1-800-GET-HAIRPhone Icon Location Icon

Dr. Lopresti is a cool, laid back guy. He’s about my age, and really understood exactly what I was going through.

Stephen Gostkowski
New England Patriots Super Bowl XLIX, LI and LIII Champion

Why Hair Transplants May Not Be Appropiate

People are often surprised when I tell them about how many patients to whom I do NOT recommend hair transplantation.  Not every person who comes in for a hair loss consultation is a good candidate.  Why?

DSC_1918-4x5There are several instances where I turn patients away from surgery.  They include:

Donor area density is too low in order for them to have an adequate cosmetic result.

Patients’ expectations are not realistic.

If younger men with male pattern baldness in the crown present are looking to transplant that area and are doing nothing to stabilize progression (no Propecia, no Rogaine Foam, no Auto A300™ therapy), then they’re not good candidates for transplantation.

The same holds true for other areas of the scalp.  For example, in the frontal receded areas, young patients (or older ones who are not using the Auto A300™ device or Rogaine Foam in the frontal area) will continue to recede back away from the transplants. This will require more and sooner subsequent transplant sessions.

Recently, I have observed an increase in other dermatologic conditions that cause hair loss in a very different way than the much more common male pattern baldness or female pattern hair loss.

I teach all of our consultation patients about the progressive nature of hair loss.  I tell them that if they do nothing to stop this progression with the very effective non-surgical treatments for balding, then they definitely will have less hair at next year’s examination.

By performing hair transplant surgery on patients who are not good candidates, the hair restoration surgeon is doing his or her patients a disservice.