, 2023 by singh Link to comment Share on other sites More sharing options...
Regular Member singh Posted July 3, 2023 Author Regular Member Share Posted July 3, 2023 @A_4_Archan Exactly, I don't want to go overboard with grafts right now for futureproofing. I'll monitor my hair till I'm 30+ and ready for fin to preserve my hair. How many grafts do you think I'll need just to add density? I want to have enough to slickback my hair without it looking weird since my hair is really thick starting from the last point of hair loss. Link to comment Share on other sites More sharing options...
Senior Member Big Rome Posted July 3, 2023 Senior Member Share Posted July 3, 2023 definitely don’t need to lower the hairline I agree! Link to comment Share on other sites More sharing options...
Senior Member Ajamilo Posted July 3, 2023 Senior Member Share Posted July 3, 2023 Don’t lower your hairline. You have basically Norwood 1.5 hairline and that is awesome. Just add a little density and enjoy ur life bro 1 Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted July 4, 2023 Senior Member Share Posted July 4, 2023 I concur…definitely no need to lower your hairline…it can be reinforced without lowering it. 1 Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Regular Member Turkhair Posted July 4, 2023 Regular Member Share Posted July 4, 2023 You don’t need a hair transplant 1 Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted July 4, 2023 Senior Member Share Posted July 4, 2023 You would be surprised by how nice adding definition would be, again, don’t lower it, just reinforce it. 1 Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Regular Member YodaHead Posted July 4, 2023 Regular Member Share Posted July 4, 2023 No need to lower the hairline at all. Also, you don’t need a HT at the moment. It’s a different thing if you ‘want’ it. 12.5k grafts with Dr. Felipe Pitella in Jan 2024. Link to my journey: https://www.hairrestorationnetwork.com/topic/71724-12501-grafts-dr-felipe-pittella-jan-2024/ Link to comment Share on other sites More sharing options...
Regular Member singh Posted July 4, 2023 Author Regular Member Share Posted July 4, 2023 @YodaHead I agree, but it's affecting my confidence so i want to get it over with. Definitely a want. Link to comment Share on other sites More sharing options...
Regular Member KSA91 Posted July 4, 2023 Regular Member Share Posted July 4, 2023 As you age your expectations for what is a "natural" hairline also change. You are only 20 years old and we don't know how your hair loss will progress yet(if it occurs). This "affecting your confidence" line at 20 years old with no true hair loss is a problem in and of itself. I don't mean to sound condescending but I don't think you know what "affecting your confidence" means when it comes to hair loss. True hair loss sufferers (Norwood 3+) will look at your pictures above and think you got a thick head of hair. Go to the gym and build some muscle and your confidence will grow. Trust me! Don't think about a hair transplant until you're around 32/33. By that age, the doctors should be able to see some type of pattern of hair loss and plan for the transplant with an intact donor area. 1 Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted July 4, 2023 Senior Member Share Posted July 4, 2023 Singh, we never asked you what your family history of men with MPB is…do any of the men have an advanced class of MPB? 2 Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Valued Contributor A_4_Archan Posted July 4, 2023 Valued Contributor Share Posted July 4, 2023 @singh i think 500-700 will be enough as your hair seems to be thick ...i have marked the hairline which would be better imo and will take down the required grafts to half and will look natural 1 1 Check Out My Hair Transplant Journey --> My Thread 3611 FUE Grafts With Dr Kongkiat Laorwong | Norwood 5 | 2nd May 2023 Link to comment Share on other sites More sharing options...
Regular Member singh Posted July 4, 2023 Author Regular Member Share Posted July 4, 2023 @gillenator Hey, thank's for asking. I don't have any high NWs in my maternal or paternal sides. The men 50 and older on either sides have at worst NW3 or maybe NW4 (none bald enough for me to notice). I haven't noticed any hair loss in the males under 40, maybe some hairline maturation so window peaks at max. Link to comment Share on other sites More sharing options...
Regular Member singh Posted July 4, 2023 Author Regular Member Share Posted July 4, 2023 @KSA91 I totally agree, and I'm working on that. It's just that I'm tired of parting my hair the same style everyday since my hairline looks obnoxious when my hair is slicked back and a few people have made comments on it as well. I'm already in the gym and bulking. I just need a transplant so that my will look good in professional settings when I don't have hair long enough to tie it back in the future. My family doesn't have a history of hair loss before 40 so I'm not too worried and I'll hop on finesteride right when it starts. Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted July 4, 2023 Moderators Share Posted July 4, 2023 (edited) I'm guessing the clinic doesn't want to be bothered doing a small procedure because it's not worth their time doing a few hundred grafts. They'd probably rather work on someone who needs thousands of grafts and make a lot more money for their time. Don't go there. Find someone else who is willing to do small procedures. Edited July 4, 2023 by BeHappy 1 Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Senior Member Rawkerboi Posted July 4, 2023 Senior Member Share Posted July 4, 2023 You are way too young to undergo any Hair Transplant just get ON Finasteride. Implanting any hairs on your Hairline may increase chance of shock loss too.. No need to lower your Hairline it's perfectly Natural. Link to comment Share on other sites More sharing options...
Regular Member singh Posted July 8, 2023 Author Regular Member Share Posted July 8, 2023 @Rawkerboi I don't have androgenic alopecia and no one in my family seems to suffer from it. No high norwoods on both sides in old age too. Given that, if I get a transplant today or 4 years down the line wouldnt much much difference. I'll definitely be talking about shockloss when I undergo the surgery Link to comment Share on other sites More sharing options...
Senior Member SeanT1 Posted July 8, 2023 Senior Member Share Posted July 8, 2023 (edited) Don't lower your hairline, it's already low enough. If your family doesn't suffer from hairloss and you just want to reinforce your hair then I don't see why you shouldn't get a transplant if you really want one. By the way your current hair looks nice! Edited July 8, 2023 by SeanToman Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted July 9, 2023 Senior Member Share Posted July 9, 2023 On 7/4/2023 at 4:07 AM, singh said: @gillenator Hey, thank's for asking. I don't have any high NWs in my maternal or paternal sides. The men 50 and older on either sides have at worst NW3 or maybe NW4 (none bald enough for me to notice). I haven't noticed any hair loss in the males under 40, maybe some hairline maturation so window peaks at max. Well that’s good to hear and chances are your hair loss won’t be in the advanced classes. Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Regular Member singh Posted July 9, 2023 Author Regular Member Share Posted July 9, 2023 I was quoted 800 grafts to just add density. Thanks for your advice guys. Will go through with the surgery before the year ends Link to comment Share on other sites More sharing options...
Regular Member MildSeven Posted July 9, 2023 Regular Member Share Posted July 9, 2023 Why dont give 1 year more time to recover your traction alopecia ? at least it will get better by 25-30% you can save more graft as well save your money... My Hair Transplant Journey Eugenix | Dr. Vinita | 2730 grafts | 6th - 7th June 2023 Link to comment Share on other sites More sharing options...
Regular Member singh Posted July 10, 2023 Author Regular Member Share Posted July 10, 2023 16 hours ago, MildSeven said: Why dont give 1 year more time to recover your traction alopecia ? at least it will get better by 25-30% you can save more graft as well save your money... I've waited since 2021 and I have noticed 1-2 inch long short but thick hair in my hairline. I doubt it's going to get much better. I won't find time to be back in India for a few years since I go to college in the States and I certainly can't afford a surgery there or flights + surgery in Turkey Link to comment Share on other sites More sharing options...
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