Thank you for your question, and thank you for providing a detailed history of your hair loss problem. You seem to be asking quite a well-thought out question, and with the experience I’ve gained from practicing in Manhattan and Long Island for over 20 years, during which hair transplantation and hair loss treatment was an important part of my practice, I can certainly give you some insight about hair transplantation in men in their 20s. First and foremost, it is important to keep in mind that in the absence of stabilization, hair transplantation is significantly limited. Without proper stabilization, your hair loss will continue to progress. The donor area, by nature, is also limited, and without stabilization, it will end up that the amount of hair you will need cannot be met by the amount of hair that can be transplanted. Because of this, I generally do not recommend hair transplantation in the absence of stabilization. There is, however, a treatment that we have developed in our practice that can help with progressive hair loss, and it’s called Hair Regeneration. Hair Regeneration is a hair loss treatment that combines platelet-rich plasma, which is derived from your own blood, and extracellular matrix, which is used for wound healing. This treatment is quite remarkable as close to 100% of our patients with male pattern hair loss were able to stop progression of hair thinning and reverse their hair thinning, making them thicker. We have also been able to demonstrate that the results of this treatment exceeds the results gained from having two hair transplant surgeries. Although there are a few cases wherein some patients do not respond to the treatment, we also have 3-5 years’ worth of clinical data that shows no signs of regression in patients who’ve received the treatment. For some patients, we may do a second injection, depending on the degree of their hair loss progression. During and after the treatment, we watch our patients very closely and carefully, and during counseling, it is clear that there is a preference for getting an injection every 3-5 years to maintain their hair, rather than getting surgery every few years. So far we have been so happy and very impressed with the results that we have even began to develop treatment centers, called Trichostem Hair Regeneration centers, for the purpose of bringing this treatment to more people. Certainly there are many people who are frustrated with the limitations of hair transplantation surgery, and while it is a great procedure, candidates must be selected carefully and appropriately. Again, keep in mind that stabilization is a key factor if you plan to pursue a surgical solution. I recommend that you also learn about the option of Hair Regeneration and do a bit more research. Try not to be swayed by the allure of different high tech surgical technologies because these will all still be subject to the limitations of the donor area. I hope that was helpful, I wish you the best of luck, and thank you for your question.This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.