You are a good candidate for a hair transplant. The crown component is narrow, which is good when it is presented that way. It requires less grafts, but there is a good possibility that it will get wider in time.

Be aware that if you choose the FUE route, there is a limit on how many FUE grafts you can have in your lifetime, and that depends upon your donor density. The average Caucasian, with 100,000 hairs on their head, have an FUE limit of about 3,600 FUE grafts. Anything more, then the donor area will look bald.

When you meet with your doctors, ask them to measure your donor density and have them build a Master Plan with you to account for future hair loss. Future hair loss will almost certainly occur because the hair in the middle of your head will eventually fall out and the crown component may widen and go lower.

Read this as well: https://newhair.com/donor-area/

FUE or FUT? Photos inside and would like additional advice! from tressless

I know honest doctors who use PRP (Platelet Rich Plasma injections). Many of these doctors are unimpressed, so they may be doing it because patients want it. There is considerable hype on the internet that this procedure does wonder for hair loss. We’ve heard “universally good results” and “very effective in my hands” comments from doctors doing PRP. However, PRP has no standardization, and it has been around for more than 25 years without any absolute proof such as a clinically valid ‘Double-Blind Study’ with objective measurements of the results. What we hear among many of the doctors offering it are glowing comments, and some even say “I’ve seen a tiny handful of impressive visual results,” but is this really true? Most good results occur when PRP is used in combination with Finasteride, Minoxidil, etc., which is an important variable, scientifically, and something to keep in mind if you are considering PRP.

Most of my patients actually enjoy the surgical experience. We use drugs to bring the patient into a light sleep and then perform the local anesthesia, so they don’t feel it. I always tell the patient to think about taking a trip to Hawaii. Last week, a patient told me he preferred Cancun, and when I was doing the surgery he was moving like he was dancing. It made the surgery a bit more difficult, but at the end of the surgery, I asked about his trip to Cancun and if remembered dancing at the beach. He said he somehow went to Hawaii but did remember that he was dancing with beautiful women at the beach in Hawaii. We all laughed. Don’t worry, the surgery will be a great experience.

Yes. If this is a change, then it is possible that you have developed early gynecomastia of the right breast. If there are no lumps (painful or otherwise), then you should see your doctor for advice on what to do.

You can have these beard grafts removed with FUE by using a large enough punch to remove the elevated skin along with the grafts. You might want the surgeon to put back the hair at the same time without the excess skin, so it will minimize the scar discoloration that would occur.

I would bet that your normal density is not 200 follicular units per square cm. These numbers are unrealistic because it would deplete your donor area so much that as you continue to bald, which you will, you will have no hair to use in the donor area. These numbers, although they can be done as shown here, are unrealistic from a Master Plan approach to hair transplantation.

I was the first doctor to define dense packing of grafts in 1993-4, and I published it in the Hair Transplant Forum. However, I used it only on single hairs in the leading frontal edge. Today, I no longer use these number in the leading edge and I get terrific hairlines with a more reasonable density.

200 GRAFTS PER SQUARE CM!! THAT’S WHAT I’M TALKIN ABOUT. MHTGA from tressless

Alopecia areata is not always curable. It can come and go with treatment, stopping while being treated and then returning as you seem to disclose.  This is not atypical for this disease, and it is something that you may have to learn to live with. The beard area can be treated very nicely with scalp micropigmentation.