5mg oral minoxidil once a day or 2.5mg oral minoxidil twice a day, which would yield better results?

My question is, should I be using topical liquid min on my frontal area where I’ve had hairs transplanted? I never do as the box says it only works on the crown area, but is this different for the transplanted hairs?

Hair transplants do not need minoxidil and minoxidil will not stimulate hair transplants to grow as they grow regardless of medications used. By all means, use it in the crown where it may work well.

If finasteride works, it often takes 6-15 months to see a gain. You are over 40, so men over 40 get less frequency of hair loss reversal.  Its immediate effect is to slow down the hair loss, something you may or may not notice.

Maturing hairline vs recessions:  I believe that a “Maturing hairline” is the same as MPB receding hairline. Someone people just recede more slowly than others or have their hair loss isolated to their hairline.

That is not true.  A maturing hairline is the normal evolution of a juvenile hairline that disappears in most Caucasian men between the ages of 18-29

This man built a frontal hairline with 2300 grafts and 1600 grafts on his temple peaks.   He has since added another 2300 grafts to double up the density of his frontal area.  The goal here is to use a hair system behind the hair transplant to cover his Class 7 pattern of hair loss. Hair systems can often be detected, but with a transplanted hairline in front of the hair system, it will not be easily seen.  He, unfortunately, has fine hair.  That is why it will take a lot of grafts to create a thick frontal hairline.  If his hair was medium or, even better, coarse in character, he might have achieved his goals with far less grafting and with thicker-looking results.  Fine hair has limitations, especially compared to a hair system. The photo on the right shows a hair system behind his leading-edge transplant with his hair pulled back.  I have been involved in many such attempts; however, most of the men who started the process didn’t like the lower density of the transplant when compared to the hair system.  That can be overcome with more transplanted hair in the frontal 1 inch.

The arrows point to the sites where the skin or the scalp died off.  The second photo shows the scalp skin has sloughed off.  The cause of this is often too much epinephrine in the local anesthesia and site that are made too close for recipient area or even possibly too large a site creation.  This will cause a scarred area with no hair growth in it.  You need an experience surgeon and team to avoid this.  In my 32 years in practice with over 17,000 surgeries done by either me or my group, there has never been such a complication as shown here.