Should thinning be transplanted?

I’m a 38 year-old white male. I began taking Propecia in mid 2009 for what was becoming obvious thinning in my crown/vertex. A couple years later I added Minoxidil. My hairline never receded, that’s not an issue. Things are going well, no further loss happened that I can tell and I had some regrowth and thickening. From my photo, do you think it’s possible for me to have an FUE procedure that would add coverage to the top/crown to blend more with the sides? I like to wear my hair short, at a number one guard on the sides, so I’d like to avoid a strip scar. Do I have too much hair, would I just be making things worse with shock loss?  Your blog has been a great help in warning about the danger of over harvesting FUE grafts.  Also, I make about $60K/year so i would ask if a hair transplant realistically within my means?

From the pictures, I believe that the Finasteride and the Minoxidil have been holding on to your hair very nicely. I would continue with your current drug regimen. If you want to address the thinning appearance, then Scalp MicroPigmentation (SMP) works great. It is a non-surgical option that does not produce shock loss, which could happen with transplants, making your situation worse rather than better. Transplants might accelerate your balding process and you have been so successful in holding on to your hair (something that you probably don’t appreciate). I would think that SMP might be a better approach.

Here is a link to our website for this process: https://scalpmicropigmentation.com/bold-shaved-look/