I have diffuse and frontal mpb. I measured the thin hairs on the back and the sides with a digital microscope. Around 15-20% of the area is composed of thin hairs. I am on topical finasteride and min. My doctor didn’t say that I should apply the fin on the sides/back, but I think I have to. Do you think it is essential? I also apply min to all the scalp area.

It makes no sense to apply finasteride to the sides and back which is the area that balding usually does not occur. Also, if you use topical finasteride and spread it around your entire head (including the permanent zone around the sides and back of your head), enough systemic absorption might occur just as if you took the oral pill, defeating your goal to keep it topical. Normally the liposomal topical finasteride has at most an 18% absorption through the skin in the body while other non-liposomal finasteride preparations might have more systemic absorption.

Isn’t it true that even non balding men may have a percentage of miniaturized hair on their heads?

Yes, the normal man can have up to 20% of their hairs in a miniaturized state when you look at them under a hand microscope.  When that number increases, it most likely reflects genetic balding in the typical male.

I have only really lost majority of my hair at the crown, some came back due to dermarolling.  I’m not on fin or min ( body to sensitive also plan on having kids in the next 4-5 years).  It it possible that if I improve my heart health, I can get some more hair back on my crown?  Heart Health is proven to effect crown.

The finding that people with pure crown balding get heart disease is an observation in a number of publications. Putting hair in the crown doesn’t impact your heart or change the statistics, sorry!

This man took topical finasteride with minoxidil and applied it to the frontal hairline for 3 months and already has reversed some of the balding

Lowering a male hairline is a role for a hair transplant if you are over 25 years of age.  I would not seek a hairline advancement surgery (another solution to high hairlines) because male pattern balding (genetic balding) might cause you to lose hair behind the surgery site and expose a scar: https://baldingblog.com/had-a-hair-transplant-at-21-now-at-22-he-has-more-hair-loss/.  I would try to reverse the early hair loss with medications such as finasteride and minoxidil and with a little luck, you might get a response like this: https://baldingblog.com/10-months-on-finasteride-fantastic-result-photos/.  You need a good doctor who cares about you and will build a Master Plan for you so that you will never look freaky while fixing your forehead or balding problem

Is there a way to check whether the hair loss is from chemical burns as opposed to a condition like alopecia?

If there is an event where a chemical burn could have happened, then the burn may limit some or all of the hair growth in the area where the burn happened. I generally say if hair has not grown in 8 months since the incident, then the chemical burn is permanent. Hair Transplants or Scalp Micropigmentation give solutions to this problem along with concealers like Toppik.

I suffer from MPB, which I’ve successfully been treating with RU58841 plus DHT-blocking shampoo+conditioner and obviously all the must-have daily supplements . My MPB has stopped, I shed zero hair, maybe 5 hairs every time I wash my hair. My hair’s very thick and dense.  But my hair/hairline is still disgusting and I can’t style my hair the way I want to style it.In any way .  The only difference between those photos and the current me is that my hair’s a bit longer now, hairline’s the same sadly and my eyebrows are now thick due to minoxidl on eyebrows.

A hair transplant clinic I’ve recently been to in person refused to give me a HT just for the temples, to fill them in, because apparently to them they wouldn’t be able to achieve the same density on the temples with the transplanted hair as my native hair so it’d look fake according to them. But I desperately want and need to not only reduce my forehead’s size which is absolutely disgusting to look at, but also to get my temples back. I’m still fucking ugly, and the first step to fix this problem would be to fix my forehead/hairline issue, I swear every time I look at my huge forehead and slick bald temples I feel throwing up on the spot.

So do I get a HT or a Forehead Reduction Surgery (aka hairline lowering surgery)?

In my opinion, young men should never get a hairline advancement surgery because young men don’t know where their hair is going to be lost. If the hair is lost behind where the advancement is, they are stuck with a surgical scar that will become progressively obvious. For many young women, hairline advancement surgeries work nicely because they don’t go on to recession of the hairline as young men do.