Bald for 20 Years – Will Propecia Work?

I’m 43 and completely bald except around the side of my head-I can grow hair everywhere on my body except the top of my head-lol! I’m wondering if Rogaine or Propecia has worked on guys that are already bald and I have been since I was 22 or so

Going on Propecia or Rogaine may help prevent further hair loss, but if your skin is smooth and the depth between the skin and the skull is very shallow (atrophic skin), these medications will probably not cause you to grow hair on your ‘runway’. The reason is that when the supportive blood vessels, fat, muscle, glands and nerve tissue atrophy and die off, there is little to stimulate with these medications. If your hair loss process is stable and meets the above criteria, then there may be no point to medications. If your hair loss is not stable (some small hairs are still there and the scalp is not atrophic) then these medications may help. If your fringe area is dropping , then Propecia may stop its migration downward (to your ears). I doubt that minoxidil will have any impact, but you could try it. Propecia or Rogaine will not strengthen the follicles that have already shriveled up and disappeared, but they may help hold or regrow whatever follicles are left that are in the miniaturized state.