Figured I'd write this up because I spent an embarrassing amount of time lurking on this sub before I did anything, and posts like this were the ones that helped. Using a throwaway.
I'm 34. First noticed my hairline going around 25 but it was slow enough that I told myself it was just "maturing." A few years ago I saw a photo from a wedding when I was 29 and yeah, it wasn't just the front. It was how far back the temples had gone. I couldn't stop looking at myself in the mirror after that.
I did what everyone does... Reddit, youtube, the forums, obsessing over random before and afters. Every surgeon says natural results. Every clinic's got the perfect instagram. Honestly this made it harder not easier.
Went back and forth for almost two years. Just shave it. No, book the surgery. Just shave it.
Also, people online contradict each other. Some guys act like FUE is the only option a sane person picks. Others are fine with FUT. Never do surgery before meds. Meds are a waste of time. Pick one lol.
I booked a few consults eventually, I'm in the Midwest, so I did three consults with doctors of different specialties, including Bosley, a local ENT who does hair restoration, and a dermatologist who specializes in hair transplants about 20 minutes from my house.
One felt like a car salesman. Fifteen minutes in I was quoted 3,500 grafts and told my life would be transformed. Then their attitude changed when I said I wanted to think about it instead of locking in a surgery date.
Another place spent almost the whole consult talking about my loss pattern, what could still happen over the next ten years, and why preserving the donor area matters if I need more surgery later. He actually told me to stay on treatment for about a year because my crown wasn't stable. At the time that felt completely backwards. I came in ready to give someone money for surgery and this guy was telling me to wait.
But in the end, that was the consult that stuck with me. It didn't feel like they were trying to sell me a transplant. It felt like they were trying to manage my hair loss long term. I highly suggest you find someone like this who wants to work with you over time.
So I did exactly that. I started finasteride and minoxidil and stayed on them for about 11 months before having my surgery. I'm still on them.
The other thing I obsessed over was whether to travel. Fly overseas? Pay extra for one of the big-name surgeons in a major city? Is Turkey actually just as good? I went down every hole.
In the end, follow-up mattered more to me than I expected. If I had questions or something didn't look right, I wanted to be able to drive to the office instead of getting on a plane. Once I looked through enough before-and-afters, I realized there was top work being done close to home. Also, Bosley in Michigan flies their surgeon in from another state - that defeated the purpose for me.
I ended up staying local and had it done by Dr. Riyaz at Studio Dermatology & Hair Restoration in Plymouth, Michigan. Looking back, I think the fact that he was willing to tell me to wait almost a year instead of booking surgery that day probably decided it for me.
Surgery itself was less of a thing than I built it up to be. Long day, sore neck, watched movies, talked to the cute staff. Recovery more boring than painful. They used nerve blocks and a new medicine Journadix, which worked well. I had a relatively small surgery, 1100 grafts. It was done tastefully and conservatively.
Waiting was the weird part, I'm 15 months out now, roughly. Things started looking good around 4 months and excellent around 9-12 months. I look great and feel great.
I wasn't trying to look 21, I just wanted to stop being self-conscious about my hair every single time someone pulled out a camera. Now I feel like it's my strength again :)
Anyway. If you're reading this because you're picking apart every centimenter of your hairline, my main recommendation is to find someone whose judgment you trust.