Dear Dr. Epstein, Enclosed is one more photograph. What is your recommendation.
From your photos, you appear to be an excellent candidate for a hair transplant procedure- well defined hair loss pattern, nice colored and good density donor hair, and you are older than 30 years old. My recommendation would a procedure of 2200 to 2600 or so grafts to work primarily in the frontal half of the scalp, reinforcing the receded and thinning hairline, filling in the frontotemporal recessions and anterior central scalp to significantly increase density, and if desired, placing an additional 600 or so grafts (assuming they are available in the donor area) to provide some coverage in the crown. For the back half of the scalp, including the crown, I would suggest you consider going on Propecia to slow down or stop the progression of hair loss.
Posted by Jeffrey S. Epstein, MD, FACS