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Doctor Representative
@eah
As you say, you do have fairly advanced hair loss, but you have also maintained hair in the mid scalp area. From the photo provided, you can't accurately see how low the loss goes in the crown area. This is an important factor to consider, depending on your goals. I completely respect the fact that you will not consider oral finasteride. If you do continue down the path of a transplant, minoxidil would be a tool that I would suggest you should use.
You could unquestionably attain a significant result and improvement, but I would imagine that you would need a second surgery go address the crown area.
How is your hair loss of late? At what age did you begin to experience hair loss? Family history of hair loss? All should be taken into consideration.
Educate yourself and maybe submit some online consultations with some Doctors that you feel confident about.
Good luck!
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Doctor Representative
If you are losing more hair now, and you are comfortable with using Minoxidil, then I think that would be a wise decision in an effort to maintain as much native hair as you possibly can.
You have options. Guys come from a much worse situation that you and have super results, good coverage and with such a significant change are generally happier in life. Some guys shave their head and walk away from the conversation. Only you know what is right for you.
Start the consultation process and perhaps when you get some specific recommendations back from Doctors that you trust, it may influence you one way or the other.
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