You have to give it between 12-18 months to see if it will reverse. Add topical minoxidil along with microneedling and you have a better chance of reversal

The issue at hand is not the blood levels achieved. A dose of 5mgs runs heart risks not worth taking for a healthy man. The point is at what level will the hair effect happen. The answer is a 2.5mgs daily, good results are seen and it is safe from severe cardiac side effects which is very rarely reported.

The average Indian has a lower density than a Caucasian of about 1.9 hairs/follicular unit (the Caucasian average is 2.2 hairs/follicular unit), so unless his hair is very coarse, his donor area is clearly depleted. He may find that he doesn’t have enough hair to cover the donor area. Additionally, this man’s FUE was taken outside the donor area. His entire remnant Class 6 pattern was harvested. If he develops a Class 7 pattern of balding, then he will lose more than half of the hairs transplanted.

No, your donor area is depleted. I don’t believe that 99% of people who get 5000 FUE grafts can support that number without getting a see-through donor area. Your residual donor density is probably too low for reasonable coverage. Scalp Micropigmentation works well for managing the APPEARANCE of this problem (See: https://scalpmicropigmentation.com/)

An FUE surgery of 5,000 grafts is most likely too many grafts for the donor area in 98% of the population. As a result, you have a problem with over-harvesting which produces a see-through donor area. The original density may have been too low to support the number of FUE grafts you had done. You now have a depleted donor area, and since your hair appears short in the photo, this problem is made worse. If you let your hair grow out more, maybe it will cover this overharvested donor area. One reasonably good solution is Scalp Micropigmentation.

Whatever you do, do not do another FUE as your situation will become worse. FUE is often promoted as a scar-less surgery, but clearly, it is misleading as in your situation. You can either let your hair grow longer to cover it or get Scalp MicroPigmentation which will camouflage these bald areas exceptionally well.

See here: https://scalpmicropigmentation.com/scar-covering/

The FUE procedure removes hair from the back of the head, so it can’t grow back. The amount of hair that can be removed is limited. If too much hair is removed, as in this person, the back of the head becomes thin and see-through as a result of the depleted donor area.

The number of FUEs that can be removed depends upon many factors. Most importantly, the original donor density must be measured by the surgeon before recommending FUE graft numbers. If too many grafts are removed from the donor area, balding in the back of the head (as shown here in this photo) occurs.

The initial problem, prior to a hair transplant, is that most patients want more hair moved, and surgeons are motivated by the money they receive for taking out more FUE grafts. So, without good planning, the donor area is often over-harvested, producing balding in the donor area (as shown in the photo below). I can state with almost 100% certainty that 5500 grafts would produce donor over-harvesting in 98% of the population because the original donor density in 98% of the population will not support this number of grafts (see here: https://newhair.com/donor-area/).

The message here is that persistence pays off!

These pictures are of a 50 year old male who is holding on to his hair by using finasteride and minoxidil for 15+ years. The crown and the front hairs are all miniaturized so despite the extensive miniaturization, as long as he continues to use these medications, he will retain his look, possibly into his 60s and 70s.

Female hair loss, unlike male hair loss, is rarely complete and most people believe that these hairs are still there, possibly cycling irregularly or poorly? When some new drug is discovered, we may find that the hairs that are not there, will appear.

The look is great, but you have used up more than 50% of your donor supply which could be a problem if your balding pattern significantly advances. I would ask your surgeon a simple question: “Could the same results have been achieved with 3000 grafts (1500 each side)? If your hair has a medium or better thickness, the answer is ‘yes’ in my opinion.