Celebrity Hair Transplant – What is Wrong with Joe Biden’s Hair Transplant?

Mr. Joe Biden before and after hair transplant - Left: young Joe Biden with early male patterned baldness, Right: after hair transplant

Mr. Joe Biden before and after hair transplant – Left: young Joe Biden with early male patterned baldness, Right: after hair transplant

Joe Biden Before And After Hair Transplant

Originally Posted November 4, Updated March 5, 2020
Joe Biden and his hairline are no strangers to our blog. In November of 2013, we discussed, what is wrong with his famous “hair plugs” (below). Now that he is running for president, his hair transplant (along with other plastic surgeries) has become the focus of media, so we decided to re-visit this post and give our readers an update!

Supply and Demand Mismatch of Hair

Years ago, I had a conversation with a 31-year-old patient of mine who was insisting on having a low and broad hairline. In a 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 looks good now and it will continue to look natural when the person is in his 60s or 70s (unlike both Joe Biden and Donald Trump).

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.

Two problems with Mr. Biden's hair transplant - Right: Wide area of crown with no coverage - Left: Thin hair on a large area of top

Two problems with Mr. Biden’s hair transplant – Right: Wide area of crown with no coverage – Left: Thin hair on a large area of top

Where are the problems with Joe Biden’s Hair Transplant?

  • 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.