Hairlines – Page 25 – Balding Blog

April 7, 2009

How Many Months Does it Usually Take for Regrowth from Propecia to Occur? – Hair Loss Information by Dr. William Rassman

Dear Dr. William Rassman,

First I want to thank you for your updated and truthful blog. It has surely helped me and obviously many others understand the many things about balding. I am a 25 year old male with what I would perceive as a Norwood III. I have significant loss in the hairline but no baling spot in the back or top the head. I’m not going crazy about the loss of hair but surely want to do whatever it takes to try and stop it from becoming worse.

After reading your blog I know that I have pretty much three current options that I am comfortable with: finasteride, minoxidil, and of course surgery. I don’t feel as though its bad enough to go for surgery right now and find that topical solutions just don’t outweigh the effort (id rather shave my head instead of having to apply the stuff daily), so i started finasteride about three months ago. I have very little if any side effects from the finasteride and have no problem taking it daily. As you know, three months isnt a long time to be on finasteride and its hard to tell if it is actually working for me. however, I plan on taking it for at least a year before I come to a conclusion.

I know that finasteride’s focus is to prevent further hairloss and any regrowth should be looked at as only a positive benefit but my question is that if I were to see any regrowth, how long do you think it would take? Again, I am not taking finasteride with the assumption that it will result in regrowth, I am just wondering when it would be noticeable it regrowth were to occur.

To give you a little background of my family history, there are a few people on both sides of my family that have receding hairlines and thinning on the top of the head. However, there is no one (and i even asked some elders) in anyone’s recollection in my family to have a completely shiny “chrome dome” scalp.

I realize that thing email is particularly long for such a small question but I wanted to give you as much information without pictures as possible. Thanks for any reply you might give and thanks again for having such an informative blog!

Graciously,
Anonymous

I am sorry, but you will likely not see regrowth on your front hairline (or front corners) if you are Norwood Class 3. It’s very rare for those areas to improve from medication. If regrowth happens it is mostly on the top crown areas where there is miniaturization. The best outcome for you on Propecia is slowing or cessation of hair loss in the front. If this happens it would take about 6 to 12 months for you to appreciate.

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March 30, 2009

Hair Loss InformationShould I Lower My Hairline with Transplants or Just Bulk Up the Existing? – Hair Loss Information – Balding Blog

Hi Dr Rassman,

I recently visited a very reputable hair transplant surgeon. I am a 33 year old with Norwood 2 recession. My hairline has receded at the sides of the hairline and slightly at the temples. The surgeon recommended that instead of straightening off the hairline and transplanting hair to the temple that due to chances of further recession it would be more beneficial to bulk out the line of the current hairline, totalling 800 grafts/20cm. He was adamant that this would produce the most natural looking results, whereas bringing the hairline further forward would leave open the danger of having a gap between transplanted hair and any hair that further receded (both in the hairline and temple regions; i thought that he was using the danger of further recession as an unnecessary reason. Am i best to follow his advice or go with the look i would like?

In essence he is recommending this type of procedure: link

when i would he more inclined to go with this: link

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I am generally not inclined to perform preventive hair transplantation and given the borderline nature of your desires, I would have to evaluate you to determine if your goals are reasonable or not. You must remember that once you start the process, you are committed for life to following back the balding if and when it should progress.

I’d need to see photos of your head at the very least before getting any kind of idea of the best way to go about creating a hairline for you. Unfortunately, I can not answer your question from the photo examples you supplied.

March 25, 2009

Hair Loss InformationIs Actor Noah Wyle Losing His Hair? – Hair Loss Information – Balding Blog

Is noah wyle losing his hair?

whats your verdict on his hairline?

Photo 1 | Photo 2

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Noah Wyle, perhaps best known for his role on the NBC medical drama E.R., does seem to be covering the corners of his hairline in the photos you sent. This suggests to me that he may be hiding a Norwood Class 3 pattern (pictured at right).

I found other photos using Google Image Search where his hairline appears a little straighter, but when it comes to Hollywood stars, it can be difficult to pick out what’s real and what’s just movie magic.

March 13, 2009

Does Depeche Mode Singer Dave Gahan Have a Mature Hairline? – Hair Loss Information – Balding Blog

One of my favorite singers in music is dave gahan. From these pictures, would you say he has a mature hairline? My hairline seems like it will be going down this road.

Photo 1 and Photo 2

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He’s got a good, strong hairline, but with the way the corners are creeping up a little bit, I’d say this is about where the mature hairline exists. I would want to see him wrinkle his brow to be sure.

March 6, 2009

I’m 19 and Want A Nice Hairline Now with Hair Transplants – Hair Loss Information by Dr. William Rassman

Hi Doctor Rassman and Staff, thank you for this informative blog. I am 19 years old and I was wondering if you guys would consider filling in temples and creating a lower hairline for a person my age. I know you say you do not do this because of future balding, but I would rather have this done so I can have a few years with a nice hairline, than have no years at all. I am in college and I am forced to wear my hair long and for the most part no one realizes I am starting to bald. I just want to be able to have a short hair style again.

Thank You

Before I could give you an opinion, I would need to see you and probably even meet you. I would then be able to determine if you are just experiencing a maturing hairline, which would be likely at your age, or actually have male pattern baldness. There is no substitute for an in-person examination, and over the internet does not meet my needs as a doctor. Some of the doctors in this business would want to rush you into the surgery even if you are just evolving into a maturing hairline. Any doctor too enthusiastic about performing a surgery on you might not be honorable.

Whoever you take on as your doctor, make sure that they are not just doing it to make a buck. Think long term! The great majority of 19 year olds aren’t candidates for a hair transplant because most are experiencing changes of the maturing hiarline, and there are dishonest doctors who will prey upon someone with cash in hand… like you, who may not want to accept the maturing hairline. A young man with a maturing hairline can cut his hair short, so first find out what is going on with you before you jump into a life time of hair transplants chasing what you may never catch (your 13 year old hairline).

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March 4, 2009

Very Asymmetrical Hairline Is a Shared Trait In My Family – Hair Loss Information by Dr. William Rassman

Hi Doctor,

I have a very asymmetrical hairline (mature on the left corner, juvenile on the right) which I first noticed at 16 and concluded that I must be going bald. Happily, 11 years on, my hairline hasn’t moved at all. I’ve since noted that my father has the exact same hairline complete with the same degree of recession on the left corner. I was just wondering the significance of this shared trait – do you think it’s reasonable to expect my future hairline to bear some resemblance to his?

Thank you.

There is no significance. It is just the way you are. A few months back a patient of mine had a similar problem… at least, it was a problem to him. So he had a hair transplant procedure to make his hairline more symmetrical.

I do not know if this is a genetic trait per se, but I suppose it does run in your family. And with respect to your future hairline, I do not know. I can only assume after 11 years of having the same hairline, your hairline seems stable.

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February 23, 2009

Can I Remove the Widow’s Peak that Formed After My Hairline Matured? – Hair Loss Information – Balding Blog

I am a 29 yrs old asian male. I had narrow forehead with a widows peak as a child. About 5 yrs ago, i started to notice receding hairline just on the temple. My hair line became more M shaped and now some of the frontal hair is thinning. However, the hairs on my widows peak are still thick. Is there anyway I can remove the widows peak and little bit of my frontal hair to make my hairline more natural? I know that will recede my hair line more than now but its okay since I have a narrow forehead. Thank you

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Without seeing you, I can not determine if your requests are reasonable. If you lost frontal hair, a hair transplant may bring you back towards your original look. Removing a widow’s peak is possible, but that may not be what you really need.

February 20, 2009

Asymmetrical Hairline Maturing – Hair Loss Information – Balding Blog

hi dr,
i have a question about hair lines. if you were born with an asymmetrical hairline (one side of your hairline is higher then the other) and in the future your hairline matures, could this be misdiagnosed as androgenetic alopecia due to the unsymmetrical balding? also i have a cowlick in the front of my hair line off center. i was wondering can you place grafts into the cowlick to restore or lower a hairline

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If you were born with an asymmetrical hairline and you did not tell your doctor when he/she was examining your hair loss, then this can lead to misdiagnosis. Cowlicks in the frontal hairline can be transplanted, but they are tricky and require a surgeon with great skills.

February 13, 2009

Does the Hairline Always Come from the Father’s Side? – Hair Loss Information by Dr. William Rassman

I’ve heard somewhere that I man ALWAYS inherit his father’s hairline. Then if your balding or not is another thing, that could be inherit from both sides. But the hairline is always the fathers.

Is this true or could a man’s hairline also have his mothers shape or a mix between both? Best regards!

The shape of the hairline is determined largely by your sex. Female hairlines are concave (rounded corners) while male hairlines are convex (receded corners). The hairline, like the hair loss on the rest of the scalp, is inherited from either side.

Of interest, I remember one man who had a very, very low inherited hairline (about 1 inch from the eyebrow) and he told me that all of the men in his family have that unusual hairline.

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February 6, 2009

Why Do Hair Transplant Patients Always Comb Their Hair Back? (with Photos) – Balding Blog

I am often asked why hair transplant patients seem to always comb their hair back (particularly in the After photos on the web). The answer is that they do it because they love their hair and want to show their normal hairline. I think that secretly, they get a thrill from taking a chance that someone might identify that they have had a transplant and they challenge that risk. You can comb your hair any way you want after a hair transplant, but by combing it straight back they can show off the hairline that they didn’t have for many years.

Here is a great example of a patient who had 4196 grafts (before and after) over a two year period. Click the photos below to enlarge.

After: