Hello JW, I can see you are disappointed with the result. The density of hair after transplant depends on several factors. It depends on how long it has been since the procedure. It takes 12 months to see full hair growth after the transplant, so you've certainly waited enough time. At 14 months, you are seeing the final result of the transplant, and this is likely as much hair as you are going to get. Another important factor is the number of grafts your surgeon put in. Obviously, the more grafts put in, and the more densely packed, the better the result. The problem is that you only have so many available donor hair units on the back of your scalp, and the donor area is limited. If you had very extensive area of hair loss before surgery, there just aren't enough donor hair units available to restore normal hair density to the entire bald area. That brings us to the next, critical factor: How the surgeon designed the hairline. Since you rarely have enough donor hair units to restore normal hair density to the entire scalp, it is very important that your surgeon plan out the restoration carefully. A normal scalp has a density of about 100-120 follicle units per cm2 everywhere. When we transplant, we really only have enough for between 25 - 35 follicle unit grafts per cm2 - that's a big difference - but you can still get a great result if it is done properly. The front hairline and the area right behind it are what people see when they look directly at you, and what you see in the mirror everyday (it is also what you are showing us in the photo). It is this hairline that frames your face and determines how you look. Because of that it is critical to put most of the grafts in the front hairline and the zone immediately behind the front hairline (some people call it the frontal tuft area), and use a high density of grafts (with 2, 3 and 4 hairs per unit) in order to really fill out this area. I don't know what your scalp looked like before the procedure, but you need a good 2000 - 2500 grafts, some times more, to create a really nice hairline. Another important factor is the timing of the hair transplant. If you had your transplant too early and too young, then your hair loss pattern was still evolving (ie progressing). If you still had some hair at the front at the time of the transplant, and the transplant pattern didn't account for future loss of that hair, that hair would have been lost naturally over the year, and perhaps even faster because of shedding related to the nearby hair grafts. Here's what you can do now: If you are not already taking, start taking Finasteride and applying Minoxidil for at least 1-2 years and see if your hair thickens. If it works, keep taking indefinitely. You can also wear your hair combed to the side, and that will better hide your bare scalp and be less noticeable. Finally, if none of that works, when your hair loss is completely stable you may be able to have another transplant to better fill in the front. Good luck!