This patient in his late 20's showed a developing Norwood 5 pattern with certain progression to a NW 6. This was a challenging case due to his lower than average donor density (@ 55 fu/cm2 ). Given his age and evolving pattern, Dr. Dorin did an initial treatment with focus on the front/top region and concomitantly initiated medical therapy (Propecia). With the addition of 2,779 transplanted hairs and what would be considered a very positive response to Propecia, the initial restoration process was successful and a huge change for the patient. If the patient elects, Dr. Dorin could do a follow-up treatment of approximately the same size in the future.