Hi there!
35 y/o male, thinning started when I was 31, so about 4 years ago.
For the last 2 years I've been taking Finasteride daily, caveat being I'd say I've been 75% faithful to the 'daily' part of it. Minoxodil I'll start, do for a few days, stop, start again a few weeks later, etc. So not ideal/strict usage of either, but MOST of the time, at least Fin has been coming in daily.
Clearly, my hair is escaping me. Crown moving forward, hairline running backward.
Family history on both sides = grandfathers totally bald or close to it.
I'd considered buzzcuts + SMP, but ultimately I don't love the buzzcut look (tho coming to terms with the fact that that may be 'it).
At this point, is FUE at all worth it, or is it a super temporary delay to the inevitable and a decade or two from now, I'm left with hair in odd spots, none in others, and a jacked up/depeleted donor area with no options left?
I've had one consult locally so far, they recommended FUE with 2200 grafts, 1600 going into crown/vertex, remainder going into temple/hairline area to increase density. I let them know I was almost shocked at how low those #'s were and consultant let me know that 1600 into crown (area I am MOST concerned with) is the max they could comfortably work in and feel confident they'd have most chance at viability, as a higher graft count into that area would mean all of them fighting for a finite amount of blood supply so paying for a bunch of grafts that ultimately wouldn't 'take'. (That's my rough translation anyhow)
I was told the goal for crown area would be to go from bald appearance to thinning appearance, but that a full coverage visual just was not possible at least from 1 transplant.
Open to honest thoughts, playing this journey as logical as possible and trying to keep emotion out of this whole thing.
Thanks in advance for any feedback/advice/thoughts!