Are your reservations toward finasteride due to your having tried it and experiencing negative side effects or have you only heard of the negative side effects and afraid to try fin out?
I would say that unless you have been on fin for, at least, 6 months to a year that your backs and sides suggest that you’re not a very good candidate for a hair transplant. I don’t want to dash your hopes but that’s the reality of your situation.
What you have back there is very finite and not in very good condition. With the help of medical therapy, however you could potentially put yourself in a position to do a whole lot more.
I got on finasteride in late April of 2012. I take it every MWF very religiously. I take it in combination with minoxidil and biotin every day. My first consult with a surgeon recommended on this forum went from, “mmm, we could probably bulk up hairline and frontal third...after that you might want to think about a sophisticated hair piece for your crown or just let it grow out and come it back to hide the crown”, to just a year later being told that I could have two, potentially three, strips with the option of FUE later on down the line.
All of a sudden, my goals were attainable.
I have never experienced any sides in almost 6 years now. I went from a bald guy to a man with a bald crown but a hairline, frontal third, and recessed (but not completely lost) temples in that time.
If your only afraid to try finasteride then my advice is to bite the bullitt and give it a go because right now, with how your donor looks, you’re putting yourself in a scarier position that not having the surgery. It seems that you want to go with FUE but be aware that whether you choose FUE or the strip you will have scars and they will be very visible with your hair the way it is.
This is just my two cents. I am no doctor. I wish you all the best.