Month: January 2023

Sometimes, the genetic balding process starts later in life. Usually, most hair loss occurs in a man during their 20s, sometimes in their 30s and more rarely, like you in their 40s. If you were to see me as a doctor, I might recommend the use of minoxidil (a topical treatment) to see if the hair thickens up. Your have a good chance that this will happen.

Just hit 40 and noticed that it’s getting a little thin up top. How does it look and what steps should I try first? from tressless

I always talk about the “tug of war” between the drugs, like Finasteride, on one side, and the balding process (which is progressive in all men) on the other side. Sooner or later, the genetic balding will win the war. Working with a good doctor may help you get around the problem. The use of oral Minoxidil is commonly used and can be very effective, but you need a doctor to monitor it.

Propecia for 2.5 years, no shedding/sides. Hair still thinning away… do I have any options left? from tressless

do some balding/thining men lose their eye lash hair too, i noticed my dad has some hair there left, but not much, it seems like im losing some eye lash hair too

The loss of eyelashes in men can be a genetic characteristic. It could be unrelated to male patterned balding. From what you wrote, that is what it seems like. Are there other men in the family line that also have loss of eyelash hair?

For a near complete review of the subject see: ISHRS – Eyebrow & Eyelash Hair Restoration Surgery

Hello Dr. Rassman,

Is it possible to start balding in the vertex area and scalp area while still maintaining a juvenile hairline? I noticed that I still have hair under my furrowed brow, but the overall thickness of my scalp hair has dramatically decreased. I am 22 years of age.
Thank you.

Yes! You can start balding from the vertex (crown) area while maintaining a juvenile hairline. Those patients are a subset of the normal Norwood hair loss patterns with a persistent frontal hairline.

In rare instances, someone with this type of hair loss may even continue to have his juvenile hairline for the rest of his life, even though his crown has become bald.

Finasteride should not be the cause of your hair loss. See your doctor and find out what is happening as weight loss of this magnitude is significant to your overall health.

Sometimes the native hair falls out, and other times it does not. If you take the drug Finasteride, the chance of keeping your active hair is much greater, and it acts as a prevention to surgical shock loss.