As you know, I am a big advocate of finding a natural solution to natural health issues.
If you have learned anything from this blog and my books, I believe you can reverse most chronic conditions from hair loss to type II diabetes by making substantial changes to your nutrition, fitness, and lifestyle.
I believe you can even overcome many genetic conditions like allergies and obesity by making the right healthy choices and sticking to them.
That being said, I am frequently asked about my thoughts on hair transplants. Every year, 15% more hair loss sufferers turn to surgery and many of you want to know: Do I recommend it or not?
Even without the questions from people in The Hair Loss Black Book program it would be a hard topic to ignore, especially considering the advertisements on television every night and a giant billboard I drive past at least 3 times a week.
Rather than give a yea or nay recommendation, I’d like to teach you about hair transplant surgery. I want to help you understand the science behind hair transplant surgery.
I also want you to know what it takes to make the surgery a success. Armed with these facts, you should be able to decide if you want to pursue transplant surgery or not.
PT 1 Transplant 101
Hair transplant seems like a pretty easy concept to understand.
Hair follicles and the surrounding tissue are removed from a healthy part of your head and moved to a place where there is no hair growth. While that is a cut-and-dry definition it is a far more complicated issue.
There are a lot of decisions to be made. Are you a candidate for hair transplant? How do you find a doctor? What kind of transplant will you have? How do you guarantee the success of the transplant? How much work will it be to maintain the results 5, 10, and 15 years from now?
It is a complicated issue on purpose, because it is surgery. All surgery is risky.
However, if you’ve been struggling with the torment of hair loss for several years it may seem and even be worth the risk. The more questions you can answer, the better you will be able to decide for yourself.
How It Works
With regard to hair loss, scalp tissue can be broken down into two areas: donor and donor recipient. Typically hair loss is localized. Most hair loss occurs at the temples or the crown of the head.
After several years, the temples and crown hair loss will merge together leaving most of the top of the head bald. This is the area which will receive a hair donation.
Meanwhile, the sides and lower back of the hair keep growing hair. Not just hair, but frequently healthy, thick hair. This is where hair donation occurs.
The first step of hair transplant is to thoroughly study both the donor and donor recipient tissue.
First, any physical malformations or other problems which will interfere with the surgery are addressed. For most patients, this is not an issue.
If your scalp is healthy enough for surgery, the next step is to map the scalp. The best donor areas are studied under a microscope and charted according to their viability.
Then, the recipient area is mapped and your doctor will give an estimate of how many donations it will take to cover the area to your desired thickness.
Keep in mind, the goal of the specialist is to perform only one transplant. While many people may have subsequent surgeries, the scalp just less and less pliable after each surgery. Therefore, your doctor will push for a maximum amount of donor hairs transplanted in the initial operation.
Many people have only 1000-2000 hairs transplanted, but it is not unusual for a transplant to involve 4000-6000 hairs but this will take a more substantial recovery time.
While mapping your head, you and your specialist will decide on your new hairline pattern. Your new hair will be transplanted according to this strategy.
The hair will be thickest at the crown, but it will also fill in to your temples and replace your lost hair line. It is important that your hair line best resemble the hairline of your youth, compliment your face, and not be placed too high or too low.
(It is interesting to note that the second most frequent complaint about a transplant surgery is dissatisfaction about the hairline placement or pattern. You may think that you’d be happy to just have new hair but once you have new hair you will want it to look right.
You paid a lot of money for your new hair; you deserve a job done well. If you do find yourself in a hair loss clinic, make sure you get to see or even speak to plenty of real patients and examine their hairlines.)
Once you and your doctor have decided on the aggressiveness and pattern of the transplant, it is time to decide what kind of transplant to have. As with most medicine, advances in hair transplantation happen every day.
Now there are three different types of surgeries each tailored to different types of patients.
1. Strip Transplant
For many decades since the invention of hair transplant surgery, hair was transplanted using the Strip method.
A strip of the donor area is trimmed short, but not shaved. It is a strip of hair which is barely wider than the hair follicles contained and only deep enough to encase the whole follicle is removed.
In the past, the strip of hair was removed by a fine scalpel. This would leave a scar, but a talented surgeon should be able to make the scar so minimal it is unnoticeable, especially once the shaved hair grows in.
However, many surgeons are becoming certified to perform the surgery with a laser which leaves no scar at all.
The removed strip is then cleansed in a sterilizing solution which also contains growth enzymes. These will help the transplanted tissue grow into the recipient area more effectively. It also accelerates healing.
Next, a strip-sized “hole” is created in the scalp. The old tissue must be removed to make room for the new strip. Otherwise, you would end up with too much skin on the top of your head.
The strip of new tissue is then sutured into the “hole” in the recipient area. Many clinics refer to this as “seeded”.
There are pros and cons to the Strip method. In the 1980’s, before the technique was perfected, patients seemed to have “stripes” of hair growing in at their hairline.
This was because surgeons were taking large strips which could not be easily integrated into one another. After all, hair does not grow in lines.
These days, surgeons take shorter strips and place them in less of a grid pattern which better mimics natural hair growth.
The strip method, because of the length of each wound, takes longer to heal. It can take up to 3-5 additional weeks for the swelling and scabbing to go away.
It will take an additional few months for the redness of the scar to go away, but by then the hair should be growing over the scar. Because the Strip method has been around for decades, it is easier to find a surgeon with the expertise.
In fact, many of the “cheap” places only offer the Strip method. This doesn’t necessarily mean the surgery will be more successful, it is just more common.
One of the biggest cons to the Strip method is the destruction of peripheral hair follicles. Since hair does not grow in strips, there are frequently hair follicles which get sliced open on the edges of the strip.
A follicle which is cut will not grow hair. Unfortunately, it is still part of the “strip” and will be transplanted. In the Strip method, approximately 10% of all edge hair follicles will not grow.
This is compensated for by transplanting a higher number of follicles than are expected to grow.
2. Fue Transplant
The next type of hair transplant surgery is FUE or Follicular Unit Extraction. In general, this type of transplant is like the Strip method with a few key differences.
First, your hair is shaven as close as possible without submerging the hair under the skin. This allows your doctor to better locate follicular units.
Although it seems like your hair grows equally all over your body, if you examine it closely you will see hair follicles frequently grown in groups of 1-4 hair follicles no larger than 1mm in size.
Instead of removing a strip of hair, a FUE surgeon removes these clusters individually. These are the follicular units. They are removed with hollow needles which literally “vacuum” up the entire unit.
Each follicular unit is then treated the same as in a strip surgery. It is cleansed and bathed in growth enzymes to prepare for transplantation. Excess tissue is trimmed away.
Meanwhile, instead of the recipient area being sliced in strips, a punch is used to create individual holes for each follicular unit.
This punch is essentially a surgical equivalent of a metal punch which penetrates the layers of the skin making a clean cavity for transplant.
It removes the old skin directly under the patch and leaves clean walls at the border of the wound. The punched holes are typically slightly smaller than the follicular units removed.
This creates a “snug fit” reaction. The transplanted hair fits tightly and securely into the wound. Therefore, there is no need for suturing or laser suturing. As you can imagine, this not only accelerates healing, but it also reduces scarring.
This non-suturing technique is one of the main pros for using FUE instead of Strip.
Another benefit of the FUE is that there is virtually no destruction of perimeter hair follicles as a follicular unit contains free, whole tissue on every edge. In general, a larger percentage of the hairs “take” the first time.
Additionally, many people feel that the “clusters” look more natural in a shorter amount of time than the “strips.” The follicular units can be placed more naturally than a strip of hair.
Because there are fewer traumas to the scalp, more hair can be transplanted leaving the patient with a fuller look.
A con to this method is the donation area is not sutured or laser sutured back together as it in the Strip method. Instead, the places where the hollow needle “scooped” out the hair are cleaned and left to heal naturally.
This causes “pit” like scarring, however it is so small hardly anyone could notice it without very close examination. Keeping your hair more than an inch in length should cover the marks completely.
A major con versus the Strip method is the availability of the procedure. This technique has only become used in everyday practice within the last decade.
Countries like Japan and Korea perfected the technique and trained surgeons, but it has taken time to trickle out to the rest of the world. In fact, there are very few surgeons certified to perform the procedure in the US and EU.
It may be difficult to find an FUE surgeon if you do not live in a major city. Furthermore, it will cost more than the Strip method because of the additional time and skill needed.
If it does not cost more, I would be dubious of the results.
3. DHI Transplant
A newer version of FUE is becoming more available called DHI or Direct Hair Implantation. It is labeled the “no touch” surgery. It promises a faster/easier healing process. It also promises less pain.
DHI is actually a very simple process. Instead of a follicular unit or strip being removed, a hollow implanter needle removes a single hair follicle.
The hair follicle remains in the hollow shaft of the implanter. Then, the implanter is immediately stuck into the recipient area and the hair follicle is “seeded”.
The hair follicle is not handled during the surgery. It is not bathed in enzymes. It is simply removed from the scalp in one minute and replanted into the scalp the next.
While scientists are still examining this technique, there is substantial evidence to suggest that the less the follicle is handled the greater chance there will be of growth success.
Because there are no scalpels or skin baths involves, this is a lot less complex surgery. The process of removing a hair follicle and implanting it again happens very quickly.
However, since you are working at one follicle at a time it will take a long time to transplant the normal 1000-4000 hairs needed to recover the bald areas.
Fortunately, you do not need to be heavily sedated or put under as you would the Strip or FUE method; therefore most patients find they can sit through the procedure awake with mild anesthesia and very little discomfort.
Many researchers believe that the low handling and minimal invasiveness of the procedure promotes hair growth more quickly. Some clinics state that hair enters the anagen, or growing, stage almost immediately.
Some patients say they’ve seen results by the time the swelling has subsided.
There are only two cons I can bring to your attention right now.
First, this is a really new procedure. We do not have any data on long term results. It is not performed widely throughout the world, so we have very little data on its success rates in different demographics and genders. I honestly cannot tell you if this procedure will ensure you have hair 15 years from now.
The second con is that this very new procedure is also very rare. I have only found 3 international clinics which are performing the technique with certified, skilled surgeons who have substantial success rates and patient testimonies.
Many of the other clinics throughout the world only have patients who are only 6 months to 1 year post-op and I do not believe those are statistics which can be trusted yet.
Women’s Hair Transplant
In some cases, women’s hair transplant is pretty much the same as men’s hair transplant. Hair is removed from a donor area and implanted in a recipient area. The wounds are cared for the same and in general the post-op success stories are about the same.
However, there is a different issue to be considered when a woman needs a transplant versus a man. Only 10% of all hair loss surgeries are performed on women.
While some of this can be attributed to the fact that most women do not lose their hair if they’re even moderately healthy, it is also worth noting that there are special issues involving women which influence a surgeon’s choice to operate or not.
Women’s hair loss, especially from DHT, does not occur just at the temples or crown. Granted, these areas will noticeably thin, but most women lose hair from all over their scalp.
If hair is thin all over, where can you take hair that it won’t be missed? In these cases, the donor area is still typically in the rear and at the sides but relies on a woman to wear longer length hair to cover up the donor scars/marks.
Women are typically treated using the Strip method. This is the only method which does not require substantial shaving of the hair follicle.
However, because women tend to lose their hair in “spots” instead of large areas it can become difficult to transplant an entire strip.
I anticipate hearing a lot more about the use of DHI in women. It seems as if it would be ideal to move only individual hair follicles and implant them as needed in sparse spots.
However, as I said earlier, the procedure is new. There are a lot more men out there getting DHI than women, so it may be a while until we see how effective it is on women.
If you are a woman considering hair transplants, you have probably already noticed it is an area of medicine which is primarily focused on men. Most hair restoration clinics have pages and pages of information on men’s hair restoration and then a single page dedicated to women’s procedures.
In my opinion, a woman must investigate the clinic she chooses much more thoroughly. How many women have they successfully operated on? What are their women’s statistics after 5 or 10 years?
Try to talk to former patients, even if it is on discussion boards. A true patient, whether or not she is satisfied, will probably be willing to have an honest dialogue with you about that doctor’s ability to treat women.
Are You A Candidate For Hair Transplant?
In my opinion, this is the biggest question are you a candidate for hair transplant? Every clinic and specialist will have his or her own criteria to qualify you. However, every clinic has general criteria which they use to accept a new patient or not.
The nature of your hair loss is the main qualifying factor for hair transplant. Hair loss that occurred as the result of an auto-immune alopecia does not qualify for transplant.
The immune reaction can attack a donor hair just as it did the original hair and it is difficult to control without medication.
An immune reaction can occur at anytime and anywhere.
In fact, it is very likely the trauma of surgery will trigger a reaction making it very unlikely the transplant will take.
Hair loss which occurred as the result of injury is typically qualified on a case-by-case situation. Your scalp needs an ample blood supply to heal transplant incisions.
If the injured tissue is scarred in a way which hinders blood flow, a specialist should not attempt a transplant. Of course, injuries and auto-immune disorders are not keeping hair loss clinics open.
More than 99% of all hair loss clinic patients have one thing in common: DHT. That’s right, our old enemy DHT the super-toxic form of testosterone which floods our scalp and attacks our hair follicles.
We used to think it was genetics, but now we know genetics is only one part of a hair-killing combination including poor fitness, bad nutrition, and a stressful lifestyle.
If you are suffering from DHT overload and have lost your hair, I’m sure most hair restoration clinics will accept you as a patient. They will specialize in ways to help you overcome the damage done by DHT.
However, that does not necessarily make you a candidate for surgery. The severity of the hair loss is the main factor determining your eligibility for surgery.
If your hair loss is relatively new (even if you’ve only been struggling for 2-3 years) or if your hair has not thinned enough for there to be significant balding, then your hair follicles have not yet died. They may be dormant, but they are not dead.
A hair follicle which is dead cannot be revived. A hair follicle is considered dead if it has not produced any hair (even fine/pale hair) for more than 2 years.
The follicle itself will close up and at some point you will not even see the pore or follicle opening. Instead there is smooth, shiny skin.
If that doesn’t describe your scalp, then your hair follicles are not dead. This means there are still MANY chances left for you to save your hair.
Getting on a better fitness program, balancing your hormones, and many of the other techniques addressed in The Hair Loss Black Book will counteract the DHT in your system.
Most of the hair restoration patients never receive surgery. Major hair restorations clinics primarily focus on other ways to restart hair growth by eliminating DHT.
In addition to medicinal options, they frequently employ a wide range of nutritionists, physical therapists, and homeopathic specialists to achieve these goals.
Any reputable clinic will only perform the surgery once these methods are exhausted. If the first thing they talk to you about is surgery or if they offer no other solutions, you should probably look for another clinic.
After The Surgery
The better you care for you the better your results will be. It is a patient’s responsibility to make sure the wound is cared for according to the clinic’s post-op instructions.
This includes topical wound care as well as taking internal medicines like antibiotics and finasteride. If you do not take care of your new hair follicles as you are instructed, a clinic should not be help accountable for the failure.
In the post-op follow up, especially in those first few critical months, I recommend that you follow no other advice but your surgeon’s. There will inevitably be a time when you turn to the internet or to friends for advice about treating your wounds.
Someone will say something like “yeah, they tell you to do ____ but I did ____ instead and it worked fine.” DO NOT DO THIS.
You’ve paid a lot of money because you trusted your surgeon to analyze your physical situation and make the best decisions for you. Your friends or a stranger on a bulletin board do not know your physiology.
You are setting yourself up for failure if you do not follow the advice of your surgeon. You can ask them about alternative treatments you may hear about, but in the end you need to follow their advice about scalp treatment.
Along those same lines, a clinic is responsible for making sure the wound is healing correctly. They should see you frequently for follow-ups within the first month, monthly for the next 3 months, and quarterly for the next year to 18 months.
If you have any concerns about how you’re healing, they should address them immediately. They should provide you with very thorough instructions for the care of your new hair.
Statistics And Long Term Results
That’s the science behind hair transplant, but what you’re probably still asking yourself is: Does it really work? This is a surprisingly difficult question to answer. There is a great lack of reliable statistics in this area.
Here’s the problem, there is no real, independent regulation of hair restoration so there are no real independent statistics. When I am looking for a doctor, I typically depend on 2 resources the most: my friends and government regulated certifications.
Most doctors, such as pediatricians or endocrinologists are certified and overseen by a federally regulated board. Losing this certification means losing the ability to practice medicine.
None of the universal medical boards in the United States or European Union offer any certification or recognition to hair transplantation organizations or hair transplant surgeons.
The surgeons, sometimes these are osteopaths and not medical doctors, have a federally regulated medical licenses but with regard to their specialty there is no one overseeing their work or skill.
Originally, I had planned to recommend certain clinics throughout the US and EU. However, I learned that most of these doctors received their training from the same institutes in Korea, Japan, and Malaysia.
There is no way to know which doctor graduated with higher honors than another which makes it difficult to recommend one doctor’s statistics versus another.
Once they leave those institutes, the only organization double-checking their work is the International Society of Hair Restoration Specialists (ISHRS). The ISHRS is a self-regulated, global network of hair restoration surgeons and specialists.
They are self-regulated as in they set their own standards and create their own certifications without any other authority’s approval. This is not necessarily a negative, but it does mean there is no way to double-check their validity.
Because the ISHRS is the largest organization of its type, it does have a public standard to live up to. If its members consistently let down their patients, they would probably not be as successful as they are.
If you are going to have the procedure done, I would suggest going to an ISHRS certified physician or surgeon.
The ISHRS expects a success rate of 95% or better for one of their practitioners to maintain their certification. Most reputable clinics claim a success rate of 98% or better and, frankly, I would not trust a practice without a written guarantee to that affect.
However, a “success” is only counted within the first 3 years. To get more long term results, I turned to patient testimonies.
5 And 10 Years Later
Patient testimonies are found the (new) old fashioned way. It involves reading a lot of discussion boards, patient blogs, and doctor’s rating boards. There are literally thousands of patients wanting to talk about their long term results.
Fortunately, most of the patient blogs and doctor’s rating boards allowed the surgeons to respond to any posts so it served as a very good Q&A.
Over the course of 15 years, about 50% of every patient had a second or even third surgery. Each surgery consisting of an average of 1500 hair transplants.
However, the reasons behind each repetitive surgery varied and I feel it is important for you to understand each.
Some patients had to have repetitive surgeries because they did not follow their post-op care regiment. By not caring for their scalp, they ended up destroying some of the implants which would need to be replaced.
It was easily preventable and many patients learned from their mistakes and the second surgery was more successful. There were a few patients who felt they were not aggressive enough at their first surgery.
They were nervous to transplant the 2000+ grafts they really needed and went against their doctor’s advice to have only 1000 or less grafts. This left their hair still looking sparse.
Naturally, there were other situations as well. Some people realized they’d had the surgery too soon (and went to less reputable clinics which should not have operated) and their hair fall was not complete.
They lost some of their existing hair while their new hair was still growing.
Another frequent cause for repetitive surgeries was physician error. Patients went to “discount” shops and got cheap work.
Their scalp was scarred and left with too much tension, making the strips or follicular units bunch up and not sit smoothly. This is called “compression” errors.
Compression errors are typically corrected with a laser before new implants could be implanted.
However, this reason and the other reasons above represent only a small percentage of the patients who needed a repeat surgery…. there was one other issue which was dooming many a hair transplant’s success.
During my research, I had one question about long term results which I could not seem to answer.
I read brochures and literature from about 200 clinics, but it wasn’t until I read patient Q&A boards that I found my answer: The number one reason for needing a repetitive surgery was our old foe DHT.
No one tells DHT you’ve got new hair so it can take a break. Your body sends DHT to the top of your scalp via your bloodstream and it is the same blood no matter if it is new scalp tissue. Unless you do something to stop DHT, it is going to attack the new hair just as it did the rest.
To quote the words of Dr. Rahal, a leading hair transplant surgeon, “if you haven’t stopped the progression of DHT you will not stop the progression of hair loss.”
The reason why your hair was thick enough to be donated on the back of your head is because these hair follicles are DHT resistant.
Scientists credit this to a combination of thicker follicle walls and because most DHT is stored on the front and top of the scalp. Your donor hair was healthier because it never had to suffer an all-out attack from DHT.
Whichever the reason, the newly transplanted hair follicles can resist an attack from DHT for some time (approximately 5 to 15 years).
If at any point the flow of DHT is stopped, the existing hair will continue growing healthy and strong. However, if you cannot stop the DHT the new hair will eventually get sick and die too.
Thoughts On Finasteride
Hair restoration clinics are dedicated to helping their patients fight off the effects of DHT.
However, a few patients never need surgery because they learn how to contain their DHT, if they went to a clinic which specializes in non-surgical solutions as well. Most patients do need surgery and afterwards the clinic teaches them to deal with the DHT problems.
A clinic with a total body approach will teach you many different ways to eliminate DHT. They will teach you to stay fit, but not to work out in a way which increases blood testosterone.
They will teach you how to eat foods which increase the anti-DHT enzymes throughout your problem. If they are really holistic, they will also teach you how to deal with stress and anger to reduce adrenalin induced testosterone boosts.
Of course, modern medicine no longer expects patients to do the hard work required to make a lasting, total body improvement and as you read in The Hair Loss Black Book, eliminating DHT is no easy job.
By the testimonies of patients I read, most only kept up the rigid routine for up to a year and by 5 years they had completely returned to their regular lifestyle. This is why every single patient was prescribed Finasteride.
Finasteride, as you may recall from my book or previous articles, is a 5AR inhibitor.
5AR is the enzyme secreted from the pancreas and other organs which converts regular testosterone into the super-concentrated DHT.
Finasteride (also known as Propecia) was invented to treat prostate cancer and benign prostate disorder which are caused when DHT begins to attack and mutate the prostate.
During its development, scientists noticed it also had a positive impact on hair loss. Hair loss seemed to slow down in patients who took a regular dose of Finasteride for 6 months.
Hair loss stopped in patients who took the drug for more than a year and patients who took it for a longer period were able to grow hair in those hair follicles which had not yet died.
In a 5 year study, 2 out of 3 men were able to regrow “some” hair on a 1mg daily dose. 48% had visible hair growth and 42% had no continued hair loss. After 10 years, 82% of men continued those same benefits based on the same dose.
That seems like an easy solution to the DHT problem, right? Of course, Finasteride is not without its drawbacks. 15% of patients suffered severe depression, even cases of suicidal tendencies, after they quit taking the drug. Less than 5% of patients suffered testicular pain and erectile dysfunction.
Less than 1% of patients did develop a rare, testosterone negative form of prostate cancer which is very deadly and the drug masked the initial screening results, but it is believed these patients were already inclined to grow the cancer tissue before taking the drug.
Women of child-bearing age cannot use or even handle Finasteride. It can cause a serious birth defect in male children and could cause problems for adult female children.
Women are even warned to be careful around the emissions of men on Finasteride to eliminate the risk of contamination. Finasteride is also very expensive. Most insurance plans will not pay for Finasteride if it is being used in conjunction with hair transplant surgery.
Taking the prescription monthly for many years or for the rest of your life as is recommended after hair loss surgery can require a pretty big investment.
The number one reason people had to get second or third transplant surgeries is because they stopped their anti-DHT regiment AND they stopped taking Finasteride. In many cases, the new hair loss was significant within 2 years of drug cessation.
Many surgeons will guarantee their surgeries for 3 years, but that guarantee is void if you do not take your Finasteride.
A Hair Loss Survivor
I can’t tell you whether or not you should get a hair transplant. If your hair follicles are long dead, then it may be something you want to look into. If you’re hair follicles are still alive, I believe you can find an all-natural solution.
However, if you still have questions it may be worth having an evaluation appointment at a clinic just don’t let them dazzle you with result you don’t double check yourself.
I can tell you I don’t believe taking Finasteride for life is the solution to any problem. Drugs are an easy solution but they often cause more problems than they solve.
However, once you’ve paid the money and toll of a hair transplant surgery, Finasteride may be the only way you will feel sure you can guarantee your investment will last.
I would prefer an anti-DHT lifestyle assisted by Finasteride approach. There is no doubt, the DHT growing in your system at the time of your surgery must be contained or the new hair will die.
Finasteride is an ideal post-op drug. However, I believe you should think of the post op period as a recovery period the same way a patient feels after they survive a deadly disease.
A survivor will take the medication a doctor prescribes after they recover. However, after fighting for their lives there comes a time when most survivors decide they will change whatever they must to make sure they never have to fight for their lives ever again.
They typically make dramatic changes to their lifestyle, fitness, nutrition, and health in general. Overtime, their health reaches a kinetic state of improvement. Blood sugar, liver function, hormone levels, cholesterol, and weight are all corrected.
Every year, thousands of doctors are surprised because their once fatally ill patient has made so many positive improvements that they no longer even need their prescription.
This is a survivor’s approach to illness and I believe it should be a hair transplant patient’s approach to life after surgery. If you’re going to make this dramatic counter offensive against DHT, then you need to think of it as a fight for the life of your scalp.
Don’t rely on Finasteride to deliver your long term relief from DHT, do it yourself.
You can do it yourself with The Hair Loss Black Book. I developed that program to help you eradicate the DHT in your system, not just fix your hair loss. It is a total body makeover and if you follow it, it will be your best weapon to protect your new hair for the rest of your life.
You will have to take Finasteride for the first year or so, but within 5 years your body should be able to regulate DHT by itself without the costing you your hair.
Transplantation is your decision. As I said in the beginning, if you think hair transplant surgery is right for you then this article should be a starting point for your research.
Ask a lot of people, doctors and patients, a lot of questions before you make your final decision.
Surgery or no surgery, staving off the damage of DHT can be done but it will take a long term commitment.
No matter what you choose, The Hair Loss Black Book will help you achieve your goals.