I have a fairly aggressive form of androgenic alopecia. By 26 most of the hair top of my head was gone. So decided to get an initial FUE transplant for at least the front of my head. It was roughly 1500 grafts. Result was moderate, while a huge improvement to what it was, I could not get that thick hair look but was pleased nevertheless. Since then the alopecia has impacted the crown of my head as well as the sides and the back as well( above the donor areas).
Now it’s left me wondering on what to do. Because of the widespread thinning. I keep my hair short now. Clip size 2 on the sides and back and clip size 6 at the top( wahl clippers). I feel like I look better with a clip size 1 cut on the sides and back but this gives that odd look in the doner area and you can make out some sort of procedure could have been done because of scarring.
My surgeon at the time said that doner area could support another 1500 or so grafts but that would leave the back heavily reduced and would probably have to be kept short permanently as the deplemention would be noticeable.
I guess what I need is some advice as I’m not sure at all!
Get 2nd FUE to cover crown. Sides and back permanently short( Wayne rooney style). Noticeable scarring at the back though.
Leave as it is. Back and sides and thinning anyway. Keep hair short and work with what’s left.
A Personalized Master Plan would be on the hair transplant side of the plan and would address your donor supply for hair from the back and sides of your head for your life-time. These are measurement based tests. These numbers should be discussed with your doctor prior to starting the hair transplant process. Assuming that you have an ‘Average’ donor density for a Caucasian and you have a ‘Medium’ hair thickness, your doctor should first ascertain your worst case balding pattern which will cover the entire life-time hair transplant process (worst case) . Everyone is different and to judge your worst case pattern the doctor would (1) measure your balding area, (2) do a HAIRCHECK test on the parts of your scalp where the loss needs to be measured to predict future balding patterns and do a miniaturization analysis when appropriate, (3) budget your hair needs now (the area you want to cover and the grafts you need to cover it), (4) subtract the grafts you use now from the total donor hair grafts you have for hair transplants over your lifetime, (5) know your worst case balding situation and see to it that your hair graft reserves and the surgeon’s plans can accommodate all of your needs so that you not only always have hair, but that you always look normal. Sometimes the Personalized Master Plan will include Scalp Micropigmentation when the original donor density is low or if the Hair Mass Index is low reflecting fine hair.