Identifying broad hair thinning and possible treatments? (Photos)

From your description, it sounds like you've taken some positive steps by discontinuing the ponytail and scalp picking, which can contribute to hair thinning. The use of 5% topical minoxidil is a well-regarded treatment for hair regrowth, but it can take several months to see visible results, and sometimes even longer to see significant improvement.

Here are some considerations and potential next steps:

Continue Minoxidil: Since you've only been using minoxidil for a couple of months, it's worth continuing for at least 6-12 months to assess its full effect. Some individuals experience initial shedding, which can be a sign that new growth is beginning.

Scalp Assessment: To determine if there is any scarring, which could impede hair regrowth, a consultation with a dermatologist or trichologist would be beneficial. They can perform a physical examination and may use tools like a dermatoscope to assess the scalp closely.

PRP Therapy: Platelet-rich plasma (PRP) therapy is another option to consider. It involves injections of your own platelets into the scalp to stimulate hair follicles and promote regrowth.

Nutritional and Lifestyle Factors: Ensure that your diet is rich in essential nutrients that support hair health, such as proteins, vitamins (particularly biotin and vitamin D), and minerals like zinc and iron. Stress management and avoiding harsh hair treatments can also help.

Hair Transplant Consultation: If there are areas of significant thinning or scarring, and other treatments are not effective, consulting with a hair transplant specialist could provide insight into whether this is a viable option for you.

It's important to follow up with a specialist to get a personalized assessment and treatment plan tailored to your specific needs.