RichieChuck

Hey, So as per the title, I’m 33 years old and have relatively mild hair loss (Norwood 2 hairline, slight thinning on the crown). I’ve been on topical finasteride and minoxidil for about 10 months. I’ve been considering getting a transplant just to fill in the receded temples, but apparently that’s not such a good idea? I’ve had a couple of free consultations in the UK. Both clinics indicated that my crown would be unsuitable for surgery, but they did say that they could do my hairline and gave me a quote so I was a little surprised by Fuecapilar’s rejection. However, I suppose it shouldn’t be too much of a shock given that particular clinic’s reputation for conservative hairlines and only taking on safe cases. Dr Turan’s comments are as follows: [QUOTE] Following the photo analysis, Dr Turan indicated that your alopecia level seems to be a Norwood II according to the Norwood-Hamilton Scale of Male Pattern Baldness (re: the image in the next page) Dr Turan completely agrees with the local clinic's assessment on the crown. The density of the healthy native hairs is too much for a surgery which means you do not have a hair loss in the crown that necessitates a surgery. A surgery performed in this area will damage the native hair in another way as well since the nutrients provided by the subcutaneous blood circulation has to be shared with the native hair and the implanted hair, causing graft competition. It can affect both the development of healthy hair and the survival rate of the implanted hair. The doctor also has doubts that if you undergo a surgery a natural outcome will be as likely as you wish to have the natural outcome by having an implantation on the temples. You might lose the natural look you already have for two reasons if you undergo a hair transplant surgery: 1) The skin elasticity would not allow reaching the native hair density by a hair transplant. There is a limit to the density that can be reached with hair transplantation. 
And most probably this may not meet the patient's native hair density The density on the corners will be lower since we can not achieve the density of your native hairs. 2) When you get older, your hairline will not look natural considering the future receding. In this case you will have a hairline which has lower density in the frontal-temporal area which creates a very unnatural look. The age appropriate hairline that you will have in the future will be affected as well. Due to the factors above Dr Turan definitely does not recommend a surgery. He also indicated that you have a very good looking hairline and a surgery will be more problematic than being beneficial at this stage. [/QUOTE] His comments about a new hairline looking unnatural after potential future recession do make sense, although can’t that largely be mitigated by continued use of medication post-surgery? Pictures attached for ease of reference. Would be grateful for your opinions. Thank you