Patient with a 4A pattern of hair loss prior to surgery

One of my former patients, still on finasteride and wanting a refill, sent me this photo of his present appearance. Blonde men do better, getting the appearance of fullness. The contrast in color between skin and hair is narrow, creating more fullness with less hair. Blonde hair also reflects light, adding to the cosmetic effect. Here is a picture of one of my patients, many years after his transplant. His original balding pattern went to mid-head.