From my understanding hair that falls out due to shock loss usually grows back (in the recipient area) unless the hair is weak and almost ready to not grow again (which is usually right next to the area of transplantation) . So my question is since you can remove hair follicles could you remove the thin wispy hairs and replace with dht resistant ones so if shock loss occurs it will grow back and not ruin the success of the transplant?

If shock loss occurs and you are under 30, the hair that is lost if miniaturized, will not usually come back. I say 30, because the older you are, the less likely that shock loss will impact your hair. If you are under 25 (I don’t usually perform surgeries on men under 25), the shock loss is worse and the lost hair with a hair transplant is almost always permanent. The use of finasteride, often thwarts this process. When I perform a hair transplant, I look at where I place the DHT resistant hairs, many times in the areas where advanced miniaturization is present, especially in the younger men.

I don’t understand your argument William. its better to have hair in your twenties, so what if the graft run out. then you at least have a hairline established which makes a lot of difference. what’s the alternative? just go bald and don’t do anything., not a good alternative

The issue is complex. Men at 19-22 frequently don’t have the maturity (it is a development problem of the prefrontal lobe of the brain which does not complete its development until about 22 for men), plus there is a sense of urgency in young men (the now generation), plus there are significant financial implications of having multiple hair transplants over a very short time-frame. I always say a Good Decision Today, is a Good Decision Tomorrow. I am not insulting you here, just trust that I have years of experience in this business and I have seen too many young men make terrible mistakes that they regret too soon after they make them.

I had SMP done locally in the UK. My expectation was that there would be clearly resolved dots on the fue scars. DO you consider this an adequate result, otherwise I will need to have it done elsewhere. 

I’ve had to date 5 sessions with the same artist to date, last session completed last month.  After each session the smp dots seem to fade out completely;  I cannot see any clear black dots whatsoever on my scars. 

This patient has 4500 grafts 10 months earlier. It is clear that the central part of the transplant did not grow as well as other areas. This central part has the greatest problem with regard to vascular supply so I suspect that there was some compromise of the vascular supply to this area.  He will not probably get any more growth.

Dutasteride worked here but I suspect that finasteride would have worked just as well.

4 months on finasteride and minoxidil show a very responsive hair loss pattern in this man with generalized thinning in a Class 6 pattern of balding.

Ive noticed that the hair on the back of my head is slightly thicker than the rest, at first I thought this was balding but I recently saw a picture of me when I was 11 and it looks like the hair on the back of my head is thicker than the hair on the top, is it possible that my hair has always been different densites on different parts of the scalp, or is that not possible?

Yes and no. Each person has a particular average donor density, but often on the sides above the ear, the density is lower. When a person starts balding, hair densities will fall in varying areas of the head, so to command this process I do a HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) to help me put measurements to hair bulk in different parts of the head, often not seen with my eyes but the men who come to me somehow know that this is happening. This test either confirms or denies their suspicions.