I will be 30 years old in November and have been on Propecia for 21 months to prevent further hair loss. Fortunately it has significantly slowed the rate of loss, but did not regrow any hair. I am mostly stable now, although there is still some slight regression. Currently, I am a NW2.5V patient on the scale with more loss on the crown and less at the hairline.

I prefer to have the FUE procedure to fill in the existing frontal hairline (as this has not receded from its original location, but rather has become less dense), the mid scalp, and the crown. My goal is to restore adequate density to provide coverage over the affected area.

I am concerned about shock loss in the transplant area due to the relatively broad coverage of the existing hair, so please address this issue in your response. Please advise my options, including the estimated number of grafts to achieve the desired results and the associated costs of the procedure.

Answer:

At 30 even using Propecia, you could and probably will lose more hair. For this reason I’m not a big fan of grafting the crown in men less than 35. The only one exception to this rule is if FUE is used. If extensive loss ensues you could cut your hair short without seeing a linear scar. (more…)