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What it can or can do for You

You need to have realistic expectations. Keep in mind that a hair transplant does not create new hair. It simply relocates it from your donor area (the sides and back of your head) to your area of male pattern baldness.

So the look you can achieve with a hair transplant is really a question of “supply and demand”. The supply is how much viable donor hair (genetically programmed to last a life time) you have. The demand is how much bald area you want to cover with a hair transplant.

To see what a hair transplant can do for you, begin by taking stock of what you have to work with.

male_pattern_baldness

On all men, even those with severe hair loss, there is typically hair that grows for life on the sides and back of the head. This is because the hair in this “donor area” is genetically different from the hair on the top of the head in men who go bald.

The hair follicles in the “donor area” are genetically resistant to the effects of such baldness causing hormones as (DHT) dihydrotestosterone. That’s why they continue to grow while the hair on the top (in the male pattern baldness area) thins and goes bald over time.

The good news is that if this bald resistant donor hair is relocated (transplanted) to the bald area, it will continue to grow for a life time. It will grow just as it would have if it were left on the sides and back of the head. For a detailed explanation of why this works read the ABC’s of Baldness.

How much viable donor hair you have is largely determined by the amount and density of the hair you have left on the back and sides of your head. The vast majority of people have enough viable donor hair to do at least one or two hair transplant procedures.

To create a way of measuring a persons degree of “Male Pattern Baldness” and the amount of donor hair they have, the “Norwood Scale” was devised by Dr. O’Tar Norwood. It gives a person a visual standard to describe their degree of baldness.

Measuring your hair loss – picking your classification

class1

Men considered Class 1 hair loss have not lost any appreciable amount of hair, so no hair transplant is recommended.

class2

Men with Class 2 hair loss are usually experiencing the beginnings of frontal temporal hair erosion that may become quite severe in 5-10 years. A drug treatment such as Propecia, is usually recommended.

By doing hair transplants at this stage, patient can restore their hairline, while drug therapy can often halt any further thinning or balding.

class3

Men with Class 3 hair loss are experiencing accelerating hair loss that often becomes severe in 5-7 years. 
In developing a prognosis and treatment plan, factors such as patient’s age, family history, amount of hair loss, type and texture of hair, and amount and quality of donor hair need to be considered.
At this stage, the results of one mega session (1500 to 2, 000 all micro grafts) would restore the hairline and crown area enough to a satisfy most men. In addition to Propecia, Rogaine (minoxidil) may also be useful at this stage in maintaining hair in the crown (back of the head).

class4

Men with Class 4 hair loss are experiencing substantial frontal temporal recession and, often, an enlarging “bald spot” in back.

At this stage, the results of two mega sessions (1,500 to 2, 000  grafts) hair transplants would restore the hairline and crown area enough to satisfy most men.

However, some may decide to do a subsequent hair transplant procedure to increase the density and thickness of the hair in their formerly balding areas.

class5
Men with Class 5 hair loss are experiencing very severe frontal temporal recession and, often, an enlarging “bald spot” toward the back of the head.

At this stage, the results of three mega sessions (1500 to 2, 000 a grafts) would restore the hairline and crown area enough to a fully satisfy most men.
class6
Men with Class 6 hair loss are experiencing very severe frontal temporal recession and an extremely large “bald spot” toward the back of the head.

Person’s available donor hair is generally too limited to reestablish the look of a full head of hair all the way from front to the back of the head.
Some men choose to use what limited donor hair they have to reestablish a full and natural hairline, with some moderate to light new hair coverage in the crown (back of the head) area.

Others may concentrate on only reestablishing their hairline and then wearing a hair system behind it. This allows the person to have a totally natural hairline that would be very hard to produce with a hair system alone. The hair system, however, allows the person have the appearance of a full head of hair.
class7

Men with Class 7 hair loss may be candidates for limited hair transplants. With very limited donor hair available, usually only the hairline and frontal forelock (top mid section) can be recreated – leaving the crown area bald.

Such a severely bald person may want to do hair transplants to restore their hairline and then wear a hair system behind it. This allows the person to have a totally natural hairline that would be very hard to produce with a hair system alone.

What are your expectations?
How much hair do you need to be happy?
At virtually any stage of baldness a person can benefit from hair transplantation – if their expectations are realistic. It really comes down to how much hair do you need in your male pattern bald area to be happy.

Some people are very satisfied to just reestablish a refined thinning look in an area where they were once bald. While others are not satisfied until they’ve achieved a look of having a full head of hair.