Hair Is Thinning Around My Birthmark

Greetings!

I am a 29 year old male, and I was born with a small bald spot on the right side of my head, a couple of inches back from my temple. This “birthmark” is about the size of a thumbprint. It is completely hairless and smooth. While I have always been able to cover it up easily, I have noticed over the past few years that it has become more difficult to conceal. The hair between the bald spot and my temple/sideburn has become very thin. I believe this is partly because my hair has been thinning slowly since I was about 18 or 19. I was on Propecia for a few years, which I believe slowed my hair loss, but I have stopped taking it because I found it very expensive. Also, I read that the drug can actually cause thinning around the temples/sideburns and even eyebrows.

At any rate, I have noticed that the hair around my temples and sideburns is thinning, particularly on the side where I have my birthmark. Is there anything I can do to attempt to grow hair in this spot, or to prevent the “spread” of this spot that extends toward my forehead? Is there an effective way to regrow hair around the temples/sideburns? And just out of curiosity, have you heard complaints that Propecia actually contributes to the thinning of temples and eyebrows?

Thank you very much for your time.

I would have to examine you to see what your hair looks like under high power magnification. The fact that you were helped by Propecia and stopped it suggests some genetic elements in your thinning. I would want to know if the birthmark is a vascular abnormality, as this may point to causation.