4 month update:
I couldn't be happier! Everyone around me is seeing a difference and commenting on my new hairline. This month the hairline grew thick and I can see a difference from the previous month. It's only been 4 months and I'm extremely happy with the results so far. Take a look......
I'll post another picture on the 5th month.
Excellent reply Dr Bhatti. Allow the medication to strengthen your current situation. Just as a builder needs build a wall on a good foundation - You need create the foundation for a good HT - and the longer you wait the fewer HTs you will need.
Give it a minimum of 12-18 months before pulling the trigger on any form of HT.
Grow well !
Dear Mr. Ivery22,
The first course of action is to not have a procedure at this time. You should give the medication time to do what it is going to do. In other words, your scalp may thicken considerably in the next nine to fifteen months, which in turn will reduce the number of grafts you may need to a desirable result.
I will caution you, however, in that one procedure is not going to restore the density you have lost as there is not enough hair in the donor region to replace every hair you've lost with any hope of maintaining a healthy appearance. The donor region would have to be severely depleted to get so much hair, and at that point, your true "lost" density will remain lost. Your pattern of loss is that of a NW6 but your loss is diffused which is why your continued use of finasteride may reduce and reverse much of your loss.
You are a very good surgical candidate, however, so when the time comes you can have a very pleasant result that will have fuller coverage and added density. Your benefit is that the sides of your scalp are still quite strong and your temple points are very well defined so all of the grafts moved can be used to concentrate on the top and the back.