I’m pretty close if not completely norwood 7+. I realize this severely limits what I can expect from a hair transplant. I am currently 40 years old, and have been balding since 20. So I’ve been on fin and minox on and off throughout the years.  I know there’s only so much you can say if you don’t see me personally, but I just wanted your opinion as an expert. At a norwood 7, would it be possible to have graft or FUE done to the “top” of my head so that I have coverage on the top enough to create an “undercut” look. Currently, I shave my head completely. If I had the transplant done, I would still plan on shaving the sides and “under” the top. I realize this would possibly make scarring visible and obvious, which I understand is a very important thing to consider. I would think micropigmentation would help with this, right?

I was just curious if you had ever performed this kind of look, and whether or not you thought it would be viable with such advanced hair loss.

I have performed hair transplants on hundreds of Class 7 pattern patients. Some have had a very high number of transplantable grafts and some have not. See: https://baldingblog.com/question-about-class-6-pattern-of-balding/. If you want to consult with me, write to me at williamrassman33@gmail.com. To evaluate you correctly, I need to see some photos to show your balding, and one of them should be a frontal view with your hair pulled back and your eyebrows lifted high so that the creases on the forehead show up. This will show me anatomical landmarks to measure where your hairline belongs and more about the shape. Tell me what you don’t like about your hairline and overall hair situation. Please include your phone number and the best times to reach you.

Great change in the hairline in this man. 

 Are Dupa (Diffuse Unpatterned Alopecia) and Age related thinning the same condition, just that the former name is applied if it develops in a young person whereas the latter name is applied when it develops in a person of advanced age?

No, these are not the same.  DUPA usually has miniaturization well over 50%, if not 70% or more, while aging expresses itself in two manners, (1) Age Related Thnning.  This appears with thinning of the hair shafts that are universal and uniform of (2) loss of hair follicles in the follicular unit.  This appears as a drop in total hair count per follicular unit and the entire head. 

How is the donor area approached and managed for a hair transplant based on the balding pattern? What I mean is the donor area for a Norwood 4 is going to be larger than for a person with a Norwood 7 whose crown dips down and cuts into much of the donor area.

A good doctor will plan for the unexpected balding pattern that might sneak up on his patient.  That means that the Personalized Master Plan that I write so much about expects a Class 7 pattern of balding on each and every one of his patients. This is what separates the great doctors from the poor ones. 

I have a hair transplant programmed in 2 months. My doctor told me to avoid all kind of exercise for 2 weeks prior and 4 weeks post-transplant. I will ask him for more details about it, I mean, can’t I do a few sets of really low weights just to maintain the muscle? or is it absolutely nothing at all? Also, I find it strange that he didn’t tell me anything about having sex, it is a super high-intensity exercise…

If you are going to have FUE, then exercise up to the day of the surgery and then you should be able to start up again 5 days later. I don’t know where your doctor got his information from. Full activities include sex, possibly as early as 3 days after FUE. sweating doesn’t harm the grafts or cause infections that I know of.

During Napoleon’s retreat from Russia after the defeat of 1812, more than 4500 of the original force of 500,000 men died for all causes, battle wounds, heat, starvation, and especially the cold.  Many of them went to sleep and froze to death. Daron Larrey, the army’s Chisleetef Surgeon, noticed that bald men died of the cold before those with hair. 

This man was 19 when he started t treat the thinning that he had.  In just 12 months, the diffuse thinning returned to normal.  Finasteride is a micacle drug for such young men.