I am a 40 year old asian male with slowly thinning hair. I’ve been using minoxidil for 4 years and propecia for 2 years now. They seem to help maintain what I have. Eventually I would like to consider surgery, but I am not bald enough according to the doctor I have seen. My question is:
1. is it better to wait until I am more bald, and, if so, why?
2. Is it true that FUT generally causes more scar in asian men? While I prefer FUE, I was told that the result is much better with FUT than FUE.
I would much appreciate your professional opinion. Thank you.
Without seeing you, I can not address your concerns about when the best time is for your hair transplant. I generally tell patients that when it bothers them a lot, the surgery may be appropriate provided that the doctor agrees that you are a good candidate for it.
FUT (strip) and FUE are both good harvesting mechanisms. There may be better growth with FUT, but in good hands the FUE should be a fine alternative provided that you have a biopsy and are what we call “FOX positive” (see this article for more about the FOX Test). Scarring is not a racial thing except in keloid formation, which is more common in dark skinned people. If you have a scar on your body and it did not heal well, discuss this with your doctor.