hi dr rassman
i just had a question regarding asymetrical hairlines. if as a young child 12 or so you had a natural non symmetrical hairline and as time went on and your hairline matured, would it be possible to misdiagnose the patient as having androgenetic alopecia due to the unsymmetrical patterns produced by this condition?
thank you for your time
People with asymmetrical hairlines will develop maturing hairlines that may even out the symmetry (or they may not). Balding occurs in those with the genetic propensity for it, whether the hairline is symmetrical or asymmetrical.
As hair in the maturing hairline undergoes apoptosis (cell death, possibly because the number of hair cycles in the juvenile hairline may be limited and reached), it could just fall out without going through miniaturization. It could be an incremental fall-out, starting close to the leading edge of the hairline and then working its way back. I don’t get the opportunity to study the young man who matures his hairline and then keeps everything else without signs of balding, other than in my nephew as I watched his maturing hairline appear without miniaturization. One case study does not tell us the answers, so I look at these comments as academic.