I was not aware of anyone actually asking me a question which is why I’ve not responded further to this thread.
If I understand you correctly you are wondering about this patient’s future. Well, I don’t have a crystal ball but based on our experience finasteride should hold the patient quite well. If I remember correctly he was on finasteride for a while before he came to see us and was a well educated patient before he arrived, hence the reason he is not a local patient but rather from California.
As I understand it you had a fantastic result from finasteride and you were also wondering why this patient didn’t just go on it first. You assume he did not which is wrong as referenced above. However, your assumptions also seem to be that Propecia will thicken hair for most patients. This is not the case and in fact it is not expected when we write prescriptions for it. It should at the very least hold the hair steady and after almost 20,000 prescriptions that we’ve written we find this to be the norm and excessive hair regrowth to be very rare. I would agree that he has at least 4000 grafts left or more. The good thing is that if he loses more he won’t have a low aggressive hairline to worry about. His hairline is mature and the temples have appropriate adult male recession. Worst case scenario will be looking a bit thinner than he is now but still with coverage and a natural design.
You’re correct about the hair color. Making the tips lighter especially makes things look better. And yes, growing it out a bit longer and careful combing would have improved his appearance. That is why in this video, as in all of our high definition videos (about 92 so far), have close up detailed comb throughs that you will not find from any other clinic. The density is obvious when you get to the 3:23 mark in the video. What I like about this case is when you compare the comb through of the top of his scalp at the 3:23 mark to the comb through of the donor area at the 5:00 mark there is not much difference in the visible density. That in and of itself should show how there is no illusion going on here.