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Thanks for the nice words.
You are only a year behind me and 55 was when I really knew that HRT was working. I have tried to work breast considerations in terms of wanting small ones to none and it's quite complex but basically, in my view, you have to accept the risk of having significant breast growth for HRT to work on hair. It's a very fine balancing attack but I finally think I know why people meaning XY's haven't cracked the code so to speak related to estradiol and breast growth.
When I started out my hopes were for a low-estradiol solution and I still wasn't sure that I wanted to accept breast growth in exchange for hair. But here's the basic conundrum for males. Hair restoration appears to require either more time or higher dosing than does breast growth, i.e. you can't get to the really good hair without at least passing through the breast growth phase. I do think that using Estrogel on the scalp might increase effectiveness by letting it fight T and its derivatives at the follicle level but mostly, hair regrowth seems to come from systemic estradiol.
The second issue is that if you want to avoid breast growth, then just lowering dosage to a lower therapeutic dosage is likely not to work and instead causes more breast development. One of the major if not the major MtF issue has to do with DIY'ers using far too much estrogen too fast, which ironically might cause less development not more. Slow titrated low dose estradiol is best for breast growth but not necessarily for hair (or face). People differ but my hair and facial "results" were far after I had looked female below the neck for a couple of years. It makes my progress pics seem deceiving because for hair, you photograph the face and scalp. So in 2019, for example, none of my pics look very feminine at all but I was definitely seeing huge changes but how to get the "results" above the neck and finally those came.
In terms of the utility of topicals on scalp, I still think about this because Estrogel/Biestro were so key to my own recovery but especially with the Biestro, I was using very large amounts as a DIY'er and I did seem to improve my hair in the short-run from Biestro but it was again, probably the systemic estradiol that hit the spot. Ironically when I finally went on HRT, my hair got worse for a time because I was on low-dose estrogen compared to how much Biestro I was slathering.
With respect to the issues with diffuse thinning, you are right to notice the hair in front of the ears as being gone. My most impressive regrowth from slick skin is that area exactly. My sides were pretty wispy. The main thing that I have done and you might is to microneedle the entire scalp which I have been doing weekly since Summer of 2019. If you have any follow-ups, then please ask, especially if you want info on meds or what have you. I hope you experience the joy of when all this comes together because restoration is so thrilling.
Goddess Bless,
Janey
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