Mark Anton, MD, FACS

Anti dandruff shampoo will help with flaking.  Losing the initially grafted follicles is part of the normal hair cycle and should not cause you concern. You should expect new hair growth 4-6 months. 

At StarndMD,  We always educate our patients about hair loss prevention and maintenance prior to consulting with them about any hair restoration procedure. This is crucial in young men who are just beginning to experience  hair loss and we have no real frame of reference to see what they will look like 10 to 20 years from now. In your case, you seem to have some history of hair loss genetically and are starting to exhibit some temporal recession. You have more than adequate donor hair from the precursory images, So you maybe a good candidate to achieve your desired result.  However, I don't recommend doing restorative surgery at this time since I believe that the benefits to your hairline restoration will be underwhelming when considering potential subsequent hair loss beyond your frontal/temporal transplant in the future . I recommend focusing on preservation at this time. You may try saw palmetto as a natural 5- alpha reductase blocker to see if that helps in light of the side effects you have had with Finasteride. 

I suggest you see a professional hair loss / restoration specialist to evaluate the cause of your hair loss. He/She will take a detailed history and patient exam to determine this.  One you know what is causing it you can treat it appropriately. You want a specialist that can Prevent, Repair, Regrow and restore your hair. 

No , SMP will not limit an experienced specialist from doing a great hair transplant. We use high powered lights and magnification loops. These enable us  to see the scalp and determine the best orientation and placement of the grafts without any difficulties. In fact, at StrandMD , we create a lot of density through the utilization of these combined methods. 

I suggest  that you first see a surgeon that can adequately measure whether you have any additional donor hair that can be transplanted. Without closeup examination this is hard to determine on the photos that you have submitted.You may want to consult with a surgeon who performs FUT and Scalp  Micro-pigmentation in order to see if you can achieve better results.

I suggest seeing a dermatologist in order to determine if you have an underlying inflammatory issue in the scalp. 

& months Post-op is too early to determine the final result that you may achieve. Patients achieve their maximal result by 1 year. I suggest you follow up with you surgeon. 

No need to worry.  We have our parents start gently washing their hair by 72 hrs Post op. Your grafts will gradually fall out and you can expect regrowth 4-6 months.  

If you are considering FUT surgery the best way to hide the Scar would be Scalp Micro Pigmentation  (SMP) and/Or FUE . 

Hello Friedchickenislove-Below are the recommendations from The American Society of Plastic Surgeons, to which (I believe), 90-95% of board certified surgeons are members:ARLINGTON HEIGHTS, Ill. - A breast augmentation procedure in which fat from other parts of the body is transferred to the breasts causes can cause false suspicion of breast cancer on follow-up mammograms, according to a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). The mammographic changes occurring after fat injection are indistinguishable from abnormalities associated with breast cancer, according to the study by Dr. Cong-Feng Wang of Meitan General Hospital, Beijing. Based on this "mammographic confusion," the authors conclude that the use of autologous fat injection for breast augmentation should be "prohibited continuously."Ho9pe this helps objectivity regarding this question.