Am I a candidate for a Hair Transplant as of now or should I wait until I go completely bald and FUE or FUT? (photos)

Age 30. Surely I will be losing more hair in future .. so is now the right time to take care of the crown thinning or wait? And if I get it done now, can we have another surgery in future? if that's the case, is fue or fut better for now? And how the depending on the pictures below how many follicles will be needed? (is one follicle one hair from donor area? .. or how many grafts and difference b/w grafts and follicles) I've used minoxidil but I see no difference.

Doctor Answers 10

Hair transplant surgery is not about "how many grafts" you need, but about how a doctor can match your goals and expectations.

Photos cannot assess if you would be a candidate for surgery.  Usually this involves seeing a doctor in person.  Hair transplant surgery is not about "how many grafts" you need, but about how a doctor can match your goals and expectations.  3000 grafts may not be enough if you have unrealistic goals.


Los Angeles Hair Restoration Surgeon
4.9 out of 5 stars 85 reviews

When to get a hair transplant

I recommend you speak to a hair loss expert sooner rather than later.  Since we are always dealing with a limitation of donor hair with a hair transplant, the sooner you begin a treatment to stop the loss the more hair you will have to accomplish your hair goals.  The answer, when do you get a hair transplant and which kind: When you want to make a cosmetic change then you should consider the transplant.  As a young guy, I strongly encourage you to consider an FUE procedure as it give you more flexibility with hair styles.

Justin Misko, MD
Lincoln Hair Restoration Surgeon
5.0 out of 5 stars 10 reviews

Ar what point hair restoration is recommended?

hair transplant is a cow elective cosmetic procedure. the point at which you consider the procedure is very subjective. If your hair loss is  established and it is bothering you, then hair restoration is a viable option. 

Michael Meshkin, MD
Newport Beach Hair Restoration Surgeon
4.8 out of 5 stars 27 reviews

Do I need surgery now

What you need right now is a comprehensive plan to treat your ongoing hair loss on both the prevention side and the restoration side.  You would benefit now from about 2500 or more grafts of surgery.  I favor FUE since it tends to be better tolerated that FUT in most cases with a shorter recover. 

IN terms of prevention, there is finasteride and minoxidil which you should consider.  However, great research has been done using cellular therapy for preventing hair loss and stimulating hair growth.  I have been researching the use of stem cells and PRP for stabilizing hair loss in men with androgenic alopecia and we can now say that PRP is very beneficial in most cases.  My most common package for patients today is a combination of cellular therapy with transplant and the results are extremely good.  Looking at your case, you seem to be a great candidate for this combination therapy. 

Ryan Welter, MD
Boston Hair Restoration Surgeon
5.0 out of 5 stars 6 reviews

Crown restoration

As we age, so do our follicles and you should and can expect continuation and progression of your hair loss in your crown.  Regardless, you will need approxaminately 3000 grafts for zone 3-4 restoration.  If you do the procedure now versus later, you would use about 2200 grafts, and would need a procedure of 800 grafts at a future date should hair loss progress. 

You can also wait until further progression of hair loss in your crown occurs, and do a larger 3000 fu procedure at that point.  

Continue with minoxidil, and make sure you are using a good brand, that you are consistent with it on a daily basis.

Baubac Hayatdavoudi, MD
Beverly Hills Physician
5.0 out of 5 stars 41 reviews

Candidate for a Hair Transplant

yes it is now the right time to take care of the crown thinning.because you hav ea lack of density and need hair replacement on vertex .ıf needed you may have another session of HT in future as fast as just 8 months later than first op .  ı asssume that you may have a 2000 grfats  FUE op . FUE is much more advantages compare to FUT : larger coverage , more graft harvesting and more natural look with less detectable surgery with FUE... 

Ilhan Serdaroglu, MD
Turkey Plastic Surgeon
4.9 out of 5 stars 11 reviews

Don't wait until you're bald, but don't wait to get treated!

You really just have some thinning on the crown.  Finesteride works great for that area and even better when combined with minoxidil.  I think that grafting right now is unwise -- you may want those grafts in the future for the front!  Start the finesteride and see what it does over the course of a year or two before considering surgery. When you want to do surgery, consider FUE over FUT to avoid the scar.  Good luck!

Robert S. Houser, DO
Columbus Plastic Surgeon
5.0 out of 5 stars 15 reviews

Crown Thinning in 30 Yr Old Male

As far as medical therapy goes, finasteride is far more effective than minoxidil for regrowing and stabilizing hair loss in the crown area. Both are recommended for crown (vertex) balding. Seeing a well qualified full-time hair restoration surgeon will help you plan a course of action and best treatments, both medical and surgical to improve your hair loss situation. Amount of grafts will depend on your desires as well as skill of your surgeon. There are approximately 2.3 hairs on average in a follicular unit. Extraction method of grafts and graft survival needs to be discussed with the doctor.

Brian Goertz, MD
Seattle Hair Restoration Surgeon
5.0 out of 5 stars 23 reviews

Don't wait

you should have a formal consultation with a hair restoration surgeon who can evaluate your hair and scalp, as well as discuss the non surgical and surgical options that are available to you. From the photos it is difficult to tell what you will need, besides, your donor needs to be evaluated. A good consultation with set reasonable expectations as well as set up a short term and long term plan. Don't wait. 

Rae Lynne Kinler, MD
Chicago Physician

30 years old and balding

You should see a doctor and get a clear diagnosis. A HAIRCHECK test will show you how much you are losing and where you may lose it. Drugs like finasteride may stop the hair loss. Transplanting the balding areas may be an option. See video below

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.