This 24-year-old hair restoration patient on finasteride 1mg for over one year with minimal to no response and reporting possible associated side effect of "decreased energy" presents for a session to the midscalp. Initially, his desire was to address the crown. However, concentrating all 2265 FU within the vertex would not have been prudent with respect to addressing areas of future loss at his young age. Instead, his midscalp and areas of future loss laterally were covered as well as a posterior "bump" that extended into the crown (as seen in the black markings of the pattern design). The freckle in the center of his balding crown serves as a reliable landmark demarcating the positive impact the hair transplant surgery session had as seen 11 months after the transplant.