Hi!
First off, let me thank the people here. This community is a great resource. I feel much more empowered to make such a tough decision with all the aggregated information and help here.
I have had a consultation with a reputed coalition surgeon in the US but I wanted to post here just to check if someone would have a different useful opinion before I make a decision.
I am a 27 year old South Asian. I started balding slowly about 4 years ago at the crown and a receding hairline on the sides. I used to have a decently thick head of hair so was not very noticeable in the beginning. But I moved to the US a year ago and the balding progressed faster after that. My current pictures are attached.
Almost every male member on my father's side of the family has eventually progressed to a Norwood Class 6 or sometime 7, some sooner, some later. And I am willing to believe I will be a Norwood Class 6 someday, if not 7 (this is my own assessment after the consult with the surgeon). I am currently thinning in a Norwood 5 pattern. I have not taken any medication, and am not inclined to try medication as I believe they will have limited effect.
The surgeon I consulted has recommended 5000 grafts FUT for now, with the _possibility_ of another surgery later. He said that the pattern is very apparent at this stage and we don't need to wait.
I wanted to check with people here on what they think about going with the surgery now with 5000 grafts with focus on the Norwood 5 pattern, and doing a corrective surgery later in life for the Norwood 6/7 if my hair loss indeed progresses to that stage?
One reason I am more concerned about this is because the FUT will take away the option of shaving my head, and future hair loss (Norwood 6/7 minus Norwood 5) could look ugly making another surgery necessary. I don't think FUE as the first surgery is a viable option for my level of hair loss.
Specifically, I have these questions I will clear with the surgeon next but any help with these would be greatly appreciated too:
Q1: Are FUT strips wider if the number of grafts is more? Does it affect healing time? I understand the answer depends on my donor hair density and it is difficult to assess that from the pictures, but I am just looking for a general answer.
Q2: For the second surgery, will it be FUE or another FUT. What are the complications? What if there are not enough donor hair at the back of my head? I do have closely matching body hair.
Q3: If I do have to shave my head later in life, what options are available to hide/pigment the scar. Please note I have brown skin.
Thank you very much.