This is a great result, something I would expect in many men. This man used topical minoxidil and appears to be one of the 40% of men who respond to the topical minoxidil

Should I get FUE or FUT?

That depends upon your donor densities and your donor hair mass. The higher these two are, the easier is the FUE choice. If your donor hair mass is low and the donor density is under average, the FUT may be a superior procedure. The problem is that today’s doctors are not trained in FUT, so they always recommend FUE. Find the right doctor to help you with that decision. I am always there to help, and I do both types of procedures.

I just had a transplant of 4000 grafts yesterday, and feel extremely scared of screwing up the result. I have, on two different occasions, accidentally touched the new hairs with light pressure, and I see no bleeding, so I guess it’s fine. But I still feel anxious since it happened only a few hours after surgery. Any other tips for the recovery period? Feels like I can’t do anything for the first week.

Your doctor should have given you directions. Washing the hair carefully is very important to wash off the crusts that form on day 1-3 (mostly on day 1). If these are not washed off, they stay around for weeks. I recommend using a surgical sponge and then filling it with soapy shampoo, pressing on the recipient area in a rolling motion, and going back to the front. Placing pressure on the surgical sponge will keep the grafts in place while the shampoo does its job to remove the crusts. Keep repeating it until all of the crusting is off. For the FUE donor area, wash it daily with your fingertips using the same shampoo you used with the sponge.

To answer that question accurately, I would want to see (1) a photo with your eyebrows lifted high so that the creases on your forehead show with your hair pulled back, (2) a measurement with a micrometer of the thickness of your hair shafts in the back of your head and (3) I would like to see a hand microscope view of your donor area with the hairs cut short (see here: https://baldingblog.com/creating-a-personalized-master-plan-for-present-and-future-balding-photos/). If you want my opinion, then you need to work this out between us by emailing me at williamrassman33@gmail.com). I’ll show you how to get the measurements and then let you know what you need. The goal is to determine the value of each hair in the donor area and the quantity of “lifetime’ hairs in the donor area, then calculate what can be achieved and match it against your expectations to make sure that they are realistic about number of grafts and defining the expectation after a single hair transplant.

Finasteride is more effective against the crown than elsewhere on your scalp. The photo shows that the hair loss starts above the swirl and moves to the frontal area. It is worth a try using finasteride, but if you use it, stay the course.  Usually, the crown is more responsive to finasteride at any age than the frontal hairline.

I have been using topical fin/min for about a year with fantastic results, but haven’t noticed my hairline improving. I’m wondering if microneedling will help, and have done some research that suggests it will. I’m confused about a few things:  – I’ve seen people mention .3mm daily and .5mm once a week. But the Dr. Pen dermapens I’m looking at don’t seem to specify size. How does this work? – Can I microneedle and use topical fin/min at the same time? I believe I can, but I want to be sure

Microneedling might bring back the frontal hairline. It is worth trying. Best, after doing the microneedling, hold off on the topical minoxidil and finasteride for at least an hour.

Hi, I’m currently 22 days post op and I’m not not sure if my hair looks right? The newly transplanted hair looks much thinner than the rest, I know I may have experienced minor shedding but does it look normal for this stage?

Yes, it looks fine. The grafts will likely shed in the next week or so, but don’t worry, as the stem cells remain to regrow the hair between 2-5 months from now.