Hello Dr Arvind (and anyone else that cares to comment), I know you are very busy but could you please tell me would you consider performing the following or indeed have you ever done the following before (apologies for the long post but I can not post pics at this time to demonstrate my question in an easier manner).
The “Twin Hairline Method”.
Everyone here (the younger posters especially) would like to be restored to a early Norwood namely a NW1 or an early NW2. As we know our donor supplies are not limitless and thus anyone who experiences the early onset of MPB regardless of medication use and restores a dense low hairline runs the risk of exhausting their donor supplies in one small area and can look somewhat odd with a dense low hairline and nothing or very little behind it.
Now, I will throw some figures around now but they are arbituary and this method does not make mention of the financial costs involved.
Say someone was destined or is indeed already a NW5 (the majority of hairloss sufferers apparently do not go beyond NW5). Lets say with their scalp donor resources they could be restored (or appear to be restored) to a solid NW3. Many “older” guys would be happy to be a NW3 for life where many younger guys or those experiencing their first loss would not be - as they get a little older a NW3 hairline is fine (I hope I have not offended anyone).
Now what I propose is…
You have a “safe” donor area on the sides and back of your head - lets say for argument that this “safe” area extends 4cm up. (The nape of the neck is not considered as safe). Lets say that this 4cm extends around the side of the head too.
You can harvest grafts from this area and they are certain not to atrophy.
From this area you can build a solid NW3 appearance on a NW5 or someone who will be a NW5 (again arbitury obviously hair characteristics / finanance etc come into play).
Now, what you then do infront of this NW3 hairline, built from “safe” hair, you harvest a further 2000 - 3000 FUEs above and below this “4cm safe area” (I am not talking about going as high as the crown area - I can demonstrate with pics if you are unsure of what I mean) to build a NW1 or early NW2 hairline thus restoring a very youthful appearance.
Now this hair is not 100% safe - if is harvested from where you may recede into should you reach or surpass a NW5 - if you are on Meds then it could well be safe. If over subsequent years this hair begins to atrophy it will recede back to your defense line, namely your NW3 hairline but you may have been able to live the last 10 years as a NW1 or 2 thus buying you time to enjoy the cosmetic benefits but without the risk of having a thick hairline permanantly there with nothing behind it.
If you do not go beyond a NW5 then you have a NW1-2 hairline but without the worry because you have saved your “safe” donor hair for your line of defence namely your permanant NW3 hairline.
It seems to me that present HT methodology is based on 1) assessing what the patients hair characteristics are 2) determining hairloss histology and medication useage / genetic susceptability and 3) working out what finances the person has…
Couple all this and the hair restoration begins but usually with a conservative hairline. In a nutshell I propose that the above still takes place but… a semi permanent / potentially permanent lower youthful hairline be built infront of this but harvesting scalp FUEs above and below the “safe” zone - if the meds hold it great, if you never recede as far as you need to plan for (ie NW5), great.
Of course this would not work for strip.