Finasteride and Minoxidil are not Making my Bald Spot Go Away - Should I Get a Hair Transplant?


I am 26 years old and I've attached some of my pictures showing my hair loss. No one in my family has hair loss except for me and my brother. My brother is completely bald. I started losing hair when I was 18. I started trying various treatments, but it was only in 2004 that I started with Rogaine (minoxidil). . I have been using minoxidil since then. Following is my regime.

1) Minioxidil (Mintop Forte 5%)- Daily application but only once. Should I apply it twice?

2) Finastride (Finpecia)- 1mg daily (started one year ago)

3) Nizoral 1%- 3 days a week.

Please advise if I should go for hair transplant. I am happy with my hair but I want to cover my balding crown area and maintain existing hair. Also I use Nanogen daily and have to shampoo my hair daily to remove it.


From your photos, it's obvious you still have some thick hair in the front and vertex, but have significant thinning hair and balding in the crown.

If finasteride and minoxidil hasn’t caused hair regrowth in the crown after a year or more of use, they probably won’t. Though many patients use minoxidil once daily with great success, you may want to consider upgrading to using it twice a day. Finasteride and minoxidil at the very least, should hopefully prevent hair loss from progressing further. Do you find your thinning hair getting worse, slowed down, or stopped since using Finpecia and Minoxidil?

If you are considering hair restoration surgery, I encourage you to consult with a few leading surgeons recommended on the Hair Transplant Network and discuss your case with them including family history of hair loss, the length of time you’ve been thinning, and whether or not the medication is currently helping to prevent more loss. Keep in mind that hair transplant surgery will not stop the progression of male pattern baldness. That's why medical treatment is a very important part of a successful hair restoration, especially for younger patients.