Triangular Alopecia

Dear Doctor Rassman,
I am 20 years old. I want to know something more about triangular alopecia. My temples are receded about 1.5 inch. I have also genetic hair loss in bitemporal area and also in vertex (or at least it is what the doctors said). My father has lost also all of his temple hair including the hairline and the top, but nobody else in my family lost his temples hair, even though everybody has genetic hair loss. In addition I want to say that my temple hair is changed. Above the ear it is thicker than before but with less hair count, curly (it was not) and with a slower growth. Can it be part of genetic hair loss or it is genetic and something else in the same time? I have tried many doctors in Vienna, but I was not satisfied. When I ask about Propecia thay said: “It is not for you, it is for old men”. There is a clinic, Moser Medical, with some doctor of ISHRS but from the emails that I sent to them, they seemed more commercial than helpful. Can you tell me something about my condition? Thank you for your time and for this website.

Triangular alopecia is a condition of hair loss which impacts the anterior temple area on either or on both sides. It may not be a complete loss of the temple hair, at times showing an atypica or asymetrical pattern, even to the point where a little residual tuft may be present on one side and no problem on the other side. It can affect either men or women and it is not necessarily part of the genetic balding process we commonly see, which produces balding in other parts of the scalp. It is probably another inherited process and hair transplantation is the best approach to treating it.