A well-designed hairpiece/ hair system can provide an acceptable appearance for some patients with thinning hair. However, one hairpiece may not serve over a period of years if hair loss is progressive. A hairpiece requires monthly maintenance and usually must be replaced regularly. The patient and physician hair restoration specialist can determine whether a hairpiece is an acceptable short-term alternative while the patient waits for hair transplantation. There are patients for whom a hairpiece and camouflage agents may be a long-term or even life-time solution to hair loss. A patient with these characteristics is typically a very young man with a strong family history of hair loss, and aggressive male pattern hair loss that began early. Hair transplantation may never be an option for such a patient, who will lose so much hair that none is available for transplantation.