If I apply 0.1% 1 ml solution of topical liposomal finasteride daily. That would mean a dose of about 1mg.
If I apply 0.1% of 2ml solution daily. That would mean a dose of about 2mg. Is this what you mean or would I have to change it to 0.05% to keep with the 1mg dose? I believe you have mentioned that about 5% or 18% of the medicine goes systemic. Which one of these would be the better estimate? 

If you have the time I do have a few more questions:

If my hair loss still regresses, is there a point in increasing the dose? If so, by how much and what would be the limit? Also in your experience how effective is 0.1% for people around my age and does it actually reduce the chances of side effects? 

Finally, although I know they are rare, I wanted to get some clarification on the side effects:

I have mild gynecomastia left over from puberty. Does that make me more likely to get finasteride-induced gynecomastia?

Can long-term use of finasteride cause side effects like infertility? If so, in your experience do these always go away once the mediation is stopped?

1. I only prescribe the Liposomal form of topical liposomal finasteride, not regular topical finasteride, and step-wise, increasing the dose from 0.01% over a year to the 0.1% ideal dose. I don’t know if I agree with your math. From a practical point of view, what I do works.
2. The ideal dose, in my experience, is 0.1%
3.  I have seen rare reports of side effects that can be offset by lowering the dose to 0.01%
4. Juvenile gynecomastia usually doesn’t increase the risk when taking finasteride as an adult or late teen.
5. Finasteride is not known to cause infertility, but there are reorts of reduced sperm count for men on finasteride.
6. Fertility side effects usually go away in a couple of months after stopping the oral finasteride.

It is clear that sticking to the plan and taking finasteride daily, gets results on many more men than we traditionally see.  That is because most young men want instant results and don’t have the patience to stick out a long-term plan. 

They gave me a little certificate upon completion of the transplant with a redo guarantee of the results are poor, I still have it. But I cannot just go back to turkey, the plane ticket there was more expensive than the procedure. I told them I wanted a refund but they gave me the run around for legit 2 months, I got tired of it and ripped into them real bad. After that, they declined to give me a refund and they keep telling me no

The value of seeing a doctor in your country is that you always have recourse, either to get your money back or take action against the clinic that did this to you.  A solution, if this is older than 6 months, which in your situation is so, then SMP is part of your solution, but don’t get ripped off doing this again, get a reputable group to do this for you, one that does both transplants and SMP.

This is a widespread error for surgeons performing a hair transplant.  Hair is often placed like the spokes of a bicycle, circularly.  In this particular man, the mistake was for half of his right hairline; however, I often see the entire hairline created this way.  When a man has straight hair, such errors create a freaky look.  See where half of the right frontal hairline points in the wrong direction. I drew straight lines in the photo to show the error. 

You appear to be a good candidate, assuming that you have already tried some of the other non-surgical treatments and that they have failed. Do you have miniaturization on your scalp beyond the hairline area? Ask your surgeon about your baseline donor density and hair mass (donor hair thickness). These two factors will allow you and your surgeon to predict how you will manage if you continue to lose more hair (likely). If your surgeon can’t answer these questions, could you find another surgeon who will? You must remember that the surgeon works for you, and as such, in a job interview (you being the interviewer), you need to ask the right questions and expect reasonable answers. If the surgeon gets upset with your questioning why he is offering you surgery, then get the hell out of there because you shouldn’t want to hire such a doctor.  If you only meet with a salesman or saleslady, then run for the hills. 

FYI: Juvenile hairlines are not uncommon. In Caucasians, they are less than 5% (e.g., Bill Clinton), while in India, they may reflect 25% of the male population. My Grandfather died at 102 with his 5-year-old hairline and black hair (no gray).

The addition of microneedling, especially in men over 30, will add a different dimension and more frequent reversals.  Nice to see short-term results. 

 

When did you see results after using oral dutasteride and/or oral minoxidil

These drugs start working almost immediately. Remember that hairs that are miniaturized and benefit from these drugs have to grow from their base, a process that takes up to a month or so before they emerge from the scalp. If you plucked one of these hairs at, say, four months, you would see a wider shaft at the bottom (the new growth) and a smaller shaft on the upper part (the miniaturized component of the hair).  Sometimes it takes up to 18 months to see the value from finasteride.