How many grafts for my 2nd hair transplant? (Photos)

Based on your pictures, i would try to get as many grafts as possible and then make sure you are able to use some kind of topical and oral medications to further try to maintain the hair that you have

Hi keith!indeed your hair density has reduced 3-4 years after the hair transplant which is expected due to progression of male pattern hair lossHave you tried medical treatment using minoxidil or stem cell growth factor treatments to boost the follicle activity of the transplanted hair?
should you decide on a 2nd FUE transplant, 1000-1500 grafts should be able to give a good result