Looking for advice for a good doctor

[Rkc22]

Hey guys I’m hoping to get a transplant maybe sometime in next couple of months to a year but problem I’m having my head is going to explode trying to pick a doctor 🤣ive looked at the work from most of the “renowned surgeons” and with most of them their always something I’ve found I haven’t been happy with ,I came to the conclusion I was very impressed with couto but his waiting list was to long so then I decided with dr Bruno pinto in Portugal but he won’t do it as I’m under 25 I’m only 21 ,I understand it’s not always advised to get one at this age and to wait to get one till later in life but I’m aware of what can happen afterwards with further balding and willing to take care of my hair,hoping someone can suggest a few names ,preferably someone who focuses more on hairlines and temple points as my hairline isn’t that bad I have thick hair everywhere else also

ive looked into

bisanga,Mwamba,fereduni,mark tam,ted miln,hattingen hair,Espinoso custodia,rafeal de Freitas ,burgos, pretty much all of the biggest names but not really set on any of them

if someone can recommend some names who are willing to work on a younger patient ,with similar work to the likes of couto and pinto

someone who does straight enough hairlines and won’t place the hairline to high but make it natural 

[Aristos HDC H-T technician]

Actually at this age is too early for hair transplant, although if you share some pictures of your situation it will be better for us to give the right feedback 

[Melvin- Admin]

You’re way too young for surgery. 

[Doron Harati]

21 is too young and out of question to have a surgery, you can consider use Finasteride and Minoxidil for your hairloss.

Now it's a good time for only to do a research and wait more years.

[Rkc22]

38 minutes ago, Aristos HDC H-T technician said:

Actually at this age is too early for hair transplant, although if you share some pictures of your situation it will be better for us to give the right feedback 

I understand I’m young and theirs risk of further balding but I don’t see the point of waiting till I’m older and being self conscious about in my twenties instead of just getting it sorted now and then using minoxidil etc ,here’s some pics of my hairline,receeding since I’m about 16-17 ,still fairly decent hairline but enough to be self conscious over 

[Matthias]

Any hair mill will gladly take your money even at 21 but it’s almost guaranteed to backfire.

You can for now maybe try to get the hair back with microneedling and minoxidil if it has recessed only recently.

Also look into Finasteride.

[Rkc22]

2 minutes ago, Matthias said:

Any hair mill will gladly take your money even at 21 but it’s almost guaranteed to backfire.

You can for now maybe try to get the hair back with microneedling and minoxidil if it has recessed only recently.

Also look into Finasteride.

I’ve looked into both ,it’s only gonna make my hair thicker which I already have extremely thick hair ,not bring back the hair that’s already fell out ,and my hair has been receeding at least 4 years,ive been researching transplants and different doctors like 1 1/2 years now I’ve talked to some of the doctors on the best forums who wore willing to do it but of course always advised the risk of further balding which I’m well aware of but in the end I wasn’t fully convinced with some of their work,I understand the advice of minoxidil and finasteride but don’t see that as a solution ,I wouldn’t go near a hair mill either im well aware of what clinics are hair mills ,only advice I’m looking for is hopefully someone to  recommend some other doctors I haven’t named even if I do have to wait a couple years 

but appreciate the advice 💯

[Matthias]

1 minute ago, Rkc22 said:

I’ve talked to some of the doctors on the best forums who wore willing to do it but of course always advised the risk of further balding which I’m well aware of

You’re too young, that should be consensus among all serious and honest surgeons.
You would need to credibly cite severe psychological constraints that require you to have a transplant this young, such as getting bullied specifically for your hair or having a severe depression over it.

[Rkc22]

5 minutes ago, Matthias said:

You’re too young, that should be consensus among all serious and honest surgeons.
You would need to credibly cite severe psychological constraints that require you to have a transplant this young, such as getting bullied specifically for your hair or having a severe depression over it.

Thanks for your advice mate ,I definitely do feel very down over it like most men do when balding it does take a lot out of me ,I do understand where your coming from 

[Matthias]

11 minutes ago, Rkc22 said:

I definitely do feel very down over it like most men do when balding it does take a lot out of me ,I do understand where your coming from 

You need to write it down ideally together with your GP so that the surgeon can be sure not to bear any long-term risk if the strategy backfires. How many grafts are you looking for as your initial post reads as if you're looking to lower the hairline entirely and straight across (that’s very risky, graft-intensive and may look odd in just a few years)? In any case, you should definitely get back on Finasteride and stick to it several months before the procedure.

[Berba11]

17 minutes ago, Rkc22 said:

Thanks for your advice mate ,I definitely do feel very down over it like most men do when balding it does take a lot out of me ,I do understand where your coming from 

You need to understand that the ENTIRE aesthetic benefit of having a hairline, and therefore seeking to restore a hairline, is that it frames the face. But in order to have a framed face, you don't need a low, broad or strong hairline. You only need enough hair. 

You have MORE THAN ENOUGH hair to frame your face. It doesn't matter if there's some recession. Recession is fine: mature, masculine, natural. As long as there's enough hair then you don't need a HT as it will give diminished returns on the aesthetic. You'd be much, much better off trying the classic finasteride + oral minoxidil combo to maintain and possibility even improve your current status for as long as possible. At 21 your hair loss will likely be in its most aggressive phase and you don't want to be chasing it down with more transplants any time soon if the loss continues in spite of any medical intervention.

[Rkc22]

25 minutes ago, Matthias said:

You need to write it down ideally together with your GP so that the surgeon can be sure not to bear any long-term risk if the strategy backfires. How many grafts are you looking for as your initial post reads as if you're looking to lower the hairline entirely and straight across (that’s very risky, graft-intensive and may look odd in just a few years)? In any case, you should definitely get back on Finasteride and stick to it several months before the procedure.

I’m not even looking to lower the hairline if that’s how it came across ,I just want to hopefully restore it and fill in the gafs and temple points ,I’m not sure exactly what grafts but I wanna stay conservative 

[Rkc22]

21 minutes ago, Berba11 said:

You need to understand that the ENTIRE aesthetic benefit of having a hairline, and therefore seeking to restore a hairline, is that it frames the face. But in order to have a framed face, you don't need a low, broad or strong hairline. You only need enough hair. 

You have MORE THAN ENOUGH hair to frame your face. It doesn't matter if there's some recession. Recession is fine: mature, masculine, natural. As long as there's enough hair then you don't need a HT as it will give diminished returns on the aesthetic. You'd be much, much better off trying the classic finasteride + oral minoxidil combo to maintain and possibility even improve your current status for as long as possible. At 21 your hair loss will likely be in its most aggressive phase and you don't want to be chasing it down with more transplants any time soon if the loss continues in spite of any medical intervention.

It might seem that I have enough hair but I have a long face and bigger forehead I’ve tried growing my hair out and the parts where it’s receded don’t grow properly of course ,so when I try grow it into a fringe of some sort it just gets to thick and looks stupid doesn’t grow down properly , can’t get many hair styles that hide the hairline and the ones that do look stupid the hair never frames my face properly because of the recession makes my already big forehead look bigger

[Matthias]

Just now, Rkc22 said:

I’m not even looking to lower the hairline if that’s how it came across ,I just want to hopefully restore it and fill in the gafs and temple points ,I’m not sure exactly what grafts but I wanna stay conservative 

I understand where you come from because I experienced severe temple recession very early as well while my forelock largerly stayed in place. 
You would need around 2000 grafts for your plan I'd estimate, hairline staying at the current height. Definitely get back on Finasteride and talk this through with all potential surgeons. Involve your dad or older brother. Prioritize the most conservative suggestions and be aware that hairline and specifically temple restoration are among the most challenging parts in hair restoration surgery.

[Matthias]

29 minutes ago, Rkc22 said:

and the parts where it’s receded don’t grow properly of course

If you stick to Fin & Min consistently, they will.

[Berba11]

4 hours ago, Rkc22 said:

It might seem that I have enough hair but I have a long face and bigger forehead I’ve tried growing my hair out and the parts where it’s receded don’t grow properly of course ,so when I try grow it into a fringe of some sort it just gets to thick and looks stupid doesn’t grow down properly , can’t get many hair styles that hide the hairline and the ones that do look stupid the hair never frames my face properly because of the recession makes my already big forehead look bigger

Based on literally ever poster who comes on here and says "I have a big forehead", I can 99% guarantee you that you don't. Your forehead is only "big" if it is significantly outside of the aesthetically pleasing proportionality with the rest of your face. Easy test: measure the distance between the tip of your nose and your chin. Now measure the distance between the middle of your eyebrows (glabella) and the mid-frontal point of the hairline. They should be roughly the same, or the forehead distance slightly larger. This is the more common configuration for caucasian males (the opposite way round is much rarer).

And you absolutely do have enough hair to frame your face. This isn't subjective - you literally have more than enough hair. I appreciate you're hung up on it and will find it hard to see the wood for the trees (but I assume this is why you've come here - not for yes men that will talk you into surgery but for critical feedback with no vested interest beyond making sure you get sound advice) but facial framing only requires a strong central forelock with decent density. A deeper recession does not impact the framing if the central forelock is strong. There's a critical tipping point where framing starts to go but you're not remotely close to that yet. So many very famous cases to point to... Jude Law, Johnny Depp, Clint Eastwood, Bob Odenkirk etc.

[Rkc22]

On 10/3/2024 at 6:58 PM, Matthias said:

If you stick to Fin & Min consistently, they will.

Spoke to plenty of doctors Ino it can help thickness of hair but it doesn’t grow back old hair it will stop my existing hair from falling out but it’s not going to help my hairline as them follicles are dead

[Rkc22]

On 10/3/2024 at 11:31 PM, Berba11 said:

Based on literally ever poster who comes on here and says "I have a big forehead", I can 99% guarantee you that you don't. Your forehead is only "big" if it is significantly outside of the aesthetically pleasing proportionality with the rest of your face. Easy test: measure the distance between the tip of your nose and your chin. Now measure the distance between the middle of your eyebrows (glabella) and the mid-frontal point of the hairline. They should be roughly the same, or the forehead distance slightly larger. This is the more common configuration for caucasian males (the opposite way round is much rarer).

And you absolutely do have enough hair to frame your face. This isn't subjective - you literally have more than enough hair. I appreciate you're hung up on it and will find it hard to see the wood for the trees (but I assume this is why you've come here - not for yes men that will talk you into surgery but for critical feedback with no vested interest beyond making sure you get sound advice) but facial framing only requires a strong central forelock with decent density. A deeper recession does not impact the framing if the central forelock is strong. There's a critical tipping point where framing starts to go but you're not remotely close to that yet. So many very famous cases to point to... Jude Law, Johnny Depp, Clint Eastwood, Bob Odenkirk etc.

I don’t agree mate it’s each to their own pictures don’t do enough justice until u see things in person and for me I have a longer face and big forehead even if someone tells me it looks okay or I can do this or that to hide it it’s always gonna be in my own subconscious and affect me regardless it’s like a thorn and no matter what haircut I have or get it doesn’t frame my face right and that won’t change I completely agree with you about not wanting a yes man reply and people to give genuine advice which I appreciate and most people have done that but as some of the top doctors I’ve spoke to say it’s patronising for a doctor or people to say somebody shouldn’t have a transplant at a young age or mid 20s it depends on the situation the persons in ,how far their balding has already went,family history of baldness and many other things and I’m well informed of the pros and cons of getting it done young this is the time of your life where baldness can affect how the rest of your life plays outs ,relationships interviews for jobs , going out and having a social life etc ,so I don’t agree with the point of waiting to let it get worse ,dr ted miln makes a great point of this on the hair restoration podcast when he was on it he assesses a persons situation and not particularly their age of course he only really deals with people 21 and above .and in my opinion looking at my family history of baldness a hairline transplant and preventives in future could be enough for me I just don’t believe in letting it get worse and carrying on wearing hats and being depressed about it💯but I do understand the point of waiting till it stablises but I would prefer in my situation to get it done now and live a happier life if my hair thins again in my laters 20s 30s then I’ll deal with that then 

[Britanium]

I get where you're coming from, it's not like people haven't had hair transplants at you're age, the blanket response will always be to wait but it shouldn't be ruled out altogether. 

At 21 with hair loss the most crucial thing to do is to prevent further loss. The usual med regimes will maybe only help to retain, but that's going to be essential if and when you do get a hair transplant. You definitely will continue to lose hair from now on, especially as you have shown loss already. The reason that Dr's are going to say wait is that they want to see you're hair loss pattern develop, meds are going to hopefully prevent this. 

I remember a member here (jayldd) having a hair transplant at about 22 and that actually worked out particularly well, and hey he went to Dr Erdogan/ASMED!

As always it's about individual cases, definitely look at meds, and look at some of the more well known Dr's, some of which may just have done transplants on patients who are in the younger 20s.

Not trying to give false hope either, just another opinion, I'm not going to comment too much about the design etc as really that will eventually down to you're chosen Dr and yourself (whenever that might be) 

[Al - Moderator]

You are too young for a hair transplant and you have minimal hair loss in the corners. You are a perfect candidate for finasteride and minoxidil, yet you don't want to try them. Here's the thing... you are going to be told to start taking fin and min even if you have a hair transplant, so why not just at least try them out for a bit and see what happens while you're waiting to get old enough to have the transplant. It's possible that if you started on them a year or 2 earlier you may not be as receded in the corners as you are now and wouldn't even be looking at a hair transplant. Why keep saying no to them?

 

 

[Berba11]

On 10/10/2024 at 8:10 PM, Rkc22 said:

I have a longer face and big forehead

Your forehead will be proportional to the rest of your face. I told you the measurements to test but you ignored that. What are the measurements?

If you have a longer face then you need a larger forehead for balance. If you had a long face and small forehead you’d look odd; there would be too much face and too much hairline. It would be out of balance. And you only have temple recession, so if you address that your forehead will still be the same size. You should not be lowering your hairline. 
 

I had this very problem after my first HT and now I’m getting it repaired. It will take two surgeries to fix (and maybe a third) and costs more than the initial transplant. 
 

On 10/10/2024 at 8:10 PM, Rkc22 said:

it’s always gonna be in my own subconscious and affect me regardless it’s like a thorn

With love & respect, this is what growing up entails: dealing with the vicissitudes of life and getting over them. I know this is somewhat niche advice in hair loss circles where everyone seems to accept that dealing with self-consciousness should be done surgically but this strikes me as dangerously flawed and sets a terrible precedent for younger people (such as yourself). 
 

The objective reality is that men lose their hair and that’s totally normal, mundane, natural and nothing to freak out about. That we have the option to restore our hair to a high level now is great but it should always be the last resort. The first resort should always be a buzzcut. Anyone who gets a HT and hasn’t tried a buzzcut is an idiot in my view, because not only is it totally risk free & costs basically nothing (unlike surgery & medication), a lot of guys often say how they liked the buzzcut they got given right before their surgery starts… What a ridiculous time to realise that!

On 10/10/2024 at 8:10 PM, Rkc22 said:

the rest of your life plays outs ,relationships interviews for jobs , going out and having a social life etc

This is only true if you allow it to be. Guys who are losing their hair but take it in their stride with humour and don’t make a big deal about it will not suffer adverse consequences in their lives. Which is why I would invite you to rethink and reframe how you view hair loss. If you think it’s the end of the world then it will be. It’s your choice ultimately. 
 

And I have to say that I’m coming across this apoplectic view of hair loss from younger guys with an alarming rise in regularity. 
 

Lastly, yes there are surgeons that will perform surgery on young guys and that’s fine as long as it is laced with conditions and caveats. Once of which is hair loss stabilisation. The other is that any surgery is small and conservative in nature for maximum future-proofing. The last one might be that you are sound of mind… with respect I’d say you’re not sounding very stoic & relaxed about your situation. You’ve replied to me with a massive block of panicky sounding text that contains only one full stop and in my view is full of red flags. 
 

My genuine best advice is first to relax. Hair loss is hair loss: normal, natural, nothing to get consumed with. Secondly you must try buzzcutting. It universally looks good, clean and stylish and most blokes find it very liberating and fun to do it themselves. Lastly try watching channels on YT like BaldCafe for some inspiration and reality-checks. You can still continue to do your research and due diligence in the meantime. 

[Matthias]

39 minutes ago, Berba11 said:

The first resort should always be a buzzcut. Anyone who gets a HT and hasn’t tried a buzzcut is an idiot in my view, because not only is it totally risk free & costs basically nothing (unlike surgery & medication), a lot of guys often say how they liked the buzzcut they got given right before their surgery starts… What a ridiculous time to realise that!

In my case, a buzzcut saved me from the worst, however ultimately wasn’t doing it for me (mostly because it highlighted my massive temple recession) but ironically I really liked the clean shave right before the surgery… Wonder if I could have that again e. g. in preparation of a second surgery or if the skin would show signs of the first procedure.