Yes, you have a very early recession developing with miniaturization of the hairs in the frontal hairline. This could be reversed with minoxidil, finasteride and possibly microneedling.
It is not unusual for the hairline to mature and lose the frontal 3/4 inch upward. I call this a maturing hairline but it is not always uniform and it can start in the center anytime between the ages of 18-29 years. This can also be a sign of genetic balding but your hairline looks flat and low. You should see a doctor to determine just where this is coming from. The doctor will perform both a HAIRCHECK test of your entire scalp and miniaturization studies of your frontal hairline.
Finasteride alone is not known to reverse hair loss generally speaking, but in this man we see reversal over a 17 month period of time
After 7 months on finasteride, minoxidil and using microneedling with good results only to get better over time
What is important to note, is that the top patient had wonderful medium weight hair and had a good shape and body to it while the bottom patient had super fine hair. We solve the see-through look with Scalp Micropigmentation
I am sure that this article will create a huge response from many forums that promote PFS and these patients giving them voices.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6751456/
This man used finasteride, minoxidil and microneedling for 9 months and clearly increased the density of his forelock. His hairline did not return to normal so I wonder if he used the microneedling on the original hairline as well but that failed to regrow?
This could be for many reasons, poor surgical judgement, low donor density, too many grafts for his donor supply. He will have to live with this unless he gets Scalpmicropigmentation (https://scalpmicropigmentation.com/)
I don’t know why I’m typing this, I’ll probably regret this in the morning, since I’m on vyvanse right now. I know you focus on transplants and your not a therapist but, I just want to write to someone. This hairloss fear is getting to me, I’m only 16 and I’m pretty sure I’m not going bald now but the predisposition in my family is so high, my dad AND my mums dad went full bald in their late 20’s that’s just a fucking double whammy, I always hear when people talk about baldness in their family (on Reddit, etc) and its always only one; dad, or mums dad, at least they have hope. What can I do?
At 16, I doubt that you are now losing hair. That may not be the case in the future, but worrying is not going to change anything. Speak with your parents about your fear. At some point if you feel that you might be starting the balding process (rarely before 18), then getting a HAIRCHECK test (https://baldingblog.com/haircheck-test-how-it-is-done-video/) might be the way to go, as this will tell you absolutely if you are losing hair, where and how much. Wait a couple of years before doing this.
The nice reversal of corner hair loss. Thanks for sharing
This is an example of a person who mapped out his scalp to determine the degree of miniaturization in the different areas. The key is not only to identify the areas where it comes from, but to see enough hairs roots so that I can count the degree of miniaturization. For DUPA, this is critically important as shown in this link for a DUPA patient: https://baldingblog.com/classic-case-of-dupa/
Generally the statement is ok. I see many men immediately stop the loss and have have seen reasonable growth in less than 6 months on some men but I tell everyone to wait 12-18 months to see maximum yield.
Very nice early result from minoxidil alone
When you say hair loss has stabilized what do you mean? You were born with that pattern and won’t advance? Just want to clarify. Thank you Dr. Rassman
We generally believe that we inherit a balding pattern (assuming that you get the genes for hair loss about 50% of the male population) and that once you achieve that inherited pattern, you stabilize. I, for example, lost my crown hair and became stable even after a hair transplant without balding elsewhere
You mention the term “final pattern of loss?” . Does this mean some people are only destined to teach a Norwood four while others Norwood seven? When do you know you have hit your final pattern?
The issue is complex. Men at 19-22 who experience hair loss frequently don’t have the maturity to deal with it (it is a development problem of the prefrontal lobe of the brain which does not complete its development until about 22), plus there is a sense of urgency, plus there are significant financial implications of having multiple hair transplants which could be never-ending if they end up chasing the changes in their progressive balding pattern. I always say that a Good Decision Today, is a Good Decision Tomorrow. I am not insulting you here, just trust that I have years of experience in this business and I have seen too many young men make mistakes that they regret.