My regimen is not working on hairline: fin, PRP, microneedling (minoxidil's giving me acne). Dutasteride?

start theradome (see link) now, do PRP/acell in the office. post photos and get a formal consult.

You need a formal evaluation to see what type of hair loss you may have. when you have hairless its best to do a full hormonal workup for internal optimization plus scalp biopsies or scrapings to rule out any stress related, inflammatory, autoimmune or infectious causes of hair loss. In general most people with early hair loss have telogen (stress related) and/or androgenetic (normal aging) and both can be treated with in office treatments like steroid injections, PRP/acell, Exosomes and at home treatments like oral medications, oral vitamins like Viviscal, topical exfoliating sprays like Restorsea, and weekly growth factors like anteagemd. See an expert for an evaluation. If hair loss is significant it may requires hair transplant (follicular unit translation).

I encourage you to visit with a specialist for an evaluation. Some lab work may be indicated to determine if there are any obvious imbalances that can be corrected. Your specialist can adjust your treatment recommendations based on this information.

WE have had great success and are completing a trial with microneedling using no rf and ante age hair formula. The ante age uses stem cells. We use the professional grade serum but ask patients to use the at home formulations in between therapy. We recommend 6 months of monthly sessions every two weeks for 3 months then monthly for three months.