I was transplanted 1 year ago (photo)

It was a 1,000 graft FUE surgery when I was 22. I experienced severe shock loss post surgery and lost plenty of native hair all around especially from the top. However, I did see some results in the front. I want to do another surgery to improve my situation but fear the loss of more native hair. I don’t want to be on medication such as Finasteride due its side effects. Can you’ll suggest me what to do?

Part of the reason I don’t do surgery on 22 year-old men is that they often develop shock loss, lose more native hair (a normal evolution but accelerated from the transplant when you were 22) and then you have to chase it. The real question is what will be your final hair loss pattern and will you have enough hair to follow the loss to its normal completion? I can usually answer this in young men under 26, but not in men 22 or 23.  I consider doing a hair transplant on a 22 year-old like you, malpractice on the part of the doctor.