BurnieBurns

Interesting, I follow the first two quite regularly. Kevin Mann may have used the word 'addicted' before but there is more than one way to interpret that. Bottom line is it doesn't 'make the follicle itself take less nutrients because minoxidil is picking up the slack' or anything like that. For monitoring loss, that totally fine in your case. Everyone's different. Personally I'm very vigilant, take regular photos and to and point I'm always a step ahead (Hope that doesn't sound like a brag haha)

As a general rule, you shouldn't expect a treatment to give regrowth. It's main rule is preventing or slowing further loss and any new hair is just a perk

Youtube if packed with people with no idea what they're talking about when it comes to hairloss. In that topic many don't understand the difference between a treatment and a cure. Or say I treatment works a while then loses effectiveness they think the they've 'built tolerance' or something when simply their genetics have caught up with them. You might be better of staying monitored by your hair transplant doctors (if he/she is a good one) as their more specialised in hair than most dermatologists. Otherwise yes, keep a close eye on it. You don't even need a doctor to confirm it if you can see it with your own two eyes. In that case you could either switch to dutasteride or add minoxidil, topical or oral.

Minoxidil is a growth stimulant, pure and simple and it's benefit varies per individual. It does not make your hair become 'addicted' in the sense you are saying. Any treatment only works so long as it's being continued just like finasteride. Hair loss, if aggressive enough can of course persist in spite of treatment. Whether to use it now or later is a personal decision. It could delay you need for a second transplant but no guarantees. If I were you and I was stable on finasteride I'd just get the transplant and only add it down the line if losing ground. Best to keep your regime as simple as you can get away with.

This is odd. I got topical dutasteride from Farmacia Parati and the ingredients on the tube are not this at all.. Might explain why I still got sides from it. If anyone's interested I could type them out

your crown is in the shade in the first pic and strong light in the second. Either way it's probably worth trying to apply more frequently

Amazing progress for 4 months! I can't see any sign of your scar now at least from the angles you've taken.

I see. Hang in there mate, it can't be easy

Overall I think it looks like great work. Considering the your age and potential for future loss your hairline is in a good place for have enough donor to give adequate density in future. Hairlines also always look a little lower when grown out. Another thing to consider is nobodies face is perfectly symmetrical, or is anyone's hairline. The only option now is to wait for the result to come and if your bothered by it then it won't be a big undertaking to tweak with another surgery.

Sorry to hear there's no improvement. Sorry if you've answered this already but are you on any preventative medication?

Happy growing!

Dr Edward Ball

It's so uncommon to see an incomplete result this dense without even any finasteride. Very stoked for you. There's definitely a 'method to the madness' with the rows. The sense I get from Dr Wong is he never stops refining his craft. Excited to see the rest of your progress

Just apply one in the morning and one at night. Applying minoxidil twice a day instead of once is super negligible and not worth doubling the expense

Topical minoxidil is near useless as a monotherapy. You'd be very unwise not try finasteride for at least a year before even thinking about surgery 'medicated shampoos' and other lotions and potions aren't even worth a glance

If you're not on any treatment you shouldn't even be thinking about surgery. There's a possibility you could get significant regrowth

It absolutely penetrates. Unfortunately there is little to no chance of a randomised clinical controlled trial ever happening

It's probably worth trying the topical dutasteride

That’s totally understandable. The reality is even topicals will to some extent, Xyon and farmacia Parati dutasteride appear to do it the least

Generally it’s thought fut first is better but it’s not essential. You can do fue first but you just run the very small risk of affecting the growth of surrounding hairs. you’d be wise to consult with multiple surgeons to get a wide range of perspectives before choosing the one you feel most aligned with.

Wouldn’t think they would, you’d probably have to find a private clinic specialising in men’s health. dutasteride is a stronger chemical however it goes significantly less systemic than finasteride when applied topically

It is the only means of taking 100 percent of the most dht resistant donor hair and maximising scalp donor overall combined with FUE

Nice, which formuala are you using? Any reason for not opting for topical Dut?

Topicals are trend about town these days and have become a big cash cow for many clinics. The reality is most who use these would be fine on oral medication anyway. They are simply less intimidated by using a topical than taking a pill. To Xyon's credit, they are the only company that have invested in a vehicle that actually reduces absorption to any significant extent.

Sounds like your GP is very uncaring about this (As many GPs are about non threatening conditions). Other doctors would see low libido as an issue to be treated. Either way, you should look into Xyon or Farmacia Parati topical Dutasteride. At least they have some evidence for negligible systemic hormone impact.