Yes and no. You need to be on fin or other DHT suppressors/anti androgens or else most of the grafts will fail
It works in the sense that with fin and a decent surgeon, most of your grafts will survive and after like 6-12 months they will start growing
The issue is not everyone has good donor areas. They go in the back of your neck and look for hair units with multiple hairs growing out. (you can have 2 to 5 hairs growing from a single unit) Some people have lots of great units in the back of their neck, some people don't.
Obviously if someone has lots of those juicy units of 3-5 hair, the result is going to be much better. But since surgeons always use those good units first, this also means that your future transplants will be less and less effective. So if you're balding severely it's over. If the first transplant was nowhere near good enough it's over.
And just in general it's painful (they drug you and you suffer for days, some people cant sleep because of the pain)
A literal prince became a JOKE because he lost his hair
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