Medical Therapy – Hair loss is progressive and surgical hair transplantation does not stop hair loss. It merely fills the voids that has been created by hair loss. Without medical therapy the loss is likely to continue which will lead to more surgery in the future. Responsible hair transplant doctors will evaluate and in most cases recommend a medical regimen to prevent or at least greatly slow any additional hair loss. Currently there are only two FDA Approved medications that can and do successfully fight hair loss. They are Propecia® and Rogaine®. Even in cases where signs of more aggressive hair loss can be seen the use of one or both of these medications can help to alter the surgical plan knowing that the patient’s rate of loss is greatly slowed or even halted.
Patient Expectations – This is an extremely important issue that many doctors do not properly consider. Patient expectations can and do influence the success or failure of the procedure and if a hair transplant doctor does not properly evaluate a patient’s expectations the procedure can be a failure before it begins. Cases can include patients not understanding the realities of density and what can be achieved in a single procedure, proper angles and directions, and donor scarring from FUE and FUSS. It is up to the doctor to make the determination if a patient has proper expectations and if not then it is the doctor’s job to educate them to the point that appropriate expectations can be achieved. If this does not appear likely then the patient should be turned away from surgery to protect them from harm.
Hairline Patient Considerations
The advantage that surgical hair restoration provides for hair loss sufferers that separates it from every other hair restoration option is that it is a permanent solution for most patients and it is this advantage that can be a severe disadvantage without a proper understanding by the patient. Younger patients in particular are the most vulnerable to the dangers of misunderstanding this problem. Younger men that suffer from hair loss remember their original hairlines more easily than older men. They have not had the same amount of time to accept or to get used to their hairline recession and the appearance of maturity if the recession is not indicative of male patterned baldness. Therefore they are usually more eager to regain the hairline they only recently lost. This makes the younger patient more susceptible to promises of high density with fully closed temples typically found on females and juvenile males.