Performing A
HT on a young guy is, in most cases not a good decision. The ONLY time when I personally feel that a
HT is appropriate for a young guy is when his hair loss is more advanced (atleast a NW 3V) and a procedure would involve packing 3000 grafts into the front third. This means the surgery is a one pass procedure - that is, if his hairloss progresses, he will still be left with a natural appearance. He can then decide whether he wants further hair transplants. The guy should also be on Propecia and the new hairline should be reasonably mature.
The best example I have seen of this is with Thana.
This is my opinion which I have formed from my research. I am actually a NW 3 at 23, with my crown intact. Last year, I was desperate for a
HT, but after thorough research on these forums, I decided to put off a transplant for now, so I'm not left with a tuft of hair at each temple.
For now, I'm on Propecia, use nanogen fibres when I go out and will probably give PRP a shot. I've decided that when my hairloss progresses I'm off to H&W.
I guess TC17 is right - I matured at 23 and made the informed decision.
IMO, I think a lot of young guys don't realise that propecia won't work forever - that in fact on average it's effectiveness begins to fade at year 5. This was my misconception.