The photos begin with my wet hair, and then there are the dry ones after.
More background information about myself:
I have started taking 0.5 mg of Finasteride every other day since last month (May 2024). I think I'm shedding because the upper right area on the back side of my head has worsened quite fast and I see hairs falling out in the sink. I also microneedle my scalp and sides at 1.5mm once a week starting around the same time as Fin.
I noticed thinning (had a small bald spot) beginning in the crown area since at least the age of 15-16. I am now 28 and it has progressed to what you see in the images. It's awful I know, especially with the long hair. I was always in denial about my hair loss, chalked it up to just having naturally thinner hair and ignored it until one day I saw a video of myself and was absolutely shocked about how bad it really was.
The mid to lower portion on the back of my head is still quite thick, but the sides of my head have thinned a lot, it looks like I may have retrograde alopecia. That worries me a lot as I've learned the sides of your head are supposed to be donors for hair transplants too. Can HT surgeons restore the sides of your hair too? Maybe there wouldn't be enough grafts since I have advanced loss on the mid scalp and crown area and density is low to begin with.
I considered topical Minoxidil, but I heard it's lethal to cats if even a drop gets on them and they lick it. I work from home and I'm around my cat all day, so it's not an option for me. As for Oral minoxidil, I've heard it's not as safe or recommended, the possible side effects worry me for the long term and I've had a history of random chest pains before, so overall I feel like I just want to stick with finasteride.
Right now I believe it's too early for a HT since I've just started taking finasteride to hopefully prevent further loss and get some regrowth. But, assuming I stabilize with what you currently see and with no regrowth, would I not be a candidate for a hair transplant at all? Maybe I could get FUT to cover my mid scalp and vertex, and get a fade haircut on the sides? What do you all think?
There's also a surgeon I was interested in, Dr. Luis Nader as he seems to be conservative with his grafts and have read good things about him.