Unfortunately, at a young age hair loss can still be unpredictable. It is important to remember that Propecia (finasteride) and Rogaine (minoxidil) will not change your genetic pre-disposition to male pattern baldness. There is no cure to hereditary hair loss and you will continue to lose more hair even while taking medication.
Surgical hair restoration should always consider the future. A long-term strategy or master plan must be discussed prior to undergoing a procedure. While the desire to turn back the hand of time is understandable, it may not always be in the patients best interest. In addition, the donor supply of a patient is a finite resource that must be used strategically, so that the patients results stand the test of time.
That said, taking finasteride is not a requirement as long as their is a long-term strategy and master plan put in place. This will ensure that the patient has a plan for their future hair loss that will be inevitable.
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