Most younger guys with some degree of hair loss will only progress to
higher Norwood Scale levels over time. Surgical hair restoration can work
wonders but is limited by the amount of available donor grafts, so it's
important to exploit every tool at our disposal.
Though there are no guarantees with Propecia (finasteride) and Rogaine (minoxidil), they offer a chance to slow the natural progress of male pattern baldness and might even regrow hair. For this reason, many hair restoration physicians strongly encourage their patients to commit to these medical hair loss treatments. Starting medical treatment about 1 year pre-op may even substantially reduce the number of grafts required to meet a patient's hair restoration goals. That also provides time for the patient to determine how well they tolerate finasteride.
If medical treatment is not an option, that might disqualify someone as a candidate for surgery or, at the very least, this can be factored into the long-term hair restoration plan.
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