I am a 34 year old male considering crown hair transplant surgery. Would FUE be acceptable? (Photo)

Question

My hair is pretty course, generally. Very little recession around the temples. Slight balding in the crown. I am on propecia and finasteride. I have been told 500-1000 fue procedure to thicken up the vertex would be acceptable. Thank you for your time.

Amir Yazdan, MD · Answer

Since your hair loss is very minimal, I would recommend you continue the finasteride and possibly look into topical solutions such as minoxidil and possible at home laser therapies.  See if you can over time get some density back in the crown.  If the thinning bothers you so much that you cannot wait, then FUE would be acceptable to transplant in the thinning region.  However, it would always be best to get advice from a qualified hair restoration surgeon that can examine your scalp in person and give you recommendations.

Jeff Angobaldo, MD · Answer

Thank you for submitting your question, at your age, would recommend to continue your finasteride. PRP, laser cap and  amino acids is also recommended. When you are ready for your FUE, approx.  1000 grafts would help create more density.  Best wishes.

Jae Pak, MD · Answer

500 to 1000 grafts that you were told may be acceptable.  However it may not give you the fullness you once had or give you a no-see-through effect.  Aside from possible shock hair loss and continued hair loss, you need a lot to make an impact on a minimally thinning area. Example:  Adding 10 hairs in an area that has 100 hairs will not make an impact versus adding 10 hairs in an area that has 20 hairs.  Using drugs (Propecia or Rogaine) may give you a better result than surgery with less risk.  Example: Drugs such as Propecia or Rogaine can make those 100 hairs thicker while growing additional hairs in between. Finally (as I always advocate) you need an examination and a diagnosis before deciding on a treatment plan.

Ilker Apaydin, MD · Answer

Your hair loss is still minimal that is why keep up with your medications.You may also start using Minoxidil as a second treatment for the crown area balding.

Jeff Donovan, MD, PhD · Answer

With such a high starting density, there's is a high chance you wouldn't get much improvement and a small chance you'd actually look worse as so many hairs might potentially be damaged.There's a real risk with operating with such high density. Hair transplants work best when the density drops below a certain level

Rashid M. Rashid, PhD, MD · Answer

Density of a transplant can get you to 90-95% of normal and you are about that now.  I am not sure you would gain much.

Michael Meshkin, MD - Account Suspended · Answer

From looking at your picture, you have some thinning in the crown area which would make you a good candidate for medical treatment.  Since you are on propecia, I would recommend rogaine and vitamins as well.  However,if you really want to do surgery to add density in the crown area, I recommend 1000 grafts, but I do recommend that you stay on the medical treatment option to prevent future hair loss.

I am a 34 year old male considering crown hair transplant surgery. Would FUE be acceptable? (Photo)

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