The algorithm for determining whether hair transplantation is indicated should be as follows:

1. Evaluate the patient’s medical history, including any underlying health conditions, medications, and previous treatments for hair loss.
2. Conduct a thorough physical examination of the scalp to assess the extent and pattern of hair loss.
3. Perform diagnostic tests, such as blood tests for iron deficiency or hormone levels, if indicated based on the patient’s history and examination findings.
4. Consider the patient’s age, gender, and expectations regarding the outcome of hair transplantation.
5. Assess the suitability of the patient’s donor area for harvesting hair follicles for transplantation.
6. Discuss the potential risks, benefits, and limitations of hair transplantation with the patient.
7. Collaborate with the patient to develop a personalized treatment plan, which may include hair transplantation or alternative therapies.
8. Monitor the patient’s progress and adjust the treatment plan as needed based on response to therapy and patient satisfaction.

This algorithm should be tailored to each individual patient and may vary based on specific clinical circumstances and provider preferences for deciding when to get a hair transplant.

CASE1:

The patient presented to our clinic with a request for hair transplantation. The patient is 27 years old, and no abnormalities were found in the blood tests conducted. Miniaturization accompanied by widespread hair loss is observed on the frontal scalp of the patient. Additionally, there is significant hair loss in the vertex area. However, upon examination of the temporal, occipital, and parietal donor areas, the hair is sparse and thin. In this case, how should a treatment plan be formulated?

RESULT

In this case, it was deemed inappropriate to harvest enough hair follicles from the donor area to cover both the vertex and frontal baldness on the scalp. Due to the sparse appearance in the occipital area, it is necessary to perform dissection with the smallest surgical punch possible to avoid worsening the appearance in donor area at post hair transplantation. The surgical plan recommended to the patient involves creating the frontal hairline and reconstructing the frontal scalp. Taking into account the plan that the miniaturized hair on the frontal scalp will shed, hair transplantation is planned starting from the frontal hairline, with 30 follicles per cm2, extending to the mid-scalp area. Follicular units has been implanted with natural angle and distribution. In most anterior hair line we used fine tiny hair follicles with minimal assymetric design to reach natural results. The untouched vertex area has been suggested for various treatments. As the vertex area is dynamic at an early age, hair transplantation will be reconsidered when the hair loss boundaries are clearly defined in later years.

When it comes to returning to the topic of when to get a hair transplant, this patient could be a good example for you in cases of early-onset hair loss. If you are concerning with hair loss you might contact us for having a complete strategy for managing your hair loss. Dont hesitate to ask your questions and visit our contact page