They say a picture is worth 1000 words. Clearly finasteride has had a remarkable impact on this young man. The dose of topical finasteride was subsidized with the oral finasteride so it is difficult to tell which drug did the most for him. I will prescribe Topical finasteride 2.5% with 2% minoxidil in solution and this should be more predictable without the oral finasteride required. I hope what we are seeing is not the results of a darker photograph. Comparisons of photos should always be done with similar lighting conditions.