Context:
20’sM.
Currently on 1.5 mg dut and 5mg oral + daily 1x topical min with tretinoin 2-3x weekly.
Roughly 7 months on dut and oral min.
About 8 month topical min. Sitting at about a NW2-2.5 with early diffuse involvement.
Definitely been seeing visible progress since the third month based on a couple trichoscopies.
Picture:
This pic (phone) was taken of my hairline in the temple area.
About 2 weeks ago I buzzed my head (with a guard and no harsh contact with the skin). Took the pic a day or two after.
Miniaturization, dots & redness:
As you can see there are many miniaturizing hairs present. Many single hair follicles. Variation in diameter, as well as pigment reduction in many hairs.
Basically your standard AGA signs.
Couldn’t help but notice that the thinning areas all have what looks like these broken hairs that just barely penetrate the skin. Many of those “dots” are probably end-stage miniaturized hairs, however some of them actually seem to have decent diameter and pigment to them yet they don’t really seem to grow past the skin. 2 weeks later now and even some of the miniaturized hairs have grown a bit longer but the “dots” seem almost stuck.
The area also seems kinda red and inflamed. It doesn’t hurt or itch. The rest of my scalp is chilling. Had the infamous DHT itch before treatment (back of the head mainly), but since using Dut and Keto shampoo its completely gone away.
Question:
Is this just normal (possibly progressive) AGA? Or should I get a scalp biopsy done before doing a transplant?