years of Miioxidil and Finasteride, added Microneedling am I regrowing or what I should do more?

Journals / Progress Pictures
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Pictures

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Description

Hi,

Here are my results after using Minoxidil and Finasteride for 4 years(the left pics are from 4 years ago). I have been consistently applying 50mg/ml topical Minoxidil and taking 1mg Finasteride pills daily during this period. Additionally, I take 2.5mg of biotin daily. I am considering taking minoxidil pills.

Last year, I started using a derma pen with a 1mm needle depth once a month. I also began using better conditioner and avoiding shampoo as it makes my scalp dry and itchy. But read about Ketoconazole Shampoo.

From what I see I could start microneedling more to gradually come to 1 per week and increase depth.

I see a bit of stopping maybe even growing but I am thinking of what I can do more as I am not very satisfied. I read a bit and thought about Dutasteride.

Also, the pictures at the beginning are not great as I tried to grow more hair to cover it do you recommend how to better measure the progress?

Thanks for any help !

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I think you have the right idea, increase microneedling frequency. You could try topical Dutasteride, which is thought to not go as systemic as Finasteride due to molecular weight.

Your photos aren’t bad, just make sure the lighting is consistent

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