Receding Hairline? High Temples? Thoughts?

[Stalker14]

I think it looks good. In your case, finasteride should be quite effective.

 

[willwork4pizza]

I think it looks good. In your case, finasteride should be quite effective.

Thanks - fortunately I haven’t had any sides, so I’ll continue using it along with minoxidil and the dermapen. I’m just concerned about my temples. The hairs seem much thinner than the others along my hairline.

 

[willwork4pizza]

Update: I’m considering asking my dermatologist for an oral minoxidil prescription. I feel like I’m still receding even with my oral finasteride/topical minoxidil routine. I’m a little worried about the sides, but I’ve had none with finasteride (totally different medication, I know). Has anyone had success with oral minoxidil in the temple region?

 

[willwork4pizza]

I’ve been on oral minoxidil for a little over three months now and have been pleased with the results and lack of side effects (as far as I can tell). I was using topical minoxidil until my supply ran out. So my regimen is now finasteride (1mg) and minoxidil (2.5mg) once a day.

 

[willwork4pizza]

I’ve been on oral minoxidil for over 6 months now and was pleased with the results but recently saw a candid photo of myself from the side which made me look like I was starting to recede/thin. Curious what you all think.

 

[Mr. Slap Head]

Looks the same

 

[willwork4pizza]

Checking in for another update. I’m still not sure how I’m responding. I’m considering asking my dermatologist about dutasteride.

 

[Mr. Slap Head]

There might be some maturation going on, but I certainly wouldn't throw the kitchen sink at it with dutasteride. It can make your hair worse. If you are a perfectionist, you can just get a transplant and be set for life.

 

[willwork4pizza]

There might be some maturation going on, but I certainly wouldn't throw the kitchen sink at it with dutasteride. It can make your hair worse. If you are a perfectionist, you can just get a transplant and be set for life.

Do you mean miniaturization? I thought maturation was complete by your late 20s?

At what point do I pursue a hair transplant?

 

[Mr. Slap Head]

Do you mean miniaturization? I thought maturation was complete by your late 20s?

At what point do I pursue a hair transplant?

I meant maturation. It’s like you’ve very slowly gone from NW1 to NW2. You do not have aggressive hair loss and never will.

You’re probably at the age where you can get a transplant. Personally I think your hair looks good though. But it’s an option if you want a perfect NW1 hairline. But no way in hell would I go on dutasteride unless you had literally no other choice and were balding aggressively. I see too many cases where hair gets worse on dutasteride, particularly in individuals with mild hair loss. It even happened to me, never again

 

[willwork4pizza]

I meant maturation. It’s like you’ve very slowly gone from NW1 to NW2. You do not have aggressive hair loss and never will.

You’re probably at the age where you can get a transplant. Personally I think your hair looks good though. But it’s an option if you want a perfect NW1 hairline. But no way in hell would I go on dutasteride unless you had literally no other choice and were balding aggressively. I see too many cases where hair gets worse on dutasteride, particularly in individuals with mild hair loss. It even happened to me, never again

It seems like a lot of people have success with it. I'm just trying to keep my options open before going the hair transplant route.

Also got a haircut - still concerned about the temples. I'm going to start back the dermapen and nizoral. Would using topical minoxidil in addition to the oral route make a difference?

 

[Mr. Slap Head]

It seems like a lot of people have success with it. I'm just trying to keep my options open before going the hair transplant route.

Also got a haircut - still concerned about the temples. I'm going to start back the dermapen and nizoral. Would using topical minoxidil in addition to the oral route make a difference?

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Unless you have been a hyper responder in the past with topical min (which would mean you possess high levels of an enzyme in your scalp) then adding topical will be no better than oral. With needling, it's just going to go more systemic anyways. 2.5mg is already a large enough dose IMO. Higher doses won't improve hair enough to be worth the increased side effects.

You could try dutasteride, some people do respond well, but others respond adversely, so it's a risk. I really wouldn't want to be on that drug for the rest of my life. But you can take that gamble if you so choose.

 

[losingbattle88]

Unless you have been a hyper responder in the past with topical min (which would mean you possess high levels of an enzyme in your scalp) then adding topical will be no better than oral. With needling, it's just going to go more systemic anyways. 2.5mg is already a large enough dose IMO. Higher doses won't improve hair enough to be worth the increased side effects.

You could try dutasteride, some people do respond well, but others respond adversely, so it's a risk. I really wouldn't want to be on that drug for the rest of my life. But you can take that gamble if you so choose.

Ha slappy is back xD

 

[willwork4pizza]

Well this was humbling. I went to see a new dermatologist last week and took some progress photos under different lighting. I didn’t realize how bad my recession was.

He increased my minoxidil from 1.25mg/day to 2.5mg/day. I’m not optimistic that it will make that much of a difference. I need to start back with the dermapen to see if that well help.

Other than that, I’m doing all that I can do. So I think it’s time to start seriously researching hair transplant options.