A receding hairline is an ongoing process. You don’t know the rate your hairline recedes so you have to think about what will happen after you have hair transplant. You can’t continue transplanting hair because of the limited donor area or the permanent zone where hair doesn't thin. In addition, people of African descent that wear short hair like you, may have scars on the donor area regardless of the technique whether through follicular unit extraction (FUE )or follicular unit transplant (FUT). There are medical options that help stabilize the progression of your hair loss. There are two drugs that are currently FDA approved in the United States for hair loss: one is finasteride which is a pill that you take daily, and minoxidil which is a topical that you apply daily. Finasteride works by inhibiting an enzyme called 5-alpha reductase. This is an enzyme that converts testosterone to dihydrotestosterone (DHT) which is responsible for hair thinning in DHT-sensitive hairs. Unfortunately, finasteride can have long-term sexual side effects even after taking the drug has stopped. In our practice, we have developed a treatment called Hair Regeneration. This is a real change in the approach to the treatment of hair loss and is an alternative to surgery and daily medication. Hair Regeneration is a treatment which involves an injection of a material called extracellular matrix (ECM) combined with platelet-rich plasma (PRP). Many people confuse platelet-rich plasma as a standalone treatment. From my experience, platelet-rich plasma does not stop hair loss on its own. We use it as a way to enhance the process. The key to our treatment is the extracellular matrix. This is a wound healing material that has remarkable abilities. I use it every day in my full body cosmetic surgeries in addition to hair loss. We even helped rebuild cartilage outside of the body for a man who lost part of his ear from melanoma. This represents the next level of medical care which involves stem cell therapy. This is the adult stems that already live in your body that are recruited as part of wound healing. Through Hair Regeneration, we are able to treat close to 100% of patients who come for male pattern hair loss. We get significant results that, depending on the time they come, exceed the results of hair transplant surgery. Timing is important so the earlier someone has the treatment, the better it is for them. If someone has thinning hair or receding hair, then we treat first with Hair Regeneration and wait 12-18 months to see what type of results we get before even discussing hair transplant surgery. The challenge that we see constantly are people who are desperate because they had a hair transplant 5-10 years ago and now they have hair plugs. This is because the existing hair that was there at the time of the transplant since disappeared, so the patient only has the hair grafts left. They have less donor hairs available for further transplantation. I suggest that you learn more about your alternative options. You may want to consider trying medical therapy first and then consider Hair Regeneration as an option. 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.