I know many doctors who are in the hair restoration field and do not have hair transplants or SMP and seem to be happy with their balding patterns. I have come to know them and they tell me (1) They are married and they and their wives don’t care, (2) the balding look is good for them and they like to keep their hair very short, (3) when they entered the field, the quality of the work in the 1980s and early 1990s didn’t meet their sense of quality that they would require.
I find the last comment concerning for those doctors who told me this, that they would do a surgery on their patients that was not good enough for them. What does that tell you about their moral compass?
Many men look good with a bald look. Jeff Bezos, for example, looks great with his balding and his hair cut short. Actors like Gene Hackman who has one of the best balding patterns to fix, has established a character for his balding pattern that brings on many roles in many movies. He is just one example of men who are satisfied with their hair loss fate (I never spoke to him so I am just assuming that he doesn’t care about his hair).
I have known that this is a side effect of finasteride that few people talk about. Most men who get a decreased libido complain (rightfully) about the drug but when the libido goes up (something I hear about from some patients) few complain on the internet about it. I wish I could tell you who will get which one of these two side effects.
Your donor area appears over-harvested especially because I see that the doctor went out of the permanent zone, into your neck hair which is not permanent and above the permanent zone on the right side. The area itself, looks like the density has been significantly depleted. Time will tell as you allow the donor hair to grow out.
Even the rich and famous lose their hair. He could have had a full head of hair if he wanted to follow his hair loss as it occurred but he elected not to do so. Many people just don’t care and its not a matter of how much money they have. He actually looks good the way he is with a clean shaved cut as people like Bruce Willis and other are happy with that look. You have to decide it that is the look you want. Here is a man who wanted hair with the same pattern that Jeff Bezos had and I put it on him: https://newhair.com/baldingblog/cant-class-7-patient-get-good-hair-transplant/
Dr. Kapil Dua, at the ISHRS meeting in October 2018, reported that the transection rate of FUE grafts was more around the ears and on the side of the head than in the back of the head. We have seen similar results as well.
Before you go for a hair transplant, I would be sure that you maintain minoxidil and finasteride for at least a year as it may be reversed on this combination of medications in a year or so. How old are you?
These scabs (crusts) should have been prevented with good washing techniques the day and the day after surgery. Once they form, you run a risk of graft loss until 14 days at which time you can get them out by leaving a shampoo on the area for 10 minutes, getting it water logged, and then gently rub them off with your finger tips. Repeat this daily until the area is crust free. I take it that you are a female as the hairline shape, a concave shape, is the classic female pattern.
This patient and his doctor pushed the FUE number above a reasonable limit that reflected his normal donor density (https://newhair.com/resources/#tab-id-4). He has a see-through donor area and significant donor site depletion. Now he might have hair on the top of his head but he is bald in the donor area. Even with long hair, he can’t address this problem. The only solution is Scalp MicroPigmentation (https://scalpmicropigmentation.com/scar-covering/)
Famous people are like everyone else. We all experience the same pain of looking older and with hair loss it is looking older too soon as shown here. You don’t have to be famous and rich to get your hair back, it is straight forward as tens of thousands of men and women are having a hair transplant done every year.