As dramatic as this case is, I personally do not believe anyone in their (early) 20's should be taking such an aggressive HT surgery approach given they face decades of continuing and progressive hair loss, without knowing exactly what type of hair loss pattern is in store for them. That being said, today there is much better information on the efficacy of meds, supplements, rogaine, shampoos, etc. that was not available when I was 20 something and had my first procedure. The results are impressive, but given my own personal experience, I would caution anyone so young to take the permanent plunge into HT surgery before having somewhat of a settled or predictive hair loss pattern.