Celebrity Hair Transplant – What is Wrong with Joe Biden’s Hair Transplant?
Supply and Demand Mismatch of Hair
I was recently having a conversation with a 31 year old patient of mine who was insisting on having a low and broad hairline. In close evaluation of his hair loss and hair transplant pattern and in particular in microscopic examination of his scalp, I saw that he had significant miniaturization throughout the top and crown area. This is a sign that he is heading towards class VI or VII of hair loss. People with class VI or VII are those who will only have a rim of hair around the scalp.
I had to discuss with my patient that, when I design a hairline, I have to take into consideration the progress of hair loss over time. A good hairline is one that is good now and it will continue to look natural when the person is in his 60s or 70s.
Hair Line Positioning
The reason I am writing this blog is that, Mr. Biden is my example when I have to plan for a higher hairline for younger adults. Many of these younger men hope for a lower hairline. Obviously, I can give them a lower hairline when there is no evidence of advanced hair loss.
When I see microscopic evidence of future higher class of hair loss or when there is a significant family history of high grade baldness, I have to be more conservative. The reason to be more cautious is to avoid the “Joe Biden” phenomenon.
Where are the problems?
- Poor designing and long term planning
- The hairline is too low for someone with advanced hair loss
- The hairline is too broad for the stage of hair loss
- Lack of sufficient hair to restore the crown
- There is a large balding area that needs coverage
- There is not enough donor grafts to cover the crown
By keeping the hairline higher and creating the appearance of some corner recessions, we maintain a natural look. This is also good in the long run, because even if the patient loses the crown with no intention of restoring it, a higher hairline usually goes hand in hand with a balding crown. It does not give an unnatural look.