With your age and level of loss, and without Finasteride, you will continue to lose what is left on top. A HT into the front and midsection may very well accelerate the loss (permanent shock loss) in that area and you may end up back where you started. If you go down the HT road, you will need a lot of grafts over multiple procedures. Donor management is going to be key. You need a long term plan with a conservative approach. I think you already know all of this.
In your case, I’d recommend you consult with Dr Wong. Probably strip to start, and then FUE down the road.