Deciding When the Best Time Is to Get a Hair Transplant

I am 27 years old and have diffuse hair-loss on the top of my head with my crown being the worst. I have been on Finasteride for around 5 years and I think I am slowly losing ground. It definitely helped me maintain but lately I am noticing a lot of hairs falling out which leads me to believe Fin will no longer be effective. I think I the next step for me would be to get a hair transplant but I have a few questions:

Is it possible to get a hair transplant when you are diffusely thinning all over the top? I am afraid that a hair transplant will cause shock loss and I will lose my remaining hair. Is there any way to get good results?

At 27 years old, is it still to early to get a transplant? Should I wait until my hair-loss gets much worse? How do you decide when is the best time to get a transplant?

These are personal decisions. Like the stock market which is losing ground, when is a good time to sell your stocks? Is it when the stocks drop another 50% (i.e. you lose 50% of your existing hair) or do you wait out the possibility of the stock going up (like waiting for Propecia and/or Rogaine to kick in and reverse some of the loss)? The analogy falls short here, because the stock market in the long term does well, but your hair loss in the long term is progressive, leading to a greater degree of balding.

In your case, have you been back to your prescribing doctor to see if you are losing ground after 5 years on finasteride?

I would need to see your photographs to really answer your question, so if you’d like me to take a look, you can send them to the address on the Contact page and I can get back to you privately. Reference this post when you send the photos.