Konior has a year long waiting list? I've never once heard of a hair transplant surgeon this booked. Not any of the top 10. Not sure where you got that fact but I guess my point is what they're being as ethical as they can be in a fraud business. How many top hair transplant docs have hair transplants themselves? I know many that literally waited until they were in their 40s to have work done even though they had a receding hairline most their life. What does that tell you? Obviously they will be as conservative as they can be but at the end of the day you have enough donor to have about 25% density, that looks terrible. If were to get one, the only thing I would do is pack the front probably 2/3 and leave the back, but I honestly doubt I would ever do it. That's the best business to get into though think about it. Offering finance for desperate balding young men is sad in my eyes.
Got it from his office and from other guys who are waiting in line, he's a year out even though his prices are higher then most anyone else, part of the reason for that is he does one a day and almost everything on his own vs having an army of techs do everything for him. One of the main reasons I got in contact with him, his opinion is arguably the most unbiased you'll find due to his lack of need for patients and how many he turns away for being bad candidates.
I know Cooley had a hair transplant done by his own assistants/technicians, don't know about any of the others. He is another one I'm gunna consult with (haven't heard back for a few days). Konior says he would let Gabel work on his hair which is pretty high praise, their surgical process/methodology is very similar and they've done work together so it makes sense though.
I don't see hair transplant's as unethical if the surgeon informs the patient of the limitations, downsides and what the master plan of their restoration will look like over the course of the following decades so they go into it with their eyes open and with realistic expectations. Nothing is perfect but modern hair transplant from these top docs are impressive, I've seen 4k grafts done on a Norwood 6 that made a massive difference, yeah it was still a bit thin and the hairline high so overall was a very mediocre head of hair by normal standards but the guys look 20+ years younger and still have another 4-5k grafts in the bank since they went FUT first, assuming an average donor of course, that also plays into the decision. Weak donor=unfit for a hair transplant in my opinion, need at least an average one.
I think a crucial thing you have to come to terms with is that you'll never have a full native head of hair back (right now anyway, who knows what the future will bring), it's gunna be an illusion and you'll still have only a mediocre head of hair compared to the lucky guys like Jake Gyllenhall that have flawless native Norwood 0-1. But for guys who can't rock a bald head at all (like me, just don't have the face for it) almost anything is better then nothing, I tried it and concluded that I refuse to spend my remaining years on this earth in such a state unless absolutely necessary (aka finasteride doesn't work and I'm clearly destined for a quick and early Norwood 6/7). Given the quality of current top Doctor transplants and that finasteride is working for me with no sides for 2 years, the risks are acceptable, for me.
You gotta be able to take risks. Inevitably we all get super old and die anyway, trying to bubble wrap your life experience won't save you. So it becomes a personal decision of how much negative potentiality you can accept. What I hear more then anything from guys who put off a hair transplant for 10-15 years is how they regretted not doing it sooner even though it was riskier because those years were essentially lost. Can't ever get your 30's and 40's back.
On the flipside there are more positive ones then ever before right now with stem cell/regenerative advancements that are only now starting to really take off and will accelerate over the coming few decades. One of the risks/bets now regarding a hair transplant decision is betting on their being something other then finasteride to hold native hair loss at bay within the next 10-20 years, personally I think there will be and it's factoring into my decision, I'm not relying on it completely otherwise I'd go to H&W and do a mega 5k session for a killer head of hair in my 30's but it's a real enough possibility to influence my decision.