Hairlines – Page 22 – Balding Blog

July 29, 2009

Hair Loss InformationDoes Propecia Cause the Hairline to Recede Faster? – Hair Loss Information – Balding Blog

Hello Mr rassman

Why does almost everyone all over the internet claim propecia causes the hairline to recede and bald even faster? is this true. can it be because of the testosterone rise. because we all know testosterone does bind and hair thinning just like dht

Block Quote

Where are you getting your source of information? Hair loss from genetic male pattern baldness (MPB) cannot be stopped forever, but it is not accelerated by Propecia. In other words, you can be using Propecia, but still have receding hairline. Propecia does work mostly on the top/crown area and not so much on the hairline, so I suspect most people you are referring to are just noticing their recession and blaming it on Propecia.

July 24, 2009

Real Examples of Norwood Classes – Hair Loss Information – Balding Blog

Hi Dr. Rassman,

just wondering if you could place some images or a few examples of actual balding people of all the norwood scales say from 2 to 7, so all us readers can have something to refer to? So we can get a better idea of what stage were at.

Thanks!

Block Quote

There are over 300 different patients posted on the NHI website and they should each have the Norwood class listed. It’s not always easy to tell from just one angle, so be sure to click each to see more photos of that particular patient (and to see their hair transplant results).

Here are examples of each of the main Norwood classes:

Norwood Class 2	Norwood Class 3	Norwood Class 4

Norwood Class 5	Norwood Class 6	Norwood Class 7

Here are some of the variant classes: Norwood 3A, Norwood 4A, Norwood 5A, and Norwood 3V.

To see more patients, check out:

July 24, 2009

Hair Loss InformationReversal of Frontal Hair Loss from Propecia (with Photos) – Hair Loss Information – Balding Blog

This is a patient who had reversal of frontal hair loss by just taking Propecia for 2 years. The miniaturization in the frontal area was 50% 2 years ago and now is 30%. This is rare to get such a good response to Propecia. The patient is 25 years old and I suggested that he wait 1-2 years to see what was going to happen on the drug. As it turns out, waiting and postponing surgery at 23 when I saw him initially was a good choice. No surgery is needed now.

Before on the left; After 2 years of Propecia (no surgery) on the right. Click to enlarge.

July 23, 2009

The Corners of My Hairline Are About 2 Inches High – Hair Loss Information – Balding Blog

Good afternoon Doctor! I just want to thank you for this site.

Im an 18 year old boy, and since i was around 17 my hairline changed into what it now is today. However I’m not sure where to class ito n the norwood scale. The frontal hairline is, like you say in the normal place, exactly half an inch above the furrowed brow, however my concern is asscociated with the corners of the hairline. From the highest wrinkle, if i place a tape measure to the furthest point of the corner of the hairline it measures around 2 inches.

My question is with a corner reccession like this, could i still be placed in the Norwood 2 section? Because if you look at the stage 2 of the Norwood scale, the measurements found on this site for the mature hairline don’t appear to fit with it. The front of the hairline and the corners appear to have a far greater gap than the ‘norm’ of 1 – 1.5 inches…..

And just as a last question, if i start on Propecia at this age, is there a chance i could keep this hairline for the rest of my life? I hope i’ve been clear in what i’m saying. THanks alot and i look forward to your reply.

Block Quote

I’d stop trying to categorize yourself into a particular Norwood class. Perhaps you are a class 2 or class 3, but I really do not know (photos might help). Are you measuring at an angle? Assuming you’re seeing 2 inches when measuring perfectly vertical from the brow to the corner, it sounds like it’s past the Norwood class 2 level. But it seems more like things are changing and evolving as you are maturing. You’re 18 years old, and a maturing hairline is definitely not uncommon at that age. The real issue is finding out if you are actually balding or not.

Before thinking about Propecia or putting yourself into a category, go see a doctor and get your scalp mapped out for miniaturization. If you are indeed thinning, Propecia may be an option to halt further loss.

July 23, 2009

I Saw My Hairline Recede After Less Than 2 Weeks on Prednisone! – Hair Loss Information – Balding Blog

This past February I was prescribed a two week cycle of Prednisone to address a headache that would not go away. Though it was successful in treating the headache, I noticed my hair line receding at my temples after about a week and a half. I was finished with the Predisone just a few days later, but my hair has not come back after 5 months. I believe it may have even receded further.

I do not appear to have any hair loss on my crown, nor have I noticed any shedding on my pillow or in the shower. I have relatively fine hair, cut short at that, so it’s possible any shedding may go unnoticed. Should I wait to see if my hairline naturally restores itself, or should I try a Minoxidil product? Is it worth it to speak to a hair transplant doctor, or is that getting ahead of myself?

Block Quote

Corticosteroids (like prednisone) can accelerate hair loss in some, but I can’t say for sure if that is what you’re experiencing. You should get your mapped out for miniaturization (or learn how to map it yourself). You will probably find out that you have genetic balding and might want to see a doctor for a possible finasteride prescription. Minoxidil likely won’t regrow any hair in the hairline, and I don’t know enough about your hair loss pattern, age, or history to know if a hair transplant is in the cards for you at the present.

July 22, 2009

Hair Loss InformationI’ve Noticed My Hairline Recede and Thin – Hair Loss Information – Balding Blog

Hello, I am a 23 year old African American male my hair has thinned drastically over this last past year. In 2007, I had a full head of hair. Later that year, I noticed my hair line slowly recede, but my hair remained full. Currently, my hair is thin and I have a nearly bald spot in the front of my head. Can you please recommend any treatments? Are there specialists I can see? Can this be the result of stress or does it signal some other sort of health issue? Thank you very much for your assistance and have a wonderful day.

Block Quote

Stress loss isn’t usually limited to the hairline. It sounds like you’ve got genetic male pattern baldness. Treatments include Rogaine (minoxidil) and Propecia (finasteride), though they aren’t known to work that well in the hairline. The Propecia could prevent further loss, however. You can try to find a doctor in your area by checking the physician search at ISHRS.org… and though the listings are for hair transplant surgeons, I’m not suggesting you should rush into surgery. These doctors are knowledgeable about hair loss in general, so either try them or a dermatologist.

July 20, 2009

I’m Growing Hair in the Temples After Taking Propecia for a Week – Hair Loss Information – Balding Blog

I just started taking propecia about a week and a half ago and have been taking rogaine for about three months…I still have relatively thick hair and have only experienced hair loss mainly in the temporal area with very slight thining in the crown…still full coverage however. I have noticed that in the temporal area hair follicals are starting to appear and i’m growing a few very fine hairs in the temporal area…I think i am responding very well to the medication as i am only 21 years old.

I was wondering how rare is it to regrow a descent about of hair in the temporal area? As well as the hairline on the side of my head? If i were to take propecia for one year and experience good results and no further hair loss would it be wise or would you recommend a 700-800 hair transplant in the temporal area? I hair a very low hairline in the back of my head…i.e. the donor area. How many hairs in the donor area can be transplanted?

I know i have a lot of questions…I thank you very much for your time and consideration. I look towards your blog for guidence and i am also very optimistic of saving my hair as i took control of it early. Only noticed hair loss over the last 8 months.

Block Quote

A week (or even three months) is too short a time to draw any significant conclusions, but what you are reporting is good. When you talk about temple hair, I think you are talking about the hair in the hairline (corners). I have seen it regrow in a very small number of people but almost all have been under 23 years old. At 21 with good results from Propecia and Rogaine, you probably should not be transplanted at all, but whatever you do, see a doctor with integrity and a high ethical standard. Many doctors chase the almighty dollar and you never know what you really needed when you see one of them.

I know of some doctors who put 3000+ graft in the first 1/2 inch of hairline where the juvenile hairline was, and those doctors are not doing a service to their patients. Rather than focus on hair transplants and how many grafts you might need, I would rather like to see (at least) your pictures in a year. Maybe I can help you avoid the pitfalls in this industry and offer advice for you that would be helpful.

July 8, 2009

Terminal Hairs at Hairline – Hair Loss Information – Balding Blog

I read that all persons have peach fuzz and miniaturized hairs in the beginning of their hairlines, but my question is that if it is normal to see solitary terminal hairs 1 cm before the beginning of the hairline

Block Quote

Most hairlines are transition zones between the bare forehead and the thick hair of the scalp. Some people have a wider transition zone than others. Some people have solitary hairs in front of the transition zone, while others have a tight frontal hairline. We are all different. When I create a hairline, I always build a wide transition zone between the forehead and the scalp hair behind it so that the point where the hairline starts does not come on strong. Some patients want a strong hairline so I often find myself negotiating with these patients on this very point as we plan the hairline for the day of surgery.

July 7, 2009

Why Are Vellus Hairs Normal at the Hairline? – Balding Blog

Hi doctor, I just have two questions. Why in the beginning of normal hairlines the existence of miniaturized hairs and vellus hairs is normal?

And the second question is that how can you distinguish them in your hairline?

The very frontal leading edge of the hairline has more vellus hairs per square centimeter than other parts of the scalp. If you get a video microscope (see here), you can then study them and maybe understand what is growing out on your head better. It’s normal, because that is the way it is. It’s genetics. It’s a transition area from nothingness to a head of hair. Vellus hairs are usually short while miniaturized hairs can grow long, so they usually can be distinguished from each other that way.

June 23, 2009

Senator John Ensign’s Hair – Hair Loss Information – Balding Blog

Does Senator John Ensign have a transplant? Sen. Ensign was in the news recently due to an affair with a former staffer.

Here’s a frontal picture — Another view of the top of his head

Block Quote

I looked at the photos you sent along with some others I found on the web, and it appears that Nevada Senator John Ensign has a great natural head of hair. I really don’t know if he had a hair transplant, as the best hair transplants aren’t recognizable anyway. You only spot the bad ones and some people will notice when you’re visibly balding for years and then your hair regrows (this is particularly the case with those in the spotlight — celebrities, politicians, etc).

Also in my search, I found that many political gossip blogs are referring to Senator Ensign as “The Hair” or something similar, so his thick head of hair does not go unnoticed. There’s just something about politicians with great hair that seem to have the upper hand over the follicle-challenged politicians…