The Italian prime minister Silvio Berlusconi had hair transplant 2 years ago and got another procedure few months ago.. He was Norwood 6 I would say and he still got good looks improvement after hair transplant.. (You can search google for "Silvio Berlusconi" to see pictures before and after). So doesnt that mean a good hair transplant can always make improvement no matter how much bald you could get when your old ?