Rafael Manelli

This is a great hairline. A surgeon may recommend against this hairline for a young man due to concerns for future loss, and I think the one you've drawn for yourself is MORE aggressive than this. Too flat. I may be wrong. It would help if you uploaded a photo of yourself that's more straight on, including the whole head (blur the face if you wish)

Go on YouTube and look up Dr Couto / Fuexpert. You'll find a bunch of results that are aggressive, youthful, and appear dense without using all that many grafts. He tends to show off patients who have a high hair:graft ratio. It's possible. It can be done in the right circumstance. See what you think of those designs. And check out Feller and Bloxham on YouTube too, good showcases there. Try using the rule of thirds and see where that would put your hairline.

What do you think about this line? It would still look good, but for potentially half the grafts. Surgeons may feel this option to be more ethical and less risky.

Ah underrated factor to consider is language. If you want a good, detailed, properly in depth consultation - try to find someone fluent in your language. Especially if you're something of a perfectionist with regards to design.

It is said that hair transplants look thickest at 10 months, and then thin due to anagen desync. Hair caliber thins with age, but this can take decades. Dr C*** talks about this. It is a disturbing study though

In that case you can move the hairline up just a few millimetres at the middle, maybe 2 or 3, from where you've got it. That guy in the photo you posted seems to have a higher hairline than the one you've drawn on you, but it is straighter and flatter. Your temple points retain their original shape. They're not receded. At worst they're thinning. Finasteride could stop this. They do not need transplanted, or at most, they need about 100 grafts but only for density, not to advance the shape and position. You could probably restore all the loss on the front corners for only 1000 grafts. This would leave you with a youthful Norwood 1 hairline, this is risky in the long run because you may continue to lose hair behind the grafts. So use meds. Your other option is to go for a more conservative hairline, which saves grafts. But guess what? You already have that.

Your hair looks great. Meds will not restore a receded hairline though. They will at best thicken diffuse thinning. But they won’t undo recession. The hairline you drew looks too low to me. Too aggressive. Try using the rule of thirds. Try raising the hairline by 5mm to 10mm from where you’ve drawn it. You may not even need to bring down the centre point at all. do you have any photos of before you had loss?

Looks natural. His low skin - hair color contrast helps.

Just out of interest I thought I'd post this guy (pietro boselli) as an example. His hairline is fairly high, but his temple points are super aggressive and spiky looking. This is maybe the opposite of what you're talking about, so a good contrast. His temple points are practically anterior to the tail of his eyebrows!

The skull curvature along with fine babyhairs and angles can make it look different in different photos. I tried outlining your young hairline and then recreating it on your newer photo. Your forehead already looks small, by the way. The hairline is low. Perhaps it looks wide from the front due to temporal recession? Anyway, I would say the entire temples themselves are quite aggressive for you naturally, not just the "points" or "peaks" If you wanted to recreate this surgically it would only take a few hundred grafts. Temple points are the biggest bang for your buck graft wise. Because they lie so flat and parallel with the skin, overlapping each other neatly, they create a great coverage, and can look dense with only a small number of grafts. As opposed to the crown, or the very front, which require tons of grafts to look thick due to angles.

Black men (American or otherwise ;)) often have this sort of hairline, which can read as juvenile. The temple points are boxy and squarish, with the frontal hairline straight or even slightly curved downwards - which is considered more of a feminine hairline in whites. Usually, the midpoint of a man's hairline is the lowest point. In a woman it may be the highest point. Africans sometimes seem to have this sort of curve. Native American men tend to have absolutely no male pattern baldness whatsoever. If they are pureblooded.

Your hairline shape is very interesting here. How I'd describe it is the frontotemporal junction is the most anterior part of the temporal hairline. In other words, the top corner is actually in front of the temple point itself. It is rare, some would say juvenile. Maybe an ethnic variant. But I think this may be what you're getting at

Then you have guys like this whose temple points I can't quite figure out...

Excellent topic. There is so much about temple points that tends to go unsaid. One thing I'll say is that they tend to start at the frontotemporal juncture, which tends to be in line with the sideburns, or anterior to them in more aggressive, youthful cases, and then come down and forward towards the eyebrows. They should come down at an angle less than 90 degrees if that makes sense. So they shouldn't be like a straight line that goes vertical with the head, instead they should come forward (anterior) until the peak (furthest forward point), and then back towards the sideburn forming roughly a triangular shape. Aside from being roughly triangular, they can involve convex or concave lines, and can be sharp and angular or more rounded. It just depends. Also they are rarely ever symmetrical from left to right in nature. A perfectionist might ask the surgeon to make the left and right design exactly the same, and this can look aesthetically fine, but just be aware it's rare in natural hairlines.

I don't see anywhere you mentioned Norwood 3 or 2500-3000 grafts. But okay, these photos are good. I think the hairline you've drawn is a little too low. You could save many grafts and still get a great cosmetic result if you went 5mm-10mm higher. But for what you've drawn, the number of grafts seems reasonable.

Excellent work with FUT, the gold standard.

Your case? What case? You look like you have a full head of hair in that photo! DHI is just a type of FUE. It’s alright but I don’t think it’s that big a deal. Nothing special compared to “regular” Fue.

You look like a new man already.

Booking and travelling etc can be stressful. But the end result can give you a new lease on life. Certainly may be worth it but only you can decide that. good luck!

Both are highly regarded for repairs. I’ve heard Mwamba is slightly less expensive, but you may as well inquire to both. If you’re looking at Belgium you could also consider Feriduni and Lupanzula. Personally I’d trust any of the above. Good luck with your repair!

Hm

Strange. I’ve heard Bicer is great value for money. Hassan and Wong are much more expensive.

That does not look like 3300 grafts to me.

Also you’ll need to learn about FUE vs FUT. There are some very informative threads here.

We’ve had loads of great results by this dr recently, congrats