What role does the quality of the donor area play in determining the success of a hair transplant in the future

[eladnm]

Hi,

For the last year I have been reaching out through email and photos to a few top clinics in the world to get an assessment  for an hair transplant.

Some doctors accepted me as a patient while others said I am required to take finasteride for 6-12 months and than review again my androgenetic alopecia.

for example Dr.José Lorenzo said that my donor area is also affected by alopecia and the grafts can be very fragile.

I DO NOT want to take finasteride as I have some friends who got severe side effects from that and I believe it's not worth the risk.

In case I go head with an hair transplant using my current donor area and without finasteride will the result last for a long time or I might lose the transplanted hair after a few years?

Here a video and images of my donor.

[Shadman]

@eladnm with medications your donor will be improved. I think first of all, you should Give it a try. Not necessarily everyone will have sides. If you face any issues, stop the medication and sides will reverse

[Doron Harati]

It seems you're on the border for having diffuse thinning over the donor area, so Finasteride and Minoxidil can help you a lot, you should see if there's a change between 3-6 months, I myself in the past experienced side effects from the oral Propecia Finasteride pills, so I switched to topical formula of 1% Finasteride mixed with 5% Minoxidil that helped a lot my vertex crown area, I had 2 hair transplants over my crown in 2021 and 5 months ago, when I didn't use meds in 2021 the transplanted hair only started to grow after 6 months and this time after 4 months due to the boost of the blood streaming from the topical formula.

This is documentation how the topical formula helped my crown: