I think the number one reason that most patients don't go for the optimal highest density is because it's not necessary to look fully restored.
In fact, the key to successful hair restoration is "achieving" an illusion of density or adequate coverage.
When we are very young, we don't notice the diffusion until we get older but everyone has it to some degree.
I thought the community would benefit from this video. A lot of you guys think the rain and swimming will completely remove hair loss concealers, but I have found a way to be able to swim go in the rain and pretty much do anything with hair loss concealer on enjoy!
A strong 5a with a lot of miniaturized hair. Meds would help him as well.
While difficult to day, I very much doubt you'll end up 7 based on what you've written and the photo you just posted. But, if your concern is getting worse, why oppose a laser, for example or any of the other modalities? Propecia, I get. Most get hung up with the potential side effects issue. But aside of that, you could truly help control the loss.
When you consider the fact that there is not enough donor to allow for a full set of hair when dealing with an advanced pattern, it is imperative you keep as much of the native hair as you can. But let's play out the scenario of not doing meds. Say you do become a class 7. By that point you would have had a procedure and let's assume you did an FUE. You dipped considerably in the back....All the hair harvested from the donor will also thin. So eventually you may end up with a few stragglers.
If your goal is to do nothing to preserve the native hair, I would suggest you do absolutely nothing. No grafts, no meds, NOTHING.