Hi Dr. Rassman
Browsing the NHI site i found this 25 year-old man, Patient QE. Very good job. My question is that if this man becomes a type 4a in a few years, can you give him the density he has now?
This is an important question, because the doctor is putting hair where it has disappeared, but the process of losing hair is not static. With progressive hair loss that comes with genetic alopecia, you need to have a Master Plan and a good doctor. The doctor should lay out the worst case scenario for you and the remaining hair after the hair reconstruction should be present in adequate reserves to make up for any progressive hair loss that should occur.
Your particular question is good, because the patient you are referring to could eventually develop a Class 4A pattern and almost everyone with a reasonable hair density can follow hair loss to the Norwood Class 4A or even a 5A pattern with another transplant procedure. If the patient stays on Propecia, then it is likely that the hair loss process will be slowed.