I want to get my hair back. What can I do? (Photo)

You are young and you appear to be headed to a horse shoe shape pattern of baldness or a Norwood class 5 or 6.  At your age, a hair transplant with so much hair loss is not a good idea.  You should consider medical therapy and it is better to start this as soon as possible.  Options include oral finasteride, topical minoxidil, high quality PRP or CRP, and topical WNT-act.  Begin now, because advanced hair loss will not respond to medical therapy.  In the long run, I think you can expect more hair loss regardless.  If you do have diffuse thinning, you should not consider a hair transplant.  

Hi there -

Based on your photos it does appear that you have some diffuse thinning. At such a young age, I understand this can be bothersome. In your situation it may be best to consult with a board-certified and experienced hair restoration physician who can guide you towards a long term plan of hair loss prevention and potentially hair restoration. Your immediate goal should be to increase the health and quality of your existing hair while preventing further loss.

At 23 you need a consultation with a surgeon that can plan the next 10 years of your hair loss. The aim is to stop your current rate of hair loss. You are not a surgical candidate now but may be in the future. FDA approved treatments for hair loss such as propecia and minoxidil are appropriate at this stage and review every year for the next 10 years. 

Photos are helpful but a complete history and examination are necessary to make an informed diagnosis. Statistically, in a male your age, the diagnosis is most likely androgenetic alopecia and, if so, there are several treatment options each with an imperfect success rate. You can try them sequentially (for at least 4 months each) or all at the same time as they work differently. I would not recommend finasteride because of its well-known side effects on libido for a small percent of users. PRP has the highest success rate. Your other options are Minoxidil (5%) or Low Level Laser Therapy.  Sometimes a medication you either started or stopped can be involved. 

For now you should discuss options such as Minoxidil, Finasteride, PRP, and even laser therapy to help prevent loss and grow hair. The doctor you saw was correct in telling you a transplant wouldn't be a good idea for you given your current stage of hair loss.

You should switch to an organic shampoo. You can also consider a natural DHT blocker like Saw Palmetto. There are also medications like Finasteride (a DHT Blocker) and Minoxidil (Rogaine) that can be very helpful in maintaining you existing hair, helping to prevent future loss and even regrow some hair. Before taking any medications you should discuss this with your general physician.

It appears that you would be a really good candidate for PRP. I would recommend following up with a reputable provider.

You need to consult with an expert in the area of hair loss. Without photos of the back of your head, it is difficult to assess if you have suitable donor hair for a transplant procedure. If your hair loss extends all the way through your donor area, then other non surgical options may be your best course.

You have options for minoxidil, finasteride, low level laser and platelet rich plasma. You'll want to speak to your physicians about the risks and benefits of each. Men with diffuse thinning (called diffuse unpatterned alopecia) are not candidates for surgical restoration.

At 23 you are possibly too yhoung to get a hair transplant, but from the pictures that I see, you would respond to drugs like finasteride and/or minoxidil