This young man at 27 years old has a strong forelock and a thinning corner that appears to be miniaturizing away.  The genetics on #1 is classic for a maturing hairline and the genetic on #2 is different than the rest of the hair on his head.  Men with strong forelocks, even when they are bald, may retain the forelock if it continues to be present by the age of 35.  I have seen Norwood lass 6 and 7 patients who retain their forelock despite the extensive balding present.  In evaluating a man with a forelock, one has to look at his overall balding pattern, omitting his forelock in classifying him on the Norwood scale. In this man’s unique presentation, he is not really balding anywhere else on his head, so what we are observing  on the corner hairline may be a normal maturing process.  Over the next few years, we will know for sure. I wouldn’t treat the changes in the corner miniaturization as it may not respond to DHT blockers. 

I treated this with minoxidil which I rubbed into my scalp once a day and microneeding once a week.

This man was intermittent in the use of minoxidil and finasteride in the first of two years.  After a year of less than 100% consistency, he stuck to daily use and got good results. 

Great result with finasteride alone in a man under 25 years of age. The age is important because finasteride works best when hair loss is recent

Great response to finasteride

• Avoid turning to the Yellow Pages when seeking a hair transplant surgeon.
• Avoid referrals from your dermatologist or family practitioner.
• While your family doctor or dermatologist might mean well, the fact is that most physicians in this country know very little about the scope and pitfalls of this demanding cosmetic procedure. Unless your doctor has personal experience with the hair transplant physician he is recommending, our advice would be to say thanks, but no thanks.
• Avoid referrals from your hair stylist. In some cases, hair stylists may receive compensation from hair transplant surgeons for referrals. Be careful.
• Avoid large hair transplant groups or practices that employ or contract physicians to perform hair transplantation under a common umbrella.
• Avoid practices advertising on television infomercials. While these larger groups have the ability to buy public opinion through expensive and flashy television, print, and radio marketing, this may not equate to superior surgical results.
• Finally, remember, just because a “company” or “practice” claims to be one of the largest does not mean that they are one of the best. The American Hair Loss Association recognizes that these large practices do employ some skilled and ethical physicians and that it is possible to attain satisfactory results. Do your homework first before you decide on a surgeon.