Author: Dr. William Rassman

Hi Doc!

During my teenage years, I used to completely shave my head (0 mm) during the summers. I quickly changed my mind each time due to my flat head shape that bothered me.

At age 28, I’ve been experiencing a slow hair loss progression in a class 4A-pattern for some years, still fairly invisible to others I hope. This made me shave my head completely once again, revealing that the front of my head now didn’t look as flat as before. My hair loss almost exactly follows the frontal skull bone which clearly has turned into a more egg-like shape than before. The back of my head, where there is no apparent balding, remains the same however. The frontal bone seems “higher” than the back of my head and I can see and feel a distinct edge between front/back of my head.

Is it be normal for a head shape to change this obvious after 18-19 years of age and could it be the reason for my frontal balding? I would really like to here you opinion.

Also, have you seen shaved, non-balding people with an egg shaped head?

There is no connection between skull shape or changing skull shape, and hair loss. Hair loss is genetic and not influenced by the underlying bony skull. I’ve seen all kinds of head shapes over the years, but an obvious change in skull shape in the adult years is not something I’m familiar with.

Obvious changing of the skull shape usually occurs because of trauma or disease. There are diseases which can result in the skull expanding, though I’d expect you’d have vision issues or at least severe headaches. Or there’s this man that was left with a misshapen skull after a run-in with a stampeding bull. This isn’t my specialty, so I don’t mean to worry you… just speaking in complete generalities.

An electrologist removed a lot of my eyebrows without my permission, leaving me with an ugly, too thin shape. It’s been 9 months since then and not enough hairs have grown back to improve the shape. Since she only treated the hairs once, do you have any idea how many of the follicles could still be alive, even if they’re damaged? And do you have any advice about things I could do to repair damaged but not destroyed follicles so that they could regrow hair?

I am a woman in my late 20s. I had naturally very thick and strong brows that I never had to fill in with makeup and still have very thick and strong head hair. Thank you for your help.

If on target for the eyebrow hair you are treating, electrolysis can be effective in just one treatment. In other words, eyebrow hairs often do not regrow after having been killed off with electrolysis.

Eyebrow transplants using scalp hair work very well to solve your problem. As you indicated you’re in California, I have offices in Los Angeles and San Jose if you’d like a free consult with a physician to see what can be done about your eyebrows. If so, please call us at 800-NEW-HAIR to setup an appointment.

Hello there doctors

I was having my haircut when my hairdresser pointed out a bald spot just on the left of my crown, there is only one at this time, the size of a pea, its smooth, slightly raised and feels tough. She said it has about 10-15 hairs sprouting through and can see small holes where follicles are. I am 18 with a juvenile hairline and no signs of miniaturisation. 2 years a go my GP said i had a keratin horn near that location but he has since retired, could you shed some light on what the possibilities may be?

Thank you for your time

A pea-sized, slightly raised bald spot where 10 to 15 hairs are sprouting? I have no clue what it could be. If your physician has retired, I’d seek out another physician for an exam. Perhaps a dermatologist would be your best bet. Based on your description though, it does not sound like male pattern balding.