This patient presented himself in 2016 at the age of 24 with significant frontal male patter hair loss. He began with a pharmaceutical therapy with finateride 1mg daily in conjunction with topical minoxidil. Although his hair loss had stabilized he returned 8 months later to consult with Dr. Rogers about undergoing surgical hair restoration. They agreed on a conservative treatment plan based on his age and Dr. Rogers transplanted 1515 grafts in 1 session with a mature hairline design that will continue to look natural as he aged. He continued to maintain his existing hair with finasteride and minoxidil.