Hairlines – Page 24 – Balding Blog

May 14, 2009

Hair Loss InformationHow to Measure a Mature Hairline? – Hair Loss Information – Balding Blog

this may be a strange question, but when one talks about measuring how much a hairline has receded, and says that a normal (“Mature”) hairline recedes a half inch in the front, and an inch and a half at the corners, how do you measure that? vertically, as if straight down the face to a point parallel to where the hairline initially was??

thanks!

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The measurement of the mature hairline is essentially done with a drop string (gravity), from the leading edge of the hairline and to the highest wrinkle of the furrowed brow. Here’s a list of past posts that may help:

May 8, 2009

Hair Loss InformationIf Miniaturization Occurs at the Hairline, Is It MPB and Not Maturing? – Hair Loss Information – Balding Blog

dr rassman,
i include in this question a quote you made in a recent post which i would appreciate if you could clarify:

“As hair in the maturing hairline undergoes apoptosis (cell death, possibly because the number of hair cycles in the juvenile hairline may be limited and reached), it could just fall out without going through miniaturization.”

Does this mean that if there is minaturization at the hairline change then this is MPB and not the natural development of the mature hairline? or can there be minaturization without MPB at the hairline? I would much appreciate it if you could comment further on this as this relates to the difficulties i have had in getting a professional opinion on my own hairline- as to whether its MPB or just the development of the mature hairline.

regards

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If you have a maturing hairline, I would not expect to see miniaturization from the highest wrinkle of the furrowed brow. The leading edge of a maturing hairline, as a rule, does not show miniaturization. From the few cases I can reference (nephew and two of my sons), they lost their juvenile hairlines without miniaturization appearing, so I draw my conclusion based upon those three cases in my family.

May 6, 2009

Hair Loss InformationHow Fast Can a Mature Hairline Develop? – Hair Loss Information – Balding Blog

Hi,

I would firstly like to thankyou for your blog, i have found it extremely helpful. Recently i have noticed elevated hair loss accompanying a receding hairline. I am 20 years of age and therefore a little startled. It currently does not surpass your definition of a ‘mature’ hairline and i am hoping it will arrest soon. However it seems to have occurred very rapidly. In what sort of time scale does the ‘mature’ hairline tend to develop? and does it stop at a similarly prompt fashion?

Thanks very much

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The appearance of the mature hairline may occur over a year or two, or it may take up to 10 years to complete. The key for genetic hair loss is to look for miniaturization beyond the confines of the juvenile hairline.

April 30, 2009

Hair Loss InformationWhy Isn’t the Maturing Hairline Mentioned in Biology Classes? – Hair Loss Information – Balding Blog

If the maturing hair line is so common, why isn’t it discussed in high school or college biology or health classes especially when the genetics and human male anatomy sections are taught?

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I really don’t know the answer to that question. It should be taught, just like “how to manage a checking account” or “practical economics,” but there are tremendous holes in our education if it’s just textbook learning. We are still fighting practical sex education in our schools and paying with lots of teen pregnancy. With all of our educational problems, defining the maturing hairline seems like a bit of information that may be only valuable to those impacted by the change and it rarely occurs in high school.

April 28, 2009

Hair Loss InformationMisdiagnosing MPB Due to Unsymmetrical Hairline Maturing? – Hair Loss Information – Balding Blog

hi dr rassman
i just had a question regarding asymetrical hairlines. if as a young child 12 or so you had a natural non symmetrical hairline and as time went on and your hairline matured, would it be possible to misdiagnose the patient as having androgenetic alopecia due to the unsymmetrical patterns produced by this condition?

thank you for your time

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Early balding should show signs of miniaturization if your hair loss is genetic. Either see a doctor or take charge of your diagnosis by mapping your scalp. The choice is yours.

People with asymmetrical hairlines will develop maturing hairlines that may even out the symmetry (or they may not). Balding occurs in those with the genetic propensity for it, whether the hairline is symmetrical or asymmetrical.

As hair in the maturing hairline undergoes apoptosis (cell death, possibly because the number of hair cycles in the juvenile hairline may be limited and reached), it could just fall out without going through miniaturization. It could be an incremental fall-out, starting close to the leading edge of the hairline and then working its way back. I don’t get the opportunity to study the young man who matures his hairline and then keeps everything else without signs of balding, other than in my nephew as I watched his maturing hairline appear without miniaturization. One case study does not tell us the answers, so I look at these comments as academic.

April 23, 2009

Why Would Finasteride Discriminate Against Prohibiting DHT in the Hairline? – Hair Loss Information – Balding Blog

Dr. Rassman,

Why do some say that Finasteride does not work in the frontal area/hairline? If the drug simply prohibits DHT conversion, why would it discriminate against frontal hairs?

I believe your stance on the issue is that Finasteride does halt hair loss in the frontal area in some cases, but I’d like some clarification on the issue, as I’m sure most of the younger users of Finasteride are mostly concerned with halting early temple/hairline recession. Thank you.

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No one knows. This is an observation that we have seen clinically. Its just the way things are! It may point to the fact that DHT is not the only culprit in male pattern baldness. Generally, frontal hair loss in men occurs faster than crown hair loss, so it might be that DHT blocking works earlier in the miniaturization process and many times when the patient gets to the doctor, the frontal balding is further into its progressive path. It also points out that blocking DHT may not be a cure for hair loss. There is no cure for hair loss yet.

April 20, 2009

Hair Loss InformationMy Hairline Looks Like Mom’s Side, But My Hair Character is Like Dad’s Side – Hair Loss Information – Balding Blog

In my father side every one have lost of hair, but my mother side my grandfather dont have hair. Now my question is my inherited hairline look like my mom side but my hair totally look like my father. I am 18 years old and little worry about it. Another question, how is shaving hair good, does it help….?

I have U shape inherited hairline and my father has V inherited hairline.

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The juvenile hairline is concave, while the mature hairline is convex (see Maturation of a Hairline — Moving From Juvenile to Mature). There is no way to tell which side you will take after ,but most Caucasian men lose their concave hairline as their hairlines mature.

And as far as shaving the head, that does nothing to regrow your hair faster, stronger, thicker, etc… if that is what you’re asking.

April 20, 2009

Hair Loss InformationHair Transplant + Hairline Lowering? – Hair Loss Information – Balding Blog

Hello,

I am a 23 year old man with MPB on my fathers side of the family, with the men either norwood III A or norwood IV A.

My issue is that I have a large forehead and I was wondering if it would be possible for someone with a naturally big forehead (pre baldness) that has gone bald, to under go a hair transplant and then have hairline lowering done using donor hair to reconstruct a lower hairline than their original?

Thank you

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For men who can continue to bald as they age, hair transplantation is a better solution than a hairline lowering procedure to reduce the forehead size (its like a reverse brow lift). If the balding continues after a hairline lowering procedure, the scar will become evident and a transplant sooner or later will be needed. For women, however, the choice to do a full surgical hairline lowering procedure is a reasonable option as their is rarely frontal balding as in men.

April 17, 2009

Why Don’t Other Doctors Create Very Low Hairlines? – Hair Loss Information by Dr. William Rassman

Dr. Rassman, I have followed your great blog for a while now and I know that you have been in the business for a number of years. I’ve recently discovered the work of Dr. [name removed] and noticed that one of his specialties is the lowering of the hairline beautifully. His work interests me as I have quite the receding in the temples and would love to establish a lower hairline. My donor area is great with extremely thick hair (thanks mom). My question to you is how come other Doctors do not try to establish themselves (via website, testimonials, great hairline photos) more like Dr. [name removed]? Would you be comfortable taking on the same tasks that he does in procedures?

I am asking because I want to know if his hands are truly as gifted as his prices are steep.

What makes you think doctors do not lower hairlines? Doctors generally recommend a neutral hairline appropriate for one’s age. It generally should be in the mature hairline position. Often, younger men will request a hairline that may be too low or lower than what is considered “normal” and certainly more like their 12 year old hairline rather than a mature hairline. There is nothing wrong with this request as long as there is communication between the doctor and the patient and the long term plan takes into account what the worst balding could be… and that the hairline will be appropriate for life! Yes, for life! This is a lifetime decision and as hair transplants are irreversible, if it is transplanted too low, you are up the creek without a paddle.

Keep in mind if the hairline is too low it can never be raised, but if the patient still wants a lower hairline (even an abnormally low one) the doctor and patient need to come to a mutual agreement with respect to the patient’s wishes and with the patient’s understanding that their request comes with consequences. There are a few doctors (like the one you referenced) that like to create abnormally low hairlines, as they appeal to the younger patient who never accepts the understanding that their hair loss will continue to move backwards (it is a progressive process). Any good doctor can create any hairline he wishes and if it is too low, well, trouble will sooner or later follow. So while some doctors may publicize lower hairlines with many examples on their website, I have also seen many of those patients who regret the decision to recreate a low hairline and have come to see me to ask me to move it back. You don’t see those on the websites. Aside from placing it too low, these hairlines may deplete the donor supply more rapidly, so as the hair loss moves back in many balding men and they need more hair to follow the loss, they may find that the hair supply has been used up and that there is not enough hair to follow the hair loss back to what I call ‘a reasonable stopping point’. I tell everyone that the good news and the bad news about hair transplants is that it is irreversible. Unfortunately, I am not able to raise hairlines with any ease and I can not create enough donor hair if the patient has used up his supply, so again, there are consequences.

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April 8, 2009

I Want a Teenage Hairline Permanently! – Hair Loss Information by Dr. William Rassman

Hello,
I am 20 years old and my hairline seems to be receding. There is miniaturization in a clear line, and then thick normal hair also in a clear line. I am wondering If this is a sign of my hairline settling into a mature widows peak sort of line(I went to talk with a specialist at at a clinic in New York and they said I wasn’t even the first part of the Norwood in the receding section, though I notice a lot receding at the temples.

Could this be the end if the miniatrization is that clear or would taking finasteride(probably finpecia since I am currently unemployed) be a smart option. I am opting for a teenage hairline permanantly seeing as I plan on doing sort of gender bending performance art and want a hairline that can he feminine as well.

I am willig to do anything to get ride of the receding hairline, I never want a mature hairline. This might sound naive or childish, but I do not feel comfortable looking manly at all, and never will, so I am DESPERATE. I know my options, would I have luck with finasteride?

At 20 years old, you might be a good responder to finasteride… but as for expecting it to regrow a maturing hairline and go back to your 10 year old line, it won’t do that. What you’re asking for is likely going to require surgery (as drugs will not reverse frontal balding), and at 20 years old it doesn’t sound like you made up your mind wanting your 10 year old hairline back. Hair transplants can be done to give you that, but do you really know where you mind is when you are 30 or 40. You get the picture? I never say never, but you need to bond with a good doctor, not one that just wants to take your money in these difficult financial times and become realistic with regard to what may happen to you over time.

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