I began to notice a bald spot on my upper left crown about 7 years ago (I am in my mid 30s) and have been on Propecia and Rogaine ever since. This regimen has given me good results. However, in the last few years, I have began to notice diffuse thinning on the top of my head (it is worst in summer). Currently, the bald spot is still on my upper left crown but the hair on my crown (and hairline) is thick.
My question is, when is someone with diffuse thinning a candidate for a hair restoration procedure? The diffuse thinning is getting to the point that it is noticeable even when I am not in bright lights. My potential donor hair is extremely thick.
Believe it or not, the definition of “diffuse thinning” is highly variable for patients who are describing their hair status. So I would not know if you would be a candidate for a hair transplant surgery. You need a physical examination for that option.
In general, if you have thinning on the top or crown area, many patients who choose to have a hair transplant will get good results. For thinning in a young man, I generally recommend a trial of finasteride for 8-12 months prior to recommending surgery, as many young men will reverse enough of the thinning to avoid surgery.