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A 21-year-old man is wondering if it is worth getting a hair transplant without taking finasteride, as the idea of taking long-term medication is not appealing to him. He says that he’s seen good results in people who’ve undergone hair transplants without finasteride, and that he’s willing to wait until he’s older to undergo one himself. He also asks if his balding father would be able to achieve full coverage after multiple hair transplants.
New York hair restoration specialist Amiya Prasad, M.D. reviews his concerns in this video, and discusses how a hair transplant is not advisable for a younger person, especially with rapid hair loss progression, why even multiple hair transplants cannot achieve full scalp coverage, and the importance of a hair loss management strategy including finasteride at a younger age:
2:21 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a hair loss specialist and founder of TrichoStem™ Hair Regeneration Centers
2:51 — The goal of a hair transplant; how the donor area is inherently limited; and how a hair transplant does not stop hair loss progression
4:01 — Dr. Prasad briefly assesses this man’s case
4:27 — Why a hair transplant is not advised for men under 30 who have a rapid rate of hair loss
5:01 — Dr. Prasad talks about who is an ideal candidate for a hair transplant; and how there is no cure for hair loss
6:02 — The challenges of performing a hair transplant; and the role of finasteride in slowing down hair loss progression
6:47 — Dr. Prasad explains why finasteride is more effective in individuals with high DHT-sensitivity
7:26 — Dr. Prasad talks about Hair Regeneration and finasteride as an effective strategy for managing hair loss
8:31 — How hair loss is progressive and how good candidacy for a hair transplant depends on rate of progression
8:59 — How the ideal candidate for a hair transplant is a middle-aged man with frontal balding
9:25— Dr. Prasad’s recommendation
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