You Say Norwood 2 is Just a Mature Hairline, But Can It Be Treated Surgically?
Hi Docs, thanks for the great site, it really helped me figure out my options. I finally got a check on what I thought was a receding hairline after seeing my brothers lose their hair and after a couple of checks with a hair specialist in the UK I was told I have a matured hairline but no apparent signs of real balding, recession or minituarisation. I was told that there was no apparent need for me to use Propecia or Minoxidil. I am aged 32 now and my hairline looked to have matured by around 21 and hasn’t moved noticeably since then.
My question is that you tend to mention on this blog that a Norwood 2 is approximately a mature hairline and you don’t consider this male pattern balding from a surgical standpoint – but on your New Hair Institute site you show Norwood Class II patients and count that as hairloss that could be treated surgically? Would this be strictly for a cosmetic adjustment of the hairline? (I realise it’s all cosmetic surgery but as in there’s no balding to cover, just a hairline change). Although I’m happy with my hair more or less, I’d still prefer a slightly straighter (closer to juvenile) hairline as I have quite a high, thin forehead and I’d be interested in surgery simply as a cosmetic adjustment.
Thanks for any clarification.
Hair loss is not a medical illness. Hair transplant surgery is considered cosmetic surgery. If you want to enhance your appearance, it is your choice. So for those with a Norwood class 2 or a mature hairline which is more like an early Class 3 pattern, we can certainly treat it.
The point I generally make in my medical practice and here on BaldingBlog is to have open communication between the patient and doctor. We give our opinions on what may be too low of a hairline and how it may not be age appropriate, but in the end each and every patient has a right to choose their own “look” and hairline.
There is nothing wrong with, as you put it, a cosmetic adjustment.
what do you mean by early norwood 3, is this a mature hairline?
I’d presume it means a mature hairline can theoretically look like a Norwood 1, 2 or approaching a Norwood 3 pattern depending on your hairline placement, headshape, forehead, etc.
The difference between mpb and a maturing hairline seems to be that the mature hairline is a self limiting process and occurs without the specific genes for balding.
Given that even juvenile hairlines vary wildly in appearance I’d assume mature ones do too. Nobody’s head or hair is exactly how a chart says.