35 yo, should I do a FUE HT on the crown now or wait? (photos)

Hair loss has many causes, including stress, medications, autoimmune, genetic, trauma, etc. Medical treatments can work and options would include finasteride (propecia), minoxidil (rogaine), PRP (platelet rich plasma), laser light therapy, and vitamins. It is often uncertain which medical therapy will help which patient and so a combination of therapies is typically recommended to maximize benefit. A hair transplant is a surgical option and is appropriate for certain conditions and individuals. 
The goal of a hair transplant is to provide fuller coverage while preserving a natural appearance. An assessment takes into account such factors as the apparent thickness and curl of your donor hairs, the color contrast between your scalp and hair, your hair loss pattern, your age, and many other factors. The state of the art technique is FUE (follicular unit extraction), performed with a hybrid blunt punch that minimizes graft transection while allowing for the use of the smallest possible punches to minimize donor site scarring while maximizing regrowth.
In your situation, getting on some maintenance treatment would be in your best interest. You can also consider PRP treatments to the crown before a hair transplant. If you do proceed to a crown hair transplant, I would recommend 1000 - 1500 FUE grafts to give you more density but to preserve your donor area for potential future procedures.
Gary Linkov, MD
Hair Specialist
Manhattan

Hi There,
FUE hair transplantation is a great option for restoring hair to the scalp. In your case, you have good donor site density and would be a good FUE candidate, particularly because you keep your hair short in the back. Determining whether now is the best time for an FUE is a great question. Although there is no perfect way to predict hair loss, you can estimate hair loss by looking at other male family members. This will give you an idea of where your hair loss will "end up." With that information, I recommend consulting with an experienced hair transplant surgeon. You can then discuss your family hair loss, as well as your current hair loss, to determine if FUEs to the crown only would lead to natural results. If you anticipate that you will keep the frontal hair, then placing grafts in the crown area may be helpful and natural. However, if you feel that you will lose hair in the front, it may be helpful to spread grafts along the frontal area to bolster the hairline, in addition to the crown, for a more natural result.
Hope that helps!

Hello and thank you for your question, I’m happy to see you are asking questions, it makes it easier to decide once you’re informed. I’m curious as to why you’re against medications, because you’re a good candidate for it. You could also go ahead with the transplant. I suggest seeing a reputable doctor and decide which is the best path for you to take. I wish you the best.Dr. T