FUE with Scalp Micropigmentation? (Photos)

If you are losing hair and want treatment options you should schedule a consultation with a doctor.  Most doctors probably would not recommend surgery based on photos alone.

I'm happy to hear you are on finasteride for so long. Looking at the pictures you have diffuse loss throughout the top but still a considerable amount of hair. My concern with the amount of hair you still have and the wide pattern of loss is you might not see enough of a huge visual change to justify using so many grafts with a transplant. Remember donor grafts are (currently) limited in number over your lifetime. What I see most in the pics is the color contrast between your dark hair and the lighter skin underneath. I would recommend finding an excellent smp provider and trying that first. If done well, that might get you where you want to be. In the future if an area continues to thin out, try an fue at that point and concentrate it where it will make a big change. 

Scalp micropigmentation is a hair restoration technique used to give the appearance of fuller more denser hair coverage on the scalp. It is often used in conjunction with hair transplantation to help boost the appearance of the end result. SMP is not usually enough on its own to completely restore the appearance of hair on the scalp.
Additionally, I would caution you to make sure you do your research on FUE mega-sessions prior to getting one. If not done by an experienced and qualified hair transplant surgeon, these 4,000+ graft sessions can increase your risk of shock loss and scarring. Leaving the finished result less than desirable. When such a high number of grafts are needed to achieve the desired result, more than 1 surgery may be needed. Splitting the procedure into 2 greatly reduces the risk of shock loss and scarring.

Scalp micropigmentation may help you more to solve that problem of hair density . You have to know that 4000 grafts are very big number to transplant that vertex area and even you will have that operation ıt would not cover the thinned area and not provide you a natural density that you wish .

First of all, I recommend having a complete evaluation by a competent hair restoration physician.  If you have thinning in the donor area, depending upon the degree of thinning, that may be a contraindication for surgery.  Also, if you do have thinning in the donor area, you may not be able to obtain 4000 FUE grafts.  SMP is a technique to look into if you want to help camouflage your scalp.

Thank you for asking this question.
It would be completely your choice as to which method you would want to go for; just one of the two are both scalp micro-pigmentation and FUE-hair transplant. FUE-hair transplant is a surgical restoration method, whereas, scalp micro-pigmentation way non-invasive restoration; which will just colour the scalp eventually making the thinning area appear dense. 4000 grafts is a huge number to be extracted just by FUE-hair transplant method. If you had to do 4000 grafts, then either you might have to consider to get it in 2 different session in an interval of 4 to 6 months or consider a combination of FUT (strip method) and FUE-hair transplant. Your donor area looks decent but not that great. Although you can surely get a yield of about 1600 to 2000 grafts in one single session.

Good luck!

Regards, Dr. Amit Gupta

In your situation, SMP might be enough to cover the thinning and small areas of balding. If you have 4000 FUE grafts, you will almost certainly develop balding in the donor area if you are already thin there. FUE works really well to manage this complication. See below