I have been recommended 600 to 1000 grafts to the front.  I would like to know what is the highest density and graft count with more aggressive density on the front hairline.  I would like to have the front hairline to be suitable for a 36yo that is not on meds.

You can go with the maximal density, but I’ve seen many patients from physicians who claim to place 70 to 100 grafts per sq cm that are growing 20 grafts per sq cm. One of two things occurred. One is that the patients received 20 grafts per sq cm, which is not likely. The other is that they received 60 to 70 grafts per sq cm and they lost 50 grafts per sq cm because the placed density was much higher than their scalp could tolerate. There are studies out there showing that densities of 40 per sq cm grow only 73%. I like to keep my maximal density between 40 and 50 per sq cm because I have seen consistent growth rates above 90% in my hands. The other problem with poor growth from an attempt to achieve maximal density is that it may poison the scalp for future surgery and nothing may grow subsequently. It is best to stick with a safe density of 45 per sq cm on the hair line and in the rest of the scalp. This seems to work best for my patients. It’s not as if 70 per sq cm will not grow in some patients. The problem is that you cannot tell which patients it will grow in and which patients it will not grow in. The only way to tell is to try it and if it does not work, the patient is in real trouble.
Read more Highest Hair Transplant D...

Can hair loss from anabolic steroids be reversed?  When I was in college I experimented with a couple of cycles of anabolic steroids. As a baseball player most of us used them to compete. Luckily I came to my senses in my senior year and stopped cold turkey. I noticed during that time that my hair began to thin. It continued to thin several months after I stopped using and then the shedding just topped. It’s now four years later and while my hair has not gotten worse, the hair I lost never grew back.

Is it possible to reverse hair loss caused by anabolic steroids or is this just one of the adverse side effects of steroids use that I will have to live with?

Anabolic steroids can accelerate hair loss in men or women genetically predisposed to androgenic alopecia. Certain medications could possibly reverse your hair loss, but it is not likely. These medications include Propecia and Minoxidil. At some point your hair loss may begin to progress again. Medications can help prevent or slow down the future thinning or loss of hair. You could try a course of medications for 6 to 12 months to see how you respond. If there is no improvement after one year, you are not likely to see any future benefit in terms of increased hair though progression of hair loss might be limited by
future use of medications. If you still desire to restore your hair at that point, you might want to consider an evaluation for you suitability for hair transplant surgery.

This video demonstration was taken during live hair transplant surgery with one of Dr. Cole’s patients.  With strip harvesting or traditional FUE, the patients are very limited in their personal appearance and have difficulties getting back to normal daily activities because they are asked to shave their head.
Shaving the head allows the physician to have high visibility of the donor area which is necessary for donor hair extraction. With the new C2G technique, the patients are able to keep their normal hair style before and after the CIT technique!
Now patients can have the best of both worlds. They no longer have to put up with the pain associated with strip scars and they can still maintain their normal hair style.

My mother had esophageal band surgery a couple of years ago due to her excessive weight problem. Following this she has noted progressive hair loss and a change in her personality. I’ve read that band surgery and stomach stapling can cause hair loss. Is this true?

Bariatric (Weight Loss) Surgery: Metabolic, nutritional, psychological and physiological Consequences Bariatric or weight loss surgeries have become commonplace in the USA and in other countries, in part due to an ever increasing incidence of obesity in the context of a societal standard of beauty that emphasizes a thin, shapely physique. Lobbying by various organizations, as well as medical studies detailing the present and future consequences of untreated obesity, has led to insurance coverage for these surgeries, which were previously deemed “cosmetic”. This article will detail some of the physical and mental aspects of the often rapid weight loss which occurs after bariatric surgery.
The bariatric surgery community utilizes a number of procedures to promote rapid and hopefully permanent weight loss. Some of the earlier methods have been abandoned or modified due to unacceptable morbidity in the post-operative period, both immediate and long-term. Currently used techniques most often decrease absorption of calories or promote early satiety (feeling of fullness), or some combination of the two.

Unfortunately, the decreased absorption of calories is accompanied by decreased absorption of macro- and micro-nutrients. This often leads to nutritional deficiencies of varying degrees of severity. Sometimes these deficiencies may go undetected for some time, until they have had a profound effect on the patient. Many of these deficiencies can be very difficult to treat (refractory) once established. They may cause significant derangement in the patient’s physical, mental and emotional health.

Read more Bariatric Weight Loss Sur...

Hair Transplant Video Results:
Here we have a 39 year old male, who was destined to be a class V. His request was for us to fill in the recessions, create a more dense frontal hairline, and add light coverage to the thinning crown.

Between early 2004 and late 2005, he had three smaller procedures, which together accounted for approx.4800 grafts, all via FIT/CIT technique. During his history of loss subsequent to his priors, he experienced additional loss therefore we transplanted on top once he came in during March of this year. In this year’s session, we transplanted approx 1200 grafts which include several hundred FIT farmed grafts to his donor.