I have heard of very few transplants that have worked out well. What you don't see in that photo is the back of the guy's head where the hair was removed and transplanted to the front. He might have thin spots back there or possibly a scarred area. Without knowing how many grafs of hair he had taken out it's just a guess what the back of his head looks like. Also, it's not uncommon for transplants to not 'take' to the new transplant area--they don't all grow in. And it's tough to find a good transplant surgeon. Just my opinion.
Regards,
John
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