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Ah the days of buying overpriced Propecia, only had to do it for a few years before it went off patent, being worried about whether the active ingredient was evenly distributed throughout the tablet enough to do Proscar 5mg pill cutting. No excuses these days with the Finasteride 1mg generics, unless you have the money to burn.

Forehead muscle strands? never heard that given as a factor in addressing hair loss before on the forums or my own experience with ht doctors. The hair follicles are at the skin level above the muscles so not an issue I would think. How did that get on your radar? do you have any medical conditions/factors, etc? Anyway, you still have alot of hair and are pretty young -have you tried finasteride, minoxidil or a combination of the two yet? You may be able to restore and stabilize alot of your crown. They are less likely to work on the front hairline area though. You have alot of years ahead to potentially lose more hair.

Not trying to sound like an expert by any stretch, but Rogaine and Finasteride don't grow 'new' hair. The number of hairs -hair follicles that you are born with are all you'll ever have. Unless you sustain an injury/burn on your scalp or a disease that destroys those follicles they continue to produce hairs throughout your life, even on the guy with the smoothest bald head you've ever seen. That bald spot is covered with hairs, its just that they are so small, miniaturized, that you can hardly see them even close up. Rogaine works by increasing blood flow, nutrients to the hair follicles, increasing the growth cycle times of your various hairs so that more of them are in the growing phase at the same time, thus giving you a more fuller head of hair appearance. Finasteride limits the levels of a hormone called DHT in your bloodstream. DHT can attach to hair follicles on your scalp and cause them to shrink and produce smaller less visible hairs. If you had to make a choice and only take finasteride or Rogaine, finasteride works better. And it's more likely to work -which is another way of saying more guys don't respond to Rogaine than Finasteride. But actually its best to take them both if you can to maximize the fuller hair appearance. A small minority of guys report sexual side effects with finasteride, but some of this is just guys psyching themselves out knowing that its a possible side effect, and already being under stress of trying to cope with losing their hair.

I've used this stuff with toppik, its pretty good. Maybe this is covered in the video, here's my 2cents. I started applying it when my hair was wet because more of the scalp is exposed when your hair is wet and clumped together, but its actually better to apply it when your hair/scalp are dry. Don''t even wet the applicator, everything being dry is best. Do some experimentation/evaluation before going out into the world with it. One thing to be very aware of is the effect of LIGHTING -indoor/outdoor/sunlight on how it looks -don't just apply it in your bathroom and assume because it looks great in the mirror that its going to look great in the other lighting conditions you are going to be in. Brighter indoor lighting and outdoor/sunlight require more finesse. Take some pictures, a mirror with you outside, etc the other lighting situations you are normally in, and then compare them with how you looked in the bathroom mirror. That will help you find the best application method. Shorter hair makes it easier to comb through so that it applies more evenly across your hair shafts to give a more consistent look, but then there's how close of a match your natural hair is with the dermatch. I consider my hair color to be light brown, but medium brown was the best match. Even the dark brown looks alright on the top but then I would have to apply it to the sides of my hair too for a consistent look. Anyway, the darker your hair the more consistent your results will look in my opinion, seems to be in terms of how light reflects off everything -darker colors absorb light while lighter colors reflect it, more color variations in reflections. I would apply it mostly for the scalp coverage and to thicken up the hairs, then have a little dry towel to rub over the top of my hair to clear off the excess that can also give your hair a dull look if you apply too much. And then I would sprinkle on the toppik fibers - a slightly better match for my hair color as well, and then comb that through, then style and hairspray. It can be a great way to strategically plan and delay HTs, but the more you continue to loose the more difficult it gets to effectively apply.

No big deal, I've gotten scripts written by my family physician and one of the hair transplant doctors nearby during a free consult, not something you need a specialized dermatologist for. Just going to look and see if you have any signs of hair recession or thinning, its a drug that has been around for decades and the side effects, if you are one of the few that has them, are not serious, like in terms of bodily damage, dying. Depending on what state you are in you don't even need to see a doctor in person, keeps.com is legit, you can do an online doctor visit and then get $25/month supply here https://support.keeps.com/hc/en-us/articles/115004676673-Is-Keeps-available-in-my-state-

About reducing fin dosage, give it a try. Check out the links below about dosage and DHT level (which is what finasteride lowers to help prevent the hairloss). And maybe the topical version of finasteride may give you some help? -- After taking 1 pill of finasteride, the drug itself is largely eliminated from the body in 1-2 days given that the half life of finasteride is about 4-6 hours (after five half lives a drug is significantly reduced in the body). However the same is not true of DHT levels. After a single dose of finasteride, DHT levels are reduced by 60 % (ie from 65 ng/dL to 25 ng/dL). However, the DHT levels don't rise back up quickly even though the drug is out of the body. https://donovanmedical.com/hair-blog/dht-finasteride https://donovanmedical.com/hair-blog/topical-finasteride

I take mine first thing in the morning before the brushing of the teeth. There's so many ways and places the evening can come to an end, esp when alcohol is involved, making it easier to miss doses altogether. Anyway, relative to the extra work/beating the alcohol is taking on your liver to process, I would expect the 1mg finasteride to be having a much smaller effect. But then why pile on your liver anyway, just start taking the fin first thing in the morning with your favorite hangover recovery beverage Found some otherwise interesting links searching a little on finasteride and alcohol. The mind games that drug plays on some people, while I don't doubt there is a small minority of guys that have sexual issues when taking it, I suspect if you were to either not tell them that was a potential side effect, or just not tell them they were taking anything and slip it to them, most of those guys wouldn't have any issues. Jul 28, 2020/by William Rassman, M.D. & Jae Pak, M.D./Hair Loss Causes Has your relationship with alcohol changed since being on fin? Personally I used to drink a lot and now I kind of dislike drinking and only drink once in a while. Not sure if this is a rare reaction or even caused by fin. Drinking with finasteride is not a problem https://newhair.com/baldingblog/finasteride-and-alcohol/ ====looked up this Dr Rassman and he's a legit doctor, member of the International Society of Hair Restoration Surgery (ISHRS) https://ishrs.org/doctor/36908/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2739798/ Conclusion Heavy, daily drinking increases the risk of high-grade prostate cancer. Heavy drinking made finasteride ineffective for reducing prostate cancer risk. Keywords: Alcohol consumption, finasteride, low-grade prostate cancer, high-grade prostate cancer

You should be alright https://www.aad.org/public/diseases/hair-loss/insider/shedding It’s normal to shed between 50 and 100 hairs a day. When the body sheds significantly more hairs every day, a person has excessive hair shedding. The medical term for this condition is telogen effluvium. Excessive hair shedding is common in people who have experienced one the following stressors: Lost 20 pounds or more Given birth Experiencing lots of stress (caring for a loved one who is sick, going through a divorce, losing a job) Had high fever Undergone an operation Recovering from an illness, especially if it included high fever Stopped taking birth-control pills Get back on the pill FuriousGeorge and report back again!

np, and you might want to experiment a little with temporary concealers to give you maybe a few years of thicker appearing hair, but be warned over time they become more time consuming to effectively apply as your hair thins more and they can only do so much -toppik and/or dermatch are the two popular ones that actually work (search on amazon), and they work well together too, you need to re-apply them after you wash your hair -some say they sweat off too but I never had that issue when I used them. But if you lead an active life with alot of sweating/swimming, contact sports, girfriends running fingers through your hair, etc and are worried about others finding out you use them, then those are probably not going to be something to bother with.

To your question about whether you should consider buzzing your head, if you are hesitant and are working from home or stuck at home due to the pandemic, it could be a great time to buzz your head down and see what you look like without having to be around other people if you are shy. That's what I did a few months ago and was surprised to find that my head shape and face features actually look alright with the shaved look.

I've been looking into smp myself and thinking about it, I have a scarring alopecia condition that destroys hair follicles, hard to treat and pretty rare, and it could potentially flare up at any time so the HT route is no longer one I can follow. There's a member on here that owns an smp operation just outside of NY city that I'm considering, has alot of posts and excellent reputation -https://www.hairrestorationnetwork.com/profile/4660-hairthere/ There's a link to his results page https://www.aheadink.com/gallery

depending on how you look with a buzz/shaved cut may want to consider smp with the temporary ink that disappears after a few years to frame your face, and just get touchups every few years in the meantime until like you were saying, that blessed day 5-10 yrs out when there's a cure actually comes to pass. https://www.hairrestorationnetwork.com/forum/83-scalp-micropigmentation-smp/

You look relatively young based on the pic, like still in your 20s. Have you had alot of hairline and temple receding in recent years? Family history of hair loss? Judging by your forehead shape I'm assuming your hair line has never looked like the red outline. I agree with JohnAC71, go with the green. About looking 5 yrs older, I would focus more on achieving a 'timeless' look your face can age with. Not only do the vast majority of guys have at least a little receding from the top and sides of the hairline as they get older, but your facial shape and features are going to change too. You don't want to end up with a man's face under a kid's hairline. And especially with being younger, there's how many grafts you have available to transplant from your donor area down the road. You don't want to have a low hairline and not have enough grafts to fill in the middle and crown areas if they start to thin later. While finasteride is great to help you hold on to what you have, it's not always enough, and its effectiveness tends to decline somewhat in the years after you start taking it.

For prevention I would confine it to the hair line on the top and temples that frame your face -but when it has receded enough that you have something mature, don't want a young man's hairline your whole life. For the middle and crown areas, depending on how aggressive your loss is, and hair style/type/color you may be able to use concealers like dermatch, toppik to delay having procedures for years, minimizing the total you have over the course of your life. And they would cost you less because you would be getting more grafts done per procedure. And if your loss turns out to be more aggressive down the road you can be more strategic about using your remaining donor.

Hi, this is about a week old, hopefully the original poster comes back and sees this. I've occasionally lurked on the forum here over the years, but I saw the pics in your post and decided to join so I could put this on your radar, and everyone else for that matter. I don't want to freak you out unnecessarily, but like has been said about seeing a doctor, I definitely agree, not just for maintaining what hair you have, but especially if you are planning on having ht procedures. Those spots could be due to a scarring alopecia -they are a relatively rare set of skin diseases where your immune system gets triggered and attacks and destroys the hair follicles. They don't know yet what causes them, no cures, they can last for years, spontaneously burn out, occasionally flare up. Depending on the severity/aggressiveness of the case, they create 'scarring' bald spots/areas where the hair follicles no longer exist -if you google 'scarring alopecia' you'll see crazy worse case scenarios and non-related gross bs that the internet is always good for, but the outcomes are not always that dramatic. And sometimes there aren't even surface inflammatory symptoms, while under the skin surface the hair follicles are being attacked. I was diagnosed with a scarring alopecia called Lichen Planopilaris about 8 yrs ago, but maybe had it a few years earlier - I also have a common skin condition called seborrheic dermatitis that causes some occasional mild-moderate scalp inflammation -redness, itching, so disentangling what is actually causing a surface symptom on my head is not straight forward. But at least mine has been relatively mild, haven't lost alot of hair, some splotchy bald/scar spots like yours -even after giving up on treatment about 5 yrs ago (too many drugs for too long for what amounts to never-ending symptom management, and I don't want to risk getting something worse like a cancer from multi-year drug side effects). These can be difficult to diagnose and treat, mine was confirmed with a skin biopsy. And I was surprised initially to find that some dermatologists in my area refused to take me on as a patient, due to their lack of experience with scarring alopecias, and the difficulty in managing them. Which then made me suspicious when I came across the occasional doctor that would agree to take me as a patient -how really good were they? lol. So I ended up making a few trips a year to a top dermatologist at the Cleveland Clinic where they deal more with the rare and exotic. After almost three years of regimens -medicated shampoos, topical corticosteriods, creams, couple of different pill types that fight some surface yeast/fungal whatever, skin vitamin formula supplement...it did reduce the mild-moderate inflammation on my head but never completely got rid of it, and it was just too much effort, drugs, for something that has never even been that dramatic in terms of inflammation, or hair loss -fortunately so far, knock on wood. So again to anyone reading this, esp if you are thinking about a first or next hair transplant, and you notice strange spots/areas on your head that look bare/scar-like, get it checked out by a doctor because if you transplant more hair into the scarring spots, even if the disease is dormant now, it could re-activate and you could lose those follicles too. -And take finasteride to help keep as many of the hair follicles you do have working and producing visible hair. Also there's oral Minoxidil too, I stopped using the topical form after the diagnosis because the alcohol could trigger skin inflammation but I'm taking that now too.