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Hi, how many grafts do you all think I'd need? In the first two photos, I have my hair combed back to accentuate what I'm missing. I'm just looking to fill in the temple areas a bit. In The last photo is my hairline from 20 years ago.

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Maybe approx 2000 to 2500 grafts to give you good density in the areas you show.

You look like you have great hair characteristics! Find a few recommended  Drs from this forum,

consult with them in person if you can. Forum members can give you a idea of how many you might need but a Dr will give a much better informed opinion.

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It looks like you have a mature hairline, not even really loss. The risk to reward might be unfavorable if you opt for a transplant. Maybe consider finasteride as a preventative measure, if you're willing.

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My best guess is you just your hairline filled in a bit like this;

1046458495_ScreenShot2020-08-01at9_59_51pm.png.45966232f9abe09386afdb9a1cc4d83b.png

I have to agree with @PizzaWolf that the risk vs rewards in this industry are pretty unfavourable for your amount of loss, so if were absolutely adamant about a HT youd have to choose VERY wisely. 

The closest example I can think comes from my own surgeon who used about 1000 grafts for a similar case; 

 

Good luck

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I agree your hair looks pretty good now, the amount of improvement vs risk comparison is not in your favor. 

Do you have any pics of your temples from the side when you were younger? Alot of guys ignore the temples on the sides, just focusing on the top, and its one of the dead giveaways when I'm looking at someone's head that they've had some work done.

 

I'm not a doctor so can't give you graft count, and obviously not an artist but I'm going to try that job anyway :D,  l wouldn't just do the top like in transplantedphil's pic above,  I would want the temples filled in a bit too so that you have a new meeting point/widow's creep. But anyway, I find it curious that the doctors don't do more temple work -maybe its just a difficult spot to put grafts in, or maybe they are suggesting it and the patients don't care. 

 

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Edited by ciaus
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Pardon my curt reply earlier, but with your head of hair I just wouldn't want to risk shock loss.  Are you on Fin?  How old are you?  Are you ok with the possibility that the surgery doesn't meet your expectations?  These are relevant questions. 

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24 minutes ago, ciaus said:

I'm not a doctor so can't give you graft count, and obviously not an artist but I'm going to try that job anyway :D,  l wouldn't just do the top like in transplantedphil's pic above,  I would want the temples filled in a bit too so that you have a new meeting point/widow's creep. But anyway, I find it curious that the doctors don't do more temple work -maybe its just a difficult spot to put grafts in, or maybe they are suggesting it and the patients don't care. 

from my understanding temple points are some of the hardest work to do in the HT world; not only are they in a prominent position, but the hair selection, design and angulation needs to be just perfect for it to look good. Very few clinics/docs can achieve this, and given the limitations of the donor supply most seem to want to focus on prioritising general coverage first given the average patient needs a good 500-800 grafts total to fill in these areas.

You are right though, OP would look better with them, and given his temple points have not receded much at all probably wouldnt need that much

Edited by transplantedphil
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Users of this forum are (correctly, IMO) very conservative about recommending hair transplants, especially to someone who might not need it. Surgery is always a last resort and risks and rewards should be considered carefully. However I also believe that the risks and rewards should be assessed accurately, without weight for or against surgery. You obviously have fantastic hair, but I think there is room for cosmetic improvement should you wish for it. @ciaus has a nice markup of some potential work that could be done, namely a lowering of the hairline and filling in of temples. There's been good cases posted on this forum of people with generally strong hair who have had a procedure to lower their hairline slightly such as: 

Dr. Bloxham also has cases with minor loss, turning good hair to great hair. The problem is that dropping the hairline is pretty graft-costly because you NEED density to match the thick hair you have behind it. In your case that will probably be over 2,000 grafts.

Edited by ADuckwithNoHair
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