Al - Moderator

It depends on where you are at on the hair loss scale and what your expectations are. Young men with hair loss who want to get a hair transplant need to go with a high hairline and somewhat low density. The problem a lot of times is the high hairline they would need to receive is where the receding hairline they already have is at and they are trying to bring it lower to where it was a few years ago.

I don't think anything went wrong. It wasn't just his hairline that was done. The grafts went back into his midscalp. If you look at his before pics he had no hair up front. Then look at his after pics. You can see that entire area is covered. The problem is he has such wet/greasy look in the after pics that is making it look thin. If his hair was dry it would cover so much better.

Looking great

You don't see anything because he shaves down to the skin. The recipient area doesn't usually scar as much as the donor area and isn't noticeable at all in some people. You can see the hair transplant if he lets his hair grow out a bit.

I don't know his prior situation, but you have to be lucky enough to only have frontal loss or only very minor crown loss where the crown doesn't have obvious thinning until well into your 40s. You can take 2 people who look exactly the same from the front with a lot of frontal loss, but from the back if one has a large bald crown then they are not going to have anywhere near the same results. My hair loss started in the crown and I had a completely bald crown several inches wide when I started my hair transplant. If I only had to transplant the front instead of an entire NW 6/7 area it would have turned out much better.

I hear this a lot, but I always felt the opposite. When my hair is gray it's almost invisible against the scalp and looks so much thinner. Besides that it also makes me look older with gray hair.

My opinion is it's usually a waste of time and effort to do this because you will end up with a scar in front of the hairline which you are going to want/need to add transplanted grafts to anyway in order to cover the scar. Just go with transplanting a new hairline to begin with and forget about the reduction.

It looks great. MUCH more natural than you started with and it looks like you gained some density.

This is what I would do because I don't like flying either, so I totally get it.

Good plan. I give you high marks for thinking this through logically and for the long term.

This is common at the time frame you are at.

To be fair, this person had 2000 grafts done somewhere else before going to Dr Yaman, so he had 4500 grafts total which is probably reaching the limit that his donor can handle without looking depleted. It looks like the 2000 grafts were probably done in the back, so perhaps Yaman only had the sides left to take from. I don't think you can blame this one on Yaman without more details of the first transplant in Russia which the poster did not seem to give.

Now that you have had some great growth over the course of one year, it may be time to start looking into a hair transplant to really add density to it all.

You can try Dr William Lindsey in McLean VA.

When they say it's 4000 grafts that means they transplanted 4000 grafts, however there could be a lot of transected grafts or grafts that the follicle crumbles when taking them out. If this patient has a 50% transection/non viable graft count then that means they actually made 8000 attempts (8000 punch holes) to get 4000 good grafts that they inserted.

This looks pretty good. You had a lot of area to cover, so you have to accept that the crown will still be thin in order to get better coverage in the front half.

If you are in an area that has cold Winters then late fall or early winter is best because while it's cold you can wear hoodies and hats all Winter long and nobody will think anything of it. By the time the Spring comes you'll be well into growth mode and ready for Summer. An added bonus is the day light hours are much shorter in Winter and it's much harder to notice anything was done on your head in the darker hours if you do get seen by anyone.

If you have multiple transplants over the same area to keep adding density or perhaps remove pluggy grafts and then add grafts again a few times, then the numbness may eventually never go away.

I'm posting 2 pictures here of men with chest hair. The first man has some very dense hair that grows somewhat straight and long and would probably blend in with his scalp hair with no issues at all. He could probably do a complete hair transplant using only chest hair if he wanted to and you would not even know the hair came from his chest. The 2nd man has some tightly curled chest hair which when you look at his scalp hair you can see they are totally different from each other. This persons chest hair probably isn't going to be very useful in a transplant because it won't blend with the scalp hair. This is just 2 samples, but you can see there are big differences in chest hair. You really have to evaluate your own type of scalp and chest hair to get an idea of how well (or not) it may work on you. Don't just read a generalized statement about body hair (chest hair in this example, but other body hair has similar differences) and come a conclusion about your own personal situation.

This depends on the person. Chest hair varies greatly in different people, so you can't read one thing on it and expect it to apply to everyone. Some men grow very long, straight chest hair that almost matches their scalp hair. Yes. Using a larger punch size than would have been used on your scalp helps. I had some 2 hair grafts on my chest and a lot of them on my abdomen. Again it varies greatly between people. Would that even matter? Chest hair is not falling out due to MPB/Alopecia. It's just going through its normal cycle. Once it gets transplanted most of it will shed and start growing a new hair anyway, so why would it matter what stage of the cycle it's in? I'd have to hear more on that theory.

This isn't easy to do. Once you FUE out a graft you are left with a small hole. You can't place a new graft into the same spot until it heals. You could do it if you have a small amount of grafts in specific areas that you are trying to remove and want to place them somewhere else along the hair line. For example if you want to remove a few grafts that are too low in the corner temple areas, you can replant them somewhere else along the hair line to add some density there.

I think most people worry that they will be one of the botch jobs they have seen. Unfortunately some people will end up in a bad situation. The best way to reduce the risk of that is to research and go to a Dr who has a reputation of performing good quality hair transplants.

There is always a small percentage of hair that will not be visible because the hair has fallen out through the normal hair growth cycle and a new hair hasn't started growing yet. If you have all of the hairs that are visible FUEed out, a few weeks later you may have a few new hairs growing due to that normal cycle. You may need another session to get rid of the rest and you may still have a hair here and there that continue to grow after that. Depending on the reason you are FUEing out these grafts, leaving some can create a more natural appearance (if they aren't pluggy or wrong angles) as they create a transition to the full hairline behind it.

Looking great. Is this about 5 months now?

Oh. I didn't realize you were only at 5 months, so never mind as it will fill in more, but if you are curious as to what I meant I'm adding a picture for you.