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Dr. Bertram Medical Hair Transplant
眉 髮 醫 學 移 植 中 心 ( 香 港 ) |
( 852 ) 3421-1138
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Hair Transplant for Men
Hair Transplant - The Best Option for Hair Loss in Men
Over 95% of men with hair loss are suffering from Androgenetic Alopecia ( AGA ). Typically some donor hair will be left at the back of the head, making it possible to consider hair transplant.
Genetic Testing
AGA is easily recognized so no laboratory testing are required. A HairDx genetic test may be useful in timing the procedure. If the result indicates poor response to oral medication, hair transplant can be considered at a earlier age.
General Principles
- Restore the hairline and frame the face is the most important goal (area 2, 3)
- In Asian males about 1,800 to 2,800 grafts can be harvested in first session.
- Asian males have about 5,000 to 7,000 usable donor grafts per life time.
- Reserve some donor hair for the future.
- Spreading the grafts thinly over a large area achieve no visible improvement. It is better to dense pack the front, leaving the crown for a future session or a trial of medical treatment.
Surgical Plan for Men
You must negotiate with our doctor what you want to achieve. Recommendations depend on the extend of hair loss, your age, and personal preferences.
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Norwood Class II
Thinning in area 1 - Relatively easy job and welcomed by many small hair transplant centers as only a few hundreds grafts are needed. We do not recommend for those younger than 25. Further hair loss in area 2 will make the transplanted hair in area 1 stand out like horns, very difficult to repair.
Can only be considered for hair transplant if :
- No family history of severe hair loss, or
- Willing to take medicine to slow down AGA, or
- Great psychological distress from hair loss, or
- Prepared to have further transplant to add on density, or
- Celebrities who must maintain a young look and accept the consequences.
Norwood Class III
Losing hair in area 1 and 2 - good candidates for hair transplant and with good result. First priority is just to fill in area 2, reserving some donor hair for future. Area 1 can easily be covered with the newly transplanted hair.
 
Norwood Class IV
Losing hair in area 1, 2, and 3 - this is the best candidate for hair transplant and with the most obvious improvement. A higher density will be put into area 3 (the forelock) while lower density of 1-hair graft into area 2. The hair in forelock can be combed forward or backward, allows more flexibility in styling.
 
Norwood Class V
Losing hair in area 1, 2, 3, and 4 - treatment is similar to Class VI except area 4 is the last priority. This area is only visible on nodding or bending, requiring a lower density, or not at all if not enough donor hair. Further session is optional.
 
Norwood Class VI
Losing hair in area 1 to 5 / 5v - usually not enough donor hair to cover the entire area. There are 2 options :
- To fill in area 2, 3, 4 to look good in the front. This is suitable for tall people.
- To fill in area 3, 4, 5, 5v to look good in the top. This is suitable for short people.
- The remaining areas can be left alone or filled in later
 
Norwood Class VII
Losing hair in area 1 to 6 - impossible to fill in all areas. You can still look good by adding some hair into the forelock ( area 3 ).
 
Vertex Variant
This group loses hair in the crown (area 5v, 5, 4) and retains the hairline (area 2, 3). Hair can be transplanted into area 4 and 5 to achieve good coverage.
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Adjuvant Medical Therapy
Donor hair is permanent but limited. Hair transplant only redistributes hair. It cannot change the progressive nature of AGA. The miniaturization of existing hair may offset the cosmetic results over years. To enjoy a full coverage for decades the use of topical Minoxidil or oral Finasteride should be discussed with our doctor.
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