I was wondering if you have an opinion on hair systems, or if you ever recommend them to patients with advanced balding? I know that most people prefer to keep their natural hair, but I feel like people with very advanced balding (NW5+) would look much better if they just wore fake hair rather than try to stretch out their limited donor supply over their entire scalp. I’ve noticed that people who try to get a transplant as a nw6/7 almost inevitably have to choose between a sky-high hairline, a giant bald spot surrounded by a ring of hair, or just very thin hair all over.
Different strokes for different folks. Hair systems work and work well; however they are very expensive (see here: https://baldingblog.com/why-not-a-hair-system-instead-of-a-hair-transplant/) and once your on them, you are hooked on them because the attachment mechanisms cause permanent hair loss and makes the balding worse. Even from a cost perspective, a hair transplant is generally less expensive unless you are a Class 7 man. In that case, a hair system is like putting on a hat, but you have to wear it all of the time and over time they start to smell and fall apart, requiring washing and replacement frequently. Also, unless you can afford the best like Donald Trump has, your system may be detectable to almost everyone. Nobody likes that.