These photos show an excellent response to the combined treatment of finasteride and microneedling. There is little doubt that the microneedling added great value here. Many men may not respond to finasteride alone; however, adding microneeding weekly, as he did, worked well with finasteride. The change is dramatic. The diffuse thinning that you see, is likely a precursor to balding, so the microneedling seemed to keck start the stem cells that control the hair growth.