How efficient is minoxidil with derma roller? I am 35 and I am facing extreme case of baldness and hair falling (Photo)

OK, you need to see a hair expert (medical) for ongoing guidance of Minoxidil and other enzyme inhibitors such as finesetride or duasteride. Next you should see a procedural dermatologist for consideration of PRP - this can reduce hair fall in men. PRP or platelet rich plasma is better in women, however for men it can slow down hair loss. You will require on going treatments every 6-12 months. All the bestDr Davin LimLaser and aestheticsBrisbane, Australia. 

Whenever micro-needling of the skin is done, it is very important that nothing is put on the skin that is not safe if it is delivered into or under the skin. This of course includes Minoxidil. Micro-needling creates micro-channels in the skin which enhance penetration of any topically applied serums and medications. It is only by using products that are tested to be safe for injection under the skin that you can be reassured that it would be very unlikely to have an adverse reaction.Also, rollers create a more erratic pattern of
"tears" through the skin rather than the clean, more evenly
distributed punctures seen with motorized micro-needling machines.In my office we do medical micro-needling using a stem cell-derived human growth factor serum that is specifically made to be safe for micro-needling and has been shown to stimulate the hair follicle to regrow hair.Hopefully you will be able to see someone for these treatments.