Embracing Baldness

john travolta baldness

John Travolta recently embraced being fully bald- posting a picture on Instagram of him “rocking the look”. And recently in the news an MP was unfortunately “ridiculed” for wearing a wig in the House of Commons. With an increasing number of gentleman looking for hair loss treatment- at what point do you embrace baldness?

Baldness

Becoming bald is a natural process of ageing. For decades we have looked for the one and ultimate cure for hair loss. With FDA and MHRA-approved treatments like Finasteride and Minoxidil; there are proven hair loss treatments for both men and women.

At what stage would you say you are bald? Baldness has several different stages- as represented by the Norwood Scale for men (picture blow).

norwood scale for hair loss
Norwood scale of balding showing the different stages of hair loss

We would describe complete baldness as stage 5a-7, where you have lost all of your hair on the top of your head (if you are male). However, at each stage you can describe yourself as going bald.

If you decided to start hair loss treatment when you at stages 1-5 there is a good chance of being able to restore your hair on the top and crown. The choice of your treatment will depend on a number of factors. Ideally a combination of finasteride, minoxidil and hair transplantation could be an option for you.

If you are stage 5a-7 you have three main options:

1- Have a hair transplant- this is dependant on how much hair you have left on the back and sides

2- Have scalp micropigmentation that will give you the illusion of dense short hair

3- Embrace baldness!

Embracing baldness- what does this mean?

Some gentlemen who we find coming to The Treatment Rooms London are content with not undergoing treatment for their hair loss. They would prefer to style out their baldness. At The Treatment Rooms we have always been led by our patients on their preference for treatment or not. If you prefer being bald and it suits you then why would you bother choosing to have treatment?

Embracing baldness is more a paradigm shift in thinking and perception than it is acceptance. Acceptance suggests that becoming bald wasn’t a choice but it just happened without giving you the chance to do something about it. In reality, there are so many treatments now available that in the 21st century you now have a choice about whether to embrace baldness or not.

Finasteride

A medication that helps to stop any more hair loss and freeze-frame your existing hair loss pattern. Who is on this treatment?

Donald Trump’s famous hair has always caught the media headlines. It is widely rumoured that Donald Trump takes Finasteride. Not convinced of his results? Check out some of the hair regrowth results we have managed to achieve at The Treatment Rooms London in our gallery (click here).

Minoxidil

This a solution, shampoo or spray you apply to your hair. It helps to promote the blood supply to your hair and makes your hair thicker.

Hair Transplantation

The Treatment Rooms London is one of the UK’s premier hair transplant centres, specialising in hair restoration surgery. Thousands of gentlemen choose to have the procedure including rumours about well known celebrities having undergone the treatment too:

References

  1. https://www.telegraph.co.uk/health-fitness/body/like-john-travolta-know-liberation-embracing-bald/
  2. https://www.stuff.co.nz/sport/rugby/all-blacks/110118631/former-all-blacks-fullback-israel-dagg-reveals-effects-of-hair-transplant-surgery
  3. https://www.celebsnow.co.uk/celebrity-news/exclusive-peter-andre-speaks-hair-transplants-775987
  4. https://www.telegraph.co.uk/health-fitness/body/finasteride-does-donald-trumps-favourite-hair-loss-treatment/
  5. https://www.dazeddigital.com/beauty/head/article/43007/1/why-are-more-men-getting-hair-transplants
  6. https://www.thesun.co.uk/sport/8257041/ben-stokes-hair-transplant-steve-bruce-england-first-test-west-indies/
  7. https://www.treatmentroomslondon.com/male-hair-loss-blog/
  8. https://www.treatmentroomslondon.com/male-hair-loss-blog/
  9. https://www.itv.com/news/central/2019-01-25/its-a-wig-tory-mp-michael-fabricant-mocked-by-colleague-during-pmqs/

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Planning Your Hairline Hair Transplant

new hair line for hair transplant

Receding hairline? With rumours surrounding footballers like David Beckham and David Silva having a hairline hair transplant, the procedure is becoming popular (1,2).  Planning your hair transplant is a tricky process. You need to think carefully about how you will continue to bald in the future so any new hairline doesn’t look unnatural. In this blog we take you through what you need to think about when planning a hairline hair transplant. 

patient hairline before and after hair transplant surgery
Before and after 2000 graft hair transplant for the frontal hairline

Key Points

  1. Where is your hairline at the moment?
  2.  How much hair do you have that you can transplant?
  3. How old are you and will your hairline recede further?
  4. Will you be able to prevent any further hairline recession?

 

Where is your hairline at the moment?

You may notice that you fall into the following categories: 

  1. You hairline has receded so much that you have no hairline
  2. Your hairline has receded in the temples so you have an “M” shaped hairline pattern or a “widow’s peak”
  3. Your hairline has receded to the middle of your scalp (between your crown and forehead)
  4. Your hairline has thinned but has a general outline

In most types of hairline recession, the main cause is male pattern baldness (3). This process is caused by DHT (dihydrotestosterone) which causes the hair follicles to become weak and fall out. It is called a “pattern baldness” as the same pattern of hair thinning and balding appears in most men affected. The different types of pattern depend on how severely you have been affected by hair loss. They are summarised in the Norwood Scale as you can see in the picture below. 

norwood scale for hair loss
Norwood scale of balding showing the different stages of hair loss

By looking at the Norwood Scale you will be able to classify where your hairline is at the moment. If you hairline is at Norwood 2/3 then you should be able to bring your hairline forward to restore it your preferred position. If you are at stage 4a/5/5a/6 you need to think about how much hair you can use to create a hairline that you are happy with. You might better off with a hair transplant that gives you hair you can style over areas of balding. Your plan should be to restore your hairline to a position of Norwood 2 or 3.

How much hair do you have that you can transplant?

The amount of hair you have left at the back of your head is crucial. If you have dense hair at the back then it is likely you will have enough hair to achieve a hairline you would like. For those who don’t have enough hair then carefully plan how you can achieve a hairline you want- especially if you are Norwood Scale 4a/5/5a/6. If you don’t have much hair you may decide to have a hair transplant that gives you coverage of hair. This allows you to style your hair the way you want over areas of hair recession. 

How old are you and will your hairline recede further?

If you are young (<26 years old) then you might want to wait until you’re 26 years old. This means your surgeon can assess the full pattern of your hair loss. It is important to know how you have receded so far, so your hair transplant surgeon can plan future hair loss and plan a hairline that would suit you as you age. 

Will you be able to prevent any further hairline recession?

It is likely that everyone will recede further, so you need to make sure you plan for future hair transplants or stabilise you hair loss with medications like Finasteride. Taking Finasteride is an important decision and as with all medications there are side effects. 

However, particularly if you are planning to have children, taking finasteride can be tricky. You will need to plan when to stop taking finasteride (when you are trying to conceive) and when to restart (when your partner stops breast feeding). Planning this in advance with your hair transplant surgeon is important- make sure you discuss this with them! Whether or not you are taking finasteride, planning a hair transplant around your family plans is certainly achievable.

So what hairline should I go for? 

Seeing a hair transplant surgeon is the first step to answering this question. At The Treatment Rooms London our surgeons make sure to take you through all the considerations you need to make before deciding on a hair transplant. We prefer to plan a hairline that is mature which will suit you for the rest of your life.

A lot of patients request for their hairline to be brought down to match the hairline they had when they were in their teens. It is our opinion that this is not a good idea. Not only will this require many hair grafts that thin your donor zone but also your ongoing balding process will mean a hairline that is too low will look odd. As you age, your temples will recede and a hairline that is low will look like a strip of hair separated from the hair behind it. It will look unnatural and it won’t suit you in your middle- late age. 

mature frontal hairline hair transplant
Bringing your hairline too low won’t suit you as your recede in your temples. Choose a mature hairline that will look good for the rest of your life. It also helps to save more hair in your donor area if you choose to have a second procedure down the line.

Our advice is to plan for a mature hairline. Going for a mature hairline will mean your hair grafts can be used for dense, natural results without thinning your donor zone. The hairline will also be fashionable throughout the rest of your life. Another benefit from choosing a mature hairline is that you have saved more grafts at the back of your head incase you need a second hair transplant. 

Further information about hair transplants can be found by clicking: 

  1. Hair Transplant Surgery
  2. Patient Results
  3. Surgery Recovery
  4. Hair Transplant Side Effects
  5. Hair Transplant FAQs

References

  1. https://www.thesun.co.uk/tvandshowbiz/7893362/david-beckham-new-hair-victoria-brooklyn/
  2. https://deadspin.com/thank-god-david-silvas-hair-transplant-is-finally-takin-1830940593
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812885/
  4. https://www.nhs.uk/conditions/hair-loss

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