As men age and start getting older, even if they don’t have the genes for MPB, can their hair still naturally start to become finer and/ or thinner in some areas (hairline, crown, etc) or possibly all over the whole scalp without it being related to male genetic balding in any way?

Dr. Robert Bernstein and I described a condition we called “Age Related Thinning,” which means that as one age, the hair shafts become finer and lose their bulk. This can happen at any age, but it is very common in men and women over 50.  Some young men report such changes sometime in their late teens. 

Creatine may accelerate genetic hair loss but with conventional treatments and cessation of the creatine, it could be reversed.

Nice improvement is seen here

 

 

 

In your assessment of my donor supply, you noted that I can bald to a Norwood 7 and still get hair. I’m not a NW7 but out of curiosity, I know different factors are involved, like head size and stuff but how many grafts would a Norwood 7 typically require for adequate coverage at an average transplant density? I know I’ve seen photos online from another doctor in California you’ve probably heard of or maybe even know (Dr. Umar), who specializes in the use of body hair grafts. Some of the Norwood 7’s he’s restored required over 15,000 grafts! One of the clients in particular, transplanted 9,000 grafts from just his beard alone! (how many follicles are even on a man’s face because he still was able to grow a beard, albeit just much less dense); the results were pretty impressive, regardless. Granted some of those clients requested really aggressive/ juvenile hairlines and had a lot of thin/single-haired grafts harvested from their back and legs which probably accounted for the need for a higher graft harvest

My question is, can miniaturized hair stabilize? What I mean by that is usually miniaturized hair continues to shrink and get smaller and narrower with each growth cycle until it eventually falls out and stop growing altogether. But can miniaturized hair miniaturize or narrow to just a certain point and then stop/stabilize at that level and not continue to the point where it eventually stops growing? I ask because I believe I have some miniaturized hairs that have been that way for over 10 years and have not changed. Also because I’ve noticed that in a lot of bald men, even those with a Norwood 7 pattern, they often aren’t “slick bald” and have some sporadic hairs remaining on top that seem to remain there permanently.

Also, how do you know when hair loss as whole has stabilized on a particular person? I ask because it’s often stated/recommended for people to wait until their 30’s for a hair transplant so you have an idea of what their final pattern is and when it is stabilized. But from what I read, can’t hair loss stop, start and pick up/ slow down at different intervals throughout peoples lives?

So if a person at 38 years old has a Norwood 3 pattern based on visualizing their scalp/ miniaturization studies with haircheck or whatever, and it hasn’t progressed in a few years so it’s determined for the time being it’s stable and they decide to go forward with a hair transplant; how is it known that in 2, 5, 10 years etc down the road that it won’t pic up again and other areas of the scalp won’t start miniaturizing and end up in a full Norwood 6/7 pattern or whatever?