Consult with several clinics. I think you could get a huge benefit from surgery. You may want to rethink Propecia. If you don't have side effects, it is the best thing you can do to slow down loss and maybe regrow some hair. A few great clinics to consult with would be Shapiro Medical Group, Hassan & Wong, Dr. Konior, Dr. Rahal, True & Dorin, and there are others. You can start with online consults and go from there. That would be your best approach in my opinion.