- Reaction score
- 1
25M, around NW5. Hair loss started at 19–20 and I have very little frontal hair left. The crown is currently in better shape but is also thinning.
I tried oral finasteride but experienced libido-related side effects and never felt comfortable continuing it. I also tried topical minoxidil and had palpitations/tachycardia, so unfortunately I haven’t been able to tolerate the standard long-term treatments.
The other day on a visit a top surgeon suggested a conservative approach with around 3,200 grafts focused on rebuilding the frontal third and part of the mid-scalp, while leaving the crown untouched for now. The goal is to maximize cosmetic impact, preserve donor reserves, and keep grafts available for future reinforcement of the lateral areas if hair loss continues to progress.
For maintenance, the plan would be dutasteride mesotherapy every 2 months, ketoconazole shampoo, and occasional PRP sessions. The doctor of course said that can be umconfortable, less effective (or nor goong to work) and expensive.
For those with similar patterns and who could not tolerate oral medication, do you think this is a reasonable long-term strategy? Could mesotherapy every 2 months realistically help maintain the result for several years, or is progression still likely to be significant? Any advices (apart from shaving my head haha).
I tried oral finasteride but experienced libido-related side effects and never felt comfortable continuing it. I also tried topical minoxidil and had palpitations/tachycardia, so unfortunately I haven’t been able to tolerate the standard long-term treatments.
The other day on a visit a top surgeon suggested a conservative approach with around 3,200 grafts focused on rebuilding the frontal third and part of the mid-scalp, while leaving the crown untouched for now. The goal is to maximize cosmetic impact, preserve donor reserves, and keep grafts available for future reinforcement of the lateral areas if hair loss continues to progress.
For maintenance, the plan would be dutasteride mesotherapy every 2 months, ketoconazole shampoo, and occasional PRP sessions. The doctor of course said that can be umconfortable, less effective (or nor goong to work) and expensive.
For those with similar patterns and who could not tolerate oral medication, do you think this is a reasonable long-term strategy? Could mesotherapy every 2 months realistically help maintain the result for several years, or is progression still likely to be significant? Any advices (apart from shaving my head haha).