Dear relo88, Thank you for your clinical post and photographs. You have some significant thinning of your middle scalp and crown and some recessioning of your frontal temporal zones. This is likely a familial androgenic male pattern hair loss and you may have some rapid or slow progressive thinning and recessioning. When is the right time to perform hair transplantation varies between patients depending on the recipient site thinning and donor site availability. You appear to have an excellent occipital donor site and you have enough thinning to warrant transplantation. At SpaMedica we have been performing hair transplantations for over a decade and the countries leading experts on automated and robotic follicular unit harvest. The advantage of NeoGraft and Artas robotic hair transplantation are that the automated NeoGraft and Artas robotic techniques leave no linear scar at the back of the scalp. This allows patients to feel free to wear their hair short without the stigma of a typical strip graft scar. If the crown and vertex bothers you most, that would be the first place to start. One of the many advantages of the FUE or follicular unit extraction technique mentioned above is that the donor site can be accessed repeatedly over many, many years transplanting grafts, as you need them and to areas of ongoing recipient site thinning. At some point restoration in the frontotemporal line and the temporal sessions would also be required. Subsequent sessions can be performed as need and if there is progressive thinning. There is some benefit profile FUE are excellent and we have developed an expertise and are very busy performing FUE hair transplantations. I think you can get an excellent result but need an excellent centre working with you to be your provider over the next number of years as your male pattern hair loss will likely progress. I hope this information is of some assistance and best of luck. To find out more or schedule a consultation, please visit the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto