I am 37 years old and had this balding for 10 years. I started using 1 mg PO finasteride daily 1 ml topical minoxidil twice daily 1 biotin vitamin daily, Saw palmetto shampoo, plus 0.5 mm micro needling at home 2-3 times per week.

I would increase the microneedling needles to 1.25mm and reduce the treatments to once a week. That depth gets to the stem cells that control the growth of the follicles to react to the wounds.  You also might consider switching to oral minoxidil.  Speak with your doctor.   The photos suggest that the stem cells are still there and alive, so push the depth of the microneedling t where the stem cell reside.

This 40-year-old male reversed his hairline recession with minoxidil 6%, 0.3% finasteride topical solution as well as microneedling.  I suspect that without the microneedling, he would have had no response.  Microneedling is a fantastic treatment for almost any age man with balding. The problem with microneedling is “Will it last” and if so, how long without continuing the process. 

Does my hairloss related to high testestrone?i just got my bloodwork and my testestrone was 1130 ng. I taking finasteride for 8 month. I didn’t take DHT test but I have plan to do it in future. Currently I am in middle of the situation that i don’t know my hairloss is because of finasteride shedding or high testestrone or dht.

Hair loss has not been correlated to normal high testosterone levels. Exogenous testosterone, which changes your normally high testosterone levels or a person’s normal testosterone levels, will produce hair loss.

So three months ago, I decided to hop on a min/fin 0.1% formula that made my derm (my anxiety and depression were still strong during this time). I applied it once a day in the mornings. The formula really works, in only these three months, I have recovered a lot of my hair to the point that it looks/feels like my hair from last year.

But my anxiety has been the worst, my derm says it is not possible or common.

Can a low dose of topical fin exacerbate these symptoms?

Topical finasteride at a dose of 0.1% will be absorbed systemically and can add to depressive symptoms that you already have.  The alternative, if you want to take finasteride, is to take the liposomal topical finasteride, which largely stays in the scalp,  This is a compounded medication made specifically to your specifications.  I often prescribe it to people who can’t take oral finasteride. 

I have seen a few of these hairlines that almost touch the eyebrows.  I saw one that was solid at about 1.5cm above the eyebrows.  Usually, if the hairline matures, these juvenile hairlines will disappear with age.  It could take until 29 years of age.  In some ethnic cultures like Indians, hairlines this low are more common, and some men will maintain such a hairline into adulthood as they never develop a classic mature hairline.  This is rare.

I read some comments around here on posts from people who are 17, 18 years old. Many say that there is not much that can be done in those cases, and that one should simply accept that all is lost. I’m 18 and I think my baldness is aggressive. My hairline has always been high, but at 16 I saw it was receding a bit. Two years later, I have a nw2.5-ish hairline, and it turns out that my alopecia is retrograde. However, my hair is very thick on top. On the sides and back, not much, due to the fact that it is retrograde.

One year ago, I realized that things were getting a lot worse. From May to December, I can say that I went from quite-good-hair to obviously balding. I started topical minoxidil in November, and I’ve been using it to this day. Finasteride only started being part of my regimen three months ago (almost four), at the end of January. I’m losing about 100 hairs a day in the shower, but I can say that my hair is still the same as it was at the beginning of the year. Considering how aggressive the progression was, I don’t know what my hair would look like now if I hadn’t done anything to combat the baldness.

I’ve heard reports of guys saying that they started going bald around the time I did, that they had started treatment, but at 24-27 years old ended up losing all their hair. Therefore, I would like to know if it is true that attempting to combat aggressive baldness at a young age is in vain.

I have seen men 17-18 whose fathers had a Class 7 pattern by the age of 22 and they are now looking just like their dads.  I am not sure that today’s medications can stop this balding process, but it is worth a try.  Most men can get a hair transplant and prevent the balding appearance; however, most reputable hair surgeons will not tackle a 17-year-old even with parental consent because of maturity and financial issues.  Too many young men can’t handle the decisions on hair transplants at 18.