When I see such pictures of hair transplant results, I realize that both the doctor and the patient have some responsibility to this. The patient had a veto of the hairline as it was drawn on his head prior to the transplant being done. The patient also probably didn’t research his doctor because had he done so, he would not have selected this doctor.  The doctor clearly didn’t understand hairline design for men (as this was a female hairline design), did not put enough grafts to give it a full look (that was fortunate for the patient as it will be easier to remove these grafts) and the surgeon (or the technician) who did this, put multi-hair grafts at the frontal hairline, making it look pluggy.

The value of reducing the dose of finasteride is seen here on this dose response curve: https://baldingblog.com/finasteride-inhibition-curve/

I put dots on the left side of this man’s hairline to show where his hairline probably was when he was 12 years old.  The movement of the hairline upwards from this dotted line is where the mature hairline develops.  The juvenile hairline would extend from the bottom of the widow’s peak to the temple points.  The widow’s peak is a genetic remnant of the juvenile hairline which shows nicely in this photo. IF this man got photos when he was 12 years old, I suspect that he would see a rounded concave hairline as I just described. Now what we see is a mature hairline with a gentle V-shape that hopefully will stop receding here.

I have this extreme widows peak. Where would you put me on the scale cause I’m not sure if I should look directly at the wrinkle or a couple of millimeters above where this change in skin structure appears. Having a widows peak to begin with makes recession so much more obvious. 

The tip of the widows is where your juvenile hairline was located. The widows peak is a unique genetic remnant of the juvenile hairline so people like you are easy when determining the presence of recession as shown in my article here: https://newhair.com/wp-content/uploads/2018/11/phenotype-article-published.pdf .

17M, i’ve only been on minoxidil for a lil over 6 weeks, fin for almost 2 weeks. is this an illusion or am i actually already seeing progress?

From a hair growth perspective, 6 weeks in a very short time. Give it more time and then you will know. A 17 year old man tends to be very sensitive to stimulus for hair growth with such approaches as minoxidil, finasteride and microneedling. So you can expand what you are doing if it doesn’t get you were you want to be.

https://pubmed.ncbi.nlm.nih.gov/24773771/

“we found that sulfotransferase activity in plucked hair follicles predicts treatment response with 93% sensitivity and 83% specificity.”

Isn’t it even more than that? 50% of men by age 50 have hair loss…age 80 it’s more like 80%…so at the end of the day it’s definitely a majority, even if for some it happens very slowly and gradually..

That is not true; however, there is a change in hair as men and women get older and older. A good percentage of people in the 80+ range, have very fine hair develop which looks see-through. I am going by the statistics I have read to make the above statements.

This Wikipedia review is excellent for all people taking topical or oral minoxidil:  https://en.m.wikipedia.org/wiki/Minoxidil

Is there a reason that a majority of hair transplant before and afters the guys dont have perfect hairlines (like the picture)?Like, I want to try and get a perfect hairline.. is there something preventing that? Also, can hair be transplanted as low as you want or will it not grow in certain spots?

These are decisions that a patient must make when planning the hair transplant with a good surgeon. Losing the temple peaks does not conform to normal genetic hair loss on the front, top and crown of the head, so this man was bothered by the loss of his temple peaks. The low hairline, on the other hand, can be a problem if he develops hairline recession. The leading edge of his temple peaks is too straight, in my opinion (my artistic view) as you can draw a line connecting all of the hairs (it should be ragged).

You should try minoxidil and finasteride at a minimum (even microneedling) for a year before considering anything more aggressive. At your age, I have seen reversal.

 

There is generally no connection between having gynecomastia and developing breast cancer in a 21 year old male

Would you happen to know if my frequency (1x/day vs 2x) is appropriate given my circumstances of minimal circulating androgens?

Minoxidil has nothing to do with circulating androgens. The hair produced from minoxidil was originally seen as a drug side effect when the drug was use of high blood pressure management. The typical Trans Women take more aggressive treatments for blocking their androgens.

 

I always see people talk about it, how people who go bald young is a sign of bad genes or people going bald young saying they have bad genes. I mean i guess it’s not cosmetically ideal for keeping a youthful aesthetic but does balding say anything about the “quality” of your genetics or what

It means that you have balding genes, not bad genes. If you develop uniquely crown balding, there is an indication that you are at a statistically greater risk of heart disease and stroke, I guess that is not good genes. I have pure crown balding and have some atherosclerosis of my coronary arteries.

It may take more than 3 months to see benefits from the combination of microneedling and finasteride, so be patient