Hi doc,
If you have very early bulk reductions in a certain area of the scalp, does this necessarily mean that you will be bald in those areas, or can someone’s final pattern only reflect thinning in certain areas? I am a NW2-3 with very early bulk reductions on the top and crown of my head, does this mean I am destined to be at least a NW6?
We all have some genetic pattern, but not all balding men will develop advanced balding patterns. These patterns are often final, so a class 3 may remain a class 3 pattern for life. This is why I’d want to perform a bulk assessment of the hair on your head, everywhere on your scalp. If the bulk is reduced, that may point to the final pattern you will develop. Also, by making these measurements, we can follow the success or failure in the treatment of hair loss with drugs like finasteride (Propecia).
Stop worrying and get yourself evaluated. We are often more frightened by what might happen than what will happen.
I was actually the asker of this question. I came to see you about 7 months ago, Dr. You told my that it is too early to know what I am heading for, and I’ve been taking finasteride religiously every single day since. I am confused because I thought if I am thinning in those areas, it would point to an advanced pattern. Am I wrong?