The Cure for a Receding Hairline

Many patients wonder what they can do for an actively receding hairline. They have seen Dr. Ende’s information on his hairline lowering procedure and see that it is not the correct procedure for this issue. Patients usually first seek out medical therapies for hair loss such as Propecia, Finasteride, Rogaine, Hydralazine, shampoos, hair lasers and vitamins. If these therapies for hair loss don’t work, and consultation for surgical hair replacement with Dr. Ende is appropriate, Dr. Ende will sit with you one on one to discuss hair transplantation very often in conjunction with medical therapy. Patients often ask if there is a cure for the receding hairline. While there is no cure that will restore the hair to its original state, we can mimic this with hair transplant more so than with any other hair replacement therapy. With an actively receding hairline, the patient must understand that Dr. Ende is trying to keep up with their hair loss so that that they do not go completely bald on top before starting hair replacement. Gradual hair replacement over time will draw less attention to the process and will be extremely difficult to tell that a surgical hair transplant process has even taken place. Hairline surgery is appropriate for both men and women even if the patient is actively losing hair. Dr. Ende uses advanced techniques and a keen sense of artistry to restore the hairline as close to its original shape and pattern as possible. Not only will Dr. Ende examine your scalp for the characteristics showing where the hairline most likely was, he enjoys sharing old photos of you that represent your original hairline.


Day of Hair Transplant and up to 2 months following Hair Transplant

Immediately following Hair Transplant, you will have fresh incisions that are clean but look a bit like a rash. Certain hair and skin types with little existing hair may be quite surprised on how well it is hidden (masked). On the second day, a small scab the size of a pin head will sometimes be visible and remain on the scalp for two-nine days after Hair Transplant.

By the 7th to 9th day post-op, the area should be virtually scab free. The area should be undetectable other than, possibly, your scalp being a little dry which would not draw attention to your scalp. At this point, any hair (not grafts) that did not fall off with the scabs will grow for 3-6 weeks and generally shed. This is completely normal. Things will then remain dormant for about 2 months. Beginning at 3 months, you will experience hair starting to grow slowly. This is what is called the active growth stage.

What to expect at 3-4 months following Hair Transplant

Most patients should begin to experience some growth by the 3rd or 4th month. Generally, new hair should begin to grow after the 3rd month mark, but everyone is different. Some experience new hair growth earlier and others a little later. Some may think that what they see is the final result, but that is not the case at all. When the transplanted hair first appears, it is immature, fine, thin, and light in color. As time passes, more transplanted hair will appear and will become thicker, longer, and darker.

Itching in the recipient area or discomfort in the donor area may be present at the three-four month mark. However, it should pass in a few months. The incision in the donor area at this time is healed but still remodeling. It will continue to improve over time. Also at this stage, a few patients may develop small pimples (folliculitis) around the transplanted area as hair emerges. If this occurs and persists, we need to be notified. There are ways of treating folliculitis.

What to expect at 5-6 months following Hair Transplant

A significant change usually occurs between the 5th and 6th month. By the 6th month, about 80% of the hairs should have penetrated the skin. However, only about 50-60 percent of the final visual aesthetic effect has been achieved.

What to expect at 12 months following Hair Transplant

The visual result continues to improve for up to a year, and it is only after one full year that the final aesthetic is typically achieved. The reason for the continued improvement over the last 6 months is due to the following:
• There still may be about 10 to 15 percent of the hair that has not reached full maturity. Mature terminal hair develops between 8 and 12 months post-operatively as the hair obtains its normal thickness. Hair will become longer, darker in color, and thicker in diameter. A very minimal change in diameter has a significant effect on the appearance of fullness.
• Remember the aesthetic effect of a hair transplant is more dramatic when a patient has no original hair (bald) in the transplanted area. When a patient has some of his/her own original hair in a transplanted area, the procedure is just as successful, but the results are less dramatic because a new hairline is not being created. In these situations, we are increasing fullness of hair in a thinning area. Patients will notice more refinement (blending) in the transplanted area as well as an improved appearance of fullness under a greater number of circumstances.


At 12 months, many patients undergo their second or third session of hair transplantation. You have no doubt seen a dramatic change in your hairline and/or hair density from this first session, but may desire more density to achieve a more natural look. Some patients are quite happy with just one session of hair transplantation, but the majority of patients will notice a dramatic improvement in the results after the second session. Please call for an appointment to discuss the options for further hair transplantation.