Quick background...
I'm now 33 years old, nearing 34. Currently a Norwood 3. Not likely to be any worse than an NW 5, based on family history and opinion of a couple surgeons.
Thus far have only had frontal recession. Some very minor thinning in the crown, but it's not very noticeable.
Had my first two procedures with Bosley in Chicago when I was 26 and then again at 28. While it was an uninformed decision, I could've ended up worse. I overpaid and the session sizes were too small to justify the procedures (545 first time, 1114 second time), the procedures were a success in that the grafts were transplanted correctly. The FUT scar was not great, but also not awful. The quality of the hairline was not very good, however. I started losing a little more in my frontal third as well.
I had Dr. Ron Shapiro fix the additional loss in October 2007. He did a fantastic job on the hairline and placing of the grafts (1885 total and just under 4000 actual hairs). He did a little temple work too, although I will admit it was less than what I expected and would've wanted. The strip scar also ended up wider than I would have liked, and I also have missing hair from where the stitches were placed, presumably because the skin was pulled too tight. This was my third procedure so I suppose this is more likely to happen at that point. Despite my minor disappointment in the temple work and strip scar, I would still highly recommend Dr. Shapiro. He's a top notch surgeon and his staff was great. After Dr. Shapiro's surgery, I was just under 40 cm2 on my frontal third.
I contacted Dr. Umar for my latest surgery because I wanted to use nape hair to soften my hairline, and in more particular, fix my temples.
Yes, I realize that there is a possibility that nape hair may fall out, but a) if and when it does, that will be many, many years from now; b) the nape hairs were placed in the front two rows of my hairline and temples so if they eventually fall out, it will look like a natural recession anyway; c) I'm not convinced that most of my nape hairs will fall out. I have a tremendous amount of nape hair, as do the other men in my family, even at an old age. In other words, my decision was entirely informed.
Dr. Umar struck me as very matter-of-fact, proud of the quality of his work, and kind. He did an excellent job of constructing a softer hairline and temples from what I can see thus far. Assuming the grafts grow in well, I think I will be extremely pleased, and I will not need any further work done in the frontal region. He used 1900 grafts from my scalp and nape. (I'm going to email him to see if I can get hair count from each area, but I know the scalp produced mostly double hairs according to the technician.) He used more hairs from the back of my scalp than I was anticipating. However, he believes I have a good 3500 donor grafts remaining if I need it for crown work. Additionally, I have a very thick beard and lots of thick chest hair if it comes down to it, so I'm not too concerned about the crown.
I also had Dr. Umar take 50 FUEs from my beard to run a sample into my strip scar. Assuming those take well, I'll be filling that in with beard hair sometime at the end of this year.
To see pics from Day 2 post op, Day 4 post op, and Week 1 post op, click on the link in my profile to go to my hair loss blog.
I am going to email Dr. Umar to see if he has any pre-op pics he can send me. I foolishly forgot to take my camera with me to the procedure so I didn't take any photos the day before. The only ones I have are from September 2009, but I didn't have any further loss from that point. (Actually, I had some thickening since I had started taking iron supplements.)