So I had my first transplant 5 years ago With Dr. Paul Shapiro (you can find my review here on the forum under my username). I was very pleased with the result and the natural looking hairline the doc has designed for me (I'm in my mid-40's now) but I couldn't continue taking Finasteride as it was seriously adversely affecting me (heavy sweating, sexual dysfunction issues etc.) so the areas that could not have been covered by the original transplant have continued to progress in shedding, to the point where now my crown area is completely bald.
My original surgery was close to 4K grafts in the FUT strip method. I'm thinking of going with FUE this time, and also there is no need to really design a hairline here anymore, so the fine-tuning (I think, correct me if I'm wrong) is not needed as much.
Was wondering if anybody else has found themselves in a similar situation and what you did:
1. Type of surgery you think should be done.
2. Doc recommendation - would like to not overspend here because I feel like this extra surgery should be simpler as design is not really an issue, but of course also not underspend to the point of risking safety and getting an underwhelming result (I'm located in West USA but willing to travel abroad if needed).
I'm attaching some pictures of the affected area and the donor area.
Thank you!
DB