Can a Norwood 3 Vertex go through with a full transplant throughout the entire scalp to avoid meds? (Photos)

It does not appear that you would benefit from such a large initial procedure at your young age and the pattern of hair loss.  With an initial procedure, I would focus on restoring the frontal hairline and density to the frontal forelock area and placing some grafts into the crown.  I would recommend 70% of the grafts to be placed into the frontal area and the remainder can be placed in to the crown.  This would provide you with the most coverage as well as allowing your hair loss to naturally progress to then re-assess as you get older given that you are not taking medical therapy to slow down the hair loss.  In this manner, it will help to restore the hairline and frontal area without burning bridges as the hair loss progresses.  Also, given your age and not taking finasteride you are at higher risk for shock loss of the miniaturized hairs from a large procedure.        

Thank you for the detailed question, photos and family history. A hair transplant can restore the frontal hairline and help frame the face, as well as fill in the vertex to restore density and volume. Depending on the number of grafts needed, the procedure may be split into two parts. Every patient is different, I would recommend a formal consultation with an experienced, board-certified hair restoration surgeon who can examine your hair loss patterns in-depth.

I would suggest to focus the grafts in the crown and the hairline. It takes a lot of grafts to fill in a crown like yours, so I would suggest a 4000 FUE graft case, with 2000 grafts focused in the crown, and 2000 grafts focused in the hairline and frontal forelock.

Hello and thank you for your question. This is a tough one....you’re 28 years old and I completely understand why you want a transplant. However, at your age you run the risk of future hair loss and is you deplete your donor area now you’ll be out of luck if you need a procedure in the future. Please think long and hard about what you want to do and when. Please find a doctor that has your best interest at heart and doesn’t tell you what you want to hear. Best wishes.Dr. T

Hello, thank you for your photos and questions. 
I observe the hairline disappearing. With 4500 - 5000 grafts, your priority is for the hairline. After the hairline is formed with 2000 grafts, 2500-3000 graft densification studies can be performed in the peak region. 
Your hair will look better than the old version. Technically I recommend the sapphire fue technique.
Best Regards

As per the pictures, it is suggested to go for only hairline as of now which will give you front good profile. As you have mentioned about your family history there are high chances for you to loose what you have . Point to be noted here is that hair transplant is anyhow a camouflage of fullness not really a hair to hair replacement so first priority should always be to maintain what you have with medicines and good diet. In future when the area becomes mature then only opt for hair in the remaining area.

From looking at your photos, I don't believe that you need 4500 grafts to fill in the areas shown. I believe 3000 grafts would suffice. At the age of 28, you run a risk of shock loss and without finasteride on board, you may lose far more hair than normally would be lost.  Make sure that your doctor examines your scalp for the extend of miniaturization to tell you what you risks might be.