Is Rogaine or Propeica more effective for a deeply receding hairline? Suggestions? (photo)

Doctor Answers 5

Does finasteride or minoxidil help the front?

Finasteride is more effective but minoxidil can help. Your AGA is early staged and you appear young (you'll see why that's important below.

Now the pivotal studies. Dr Elise Olsen did a very nice study in 2012 looking at the benefits of finasteride on the front, middle and crown in mend 18-60.  She and her group showed that young men clearly benefitted in the frontal region as well as the middle and crown. Older patients (40 and over) did not benefit in the front! Now, you might thicken up the area if you were to respond, but you won't lower the recessions- only a transplant can do that. 

Now, what about minoxidil? We'll minoxidil does help the front. Another great dermatologist, Dr Paradi Mirmirani did a nice study recently showing the minoxidil helps the front AND the crown.  Basically - if there are miniaturizing hairs around... minoxidil has the potential to help. Unfortunately it does not help everyone.

And other studies have shown the combination of the two is even better than either alone. 

Take home message: if you want to stop and thicken, these are good options. if you want to lower your hairline, hair restoration combined with finasteride and minoxidil is likely the best option.


REFERENCES
Olsen EA, et al. Global photographic assessment of men aged 18 to 60 years with male pattern hair loss receiving finasteride 1 mg or placebo. Randomized controlled trial. . J Am Acad Dermatol. 2012.

Mirmirani P, Consolo M, Oyetakin-White P, Baron E, Leahy P, Karnik P. Br J Dermatol. 2015 Jun;172(6):1555-61. doi: 10.1111/bjd.13399.



Rogaine vs propecia

Both medications are preventative, as in they slow the progression of hair loss. In a small subset of patients, both can help with the frontal area. Finasteride works differently from minoxidil. If you are concerned with your deep recession, I would recommend undergoing a consultation with a hair restoration surgeon who can address your concerns, evaluate your scalp and hair, and discuss with you the nonsurgical as well as surgical options. 

Rae Lynne Kinler, MD
Chicago Physician

Hair Regrowth That Really Works--Rogaine, Propecia, Prp, Progesterone

Both are effective in stabilizing the hair and can help with regrowth in areas where there is still a viable follicle. For best results, a combination approach is best with Rogaine or Propecia along with prp and progesterone injections and/or hair transplantation. I recommend a formal consultation with a hair loss expert. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 165 reviews

Rogaine or propecia

Neither Rogaine (minoxidil) nor Propecia (finasteride) will probably reverse the hairline recession. This is only possible with a hair transplant. See below

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 reviews

Rogaine vs Propecia? ENGLEWOOD CLIFFS NJ

Both Rogaine and propecia,have the  ability to decrease shedding and regrow hair. However, Propecia,works in a higher percentage of male patients . Good luck . 

PRPHAIRMD.COM 

Jeffrey Rapaport, MD
Englewood Dermatologic Surgeon
4.6 out of 5 stars 38 reviews

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