Hi Mr. Rassman,
A very worried man is writing to you. I am a Sikh and used to ties a turban for 8 years, but last year I decided to cut my hair. My hairline has receded considerably, and the hair on top is not thick, when light shines then alot of my scalp can be seen. However, there is too much hair on top for HT.
My worry is that if i lower my hairline, and dont have enough hair for the hair on top when its bald, then i will be left in a huge predicament.
You need a Master Plan for your hair loss. First I would need to know your age. Then I would want to know to what degree other men in your family have lost their hair. Next, I would want to determine your available donor hair supply so that I understand what you can depend upon for hair transplantation. I totally agree you need to balance the supply of donor hair with the worst case demand you might see from the balding. I would map out your head for miniaturization to determine where you are in the balding process and if you have your family pattern. Then, and only then, if you meet all of my requirements for a hair transplant candidate, I would plan out a ‘look’ with a hairline that will respect your long term ‘worst case’ scenario for hair loss. I generally like to put the hairline back where it belongs in a mature male hairline, but this does not include male Indians who have unusually youthful hairlines like what they had when they were 8 years old. Your concern of a hairline put too low for long term donor supply has not happened for me in all of the years I have been in this business and it should not happen to any competent doctor in the field either.