hi, in my eyes it's definitely an improvement but if i'm being honest i was expecting a better result after reading the graft count and seeing the before pics. your hair / skin contrast is, as i see it, optimal - so i was hoping for a better optical density. if you say it's also 22 month post surgery we should should see the final result. but as i said, definitely an improvement you can be happy about! ....and if there's still budget and grafts left and in case you're not happy with the outcome, maybe you can go for a second one for frontal & crown area (only my opinion).