What constitutes a natural hairline?

A natural hairline is one where someone never comes up to you and says “you had a great hair transplant”. A natural hairline created by a hair transplant is one that is undetectable by your friends, even those who have lost their hair.


2017-09-15 13:22:59What constitutes a natural hairline?

Heart Disease from Minoxidil?

Hi DR, I have two questions: is it possible to get any heart disease by using topical minoxidil? And if I have chest pain what exactly is happening inside my body?
Thanks for your answer

If you have chest pain, you need to go to the Emergency Room or call your doctor right away. Topical minoxidil does not cause heart disease and I’ve addressed the chest pain before. Minoxidil (when taken orally) is a blood pressure lowering drug and was originally used to treat high blood pressure, but it was not very effective or consistent. Side effects of topical minoxidil can include dizziness or palpitations, but this is rare (especially if you are using the recommended 5% solution).

What do you think of my hairline?

I think that you have a classic Mature Hairline and there is nothing to worry about. It is about 1 finger breadth above the highest crease of the furrowed brow and appears to be taking on its V-Shape with possibly some more minimal changes yet to come.


2019-10-01 14:37:31What do you think of my hairline?

What happens if I drop my dose of finasteride from 1mg to half the dose?

I don’t know as everyone is different. Many people who drop the dose do just as well at half of the dose. With that said, I just saw a man who dropped the dose from 1mg to a half mg and saw hair loss from the drop. The studies that were done in the 1990s indicated that half the dose was 80% as effective on average as the full dose.


2020-02-21 14:33:19What happens if I drop my dose of finasteride from 1mg to half the dose?

High Side Hairline (Above Ears) — Can It Be Lowered?

hi there,
i’ve been reading some of these articles about high hairlines, and most of them talk about the hairline at the forehead. however, with me, my hairline at my forehead is fine, its the hairline at the side of my head (near my ears) thats high. its been a real issue with me ever since i was a kid and i’d always need long hair to cover it up so that it wouldn’t seem as if i’m balding (which i’m not). my doctor says that i am not vulnerable to balding when i get older. i am an 18 yr old filipino male. and i was wondering if there are any treatments to this surgically/nonsurgically. i’d prefer nonsurgical more than surgical. but if there is anything at all, pls tell me. thx

Some people have a genetic high temple hairline (above ears) which can be treated with hair transplants very effectively. There are no other treatments for this that I know of.

What If I Want a Hair Transplant, But Don’t Want to Take Propecia?

First off, thanks for everything you guys do! Doc I am 26 yrs old and I had several questions. I apologize in advance if any of them are stupid questions! I am closest to Norwood III Vertex, but not completely there yet. I actually have a fair amount of hair on the top, problem is it’s really thin. The back and sides of my hair are complete opposite, they are very thick. I want to do a hair transplant, but is there any point to doing so if I do NOT want to take Propecia? I am open to taking Rogaine. Everybody keeps telling me to wait till my 30’s to get a transplant, since if I do 1 so early now, I will still lose other hair. If this does happen, I just get a 2nd transplant, correct?

The problem with a 26 year old experiencing hair loss is that your balding pattern is in transition. Will you become more advanced in your hair loss? You can try to predict it by performing a miniaturization analysis and see how far back this process goes (see Mapping Your Own Scalp).

Having a hair transplant at age 26 without Propecia on board will just accelerate the hair loss you are likely going to see in the years ahead. Not taking the medication will allow what nature has planned for you to happen. The choice is yours. Rogaine will not offer the same degree of protection. Why keep putting yourself through more hair transplant surgeries as your hair loss progresses if a daily pill could be the solution?

Homeopathic Hair Cures?

Any comments on Dr.Batra, he claims to have cured 70,000 hairloss patients. It supposedly worlds biggest homeopathic chain of clinics. Does homeopathy have any drugs that are proven?

I’m not familiar with Dr. Batra, but homeopathic treatments have been used for years and are claimed to be effective in a variety of ways. Unfortunately, most of these claims are not supported with scientific research and third party studies that do not have a financial interest in the success of the products, are rare. This clearly applies to claims of cures for the treatment of baldness. We can recommend a procedure or treatment only if it is proven to be safe and effective.


2007-05-11 11:38:38Homeopathic Hair Cures?

What is going on in my donor area

The question I ask is: Is this shock loss or donor site depletion?

How many grafts have you had? This is likely donor site depletion. At 8 months any shock loss will have reversed. If this does not reverse, the only treatment for this that is effective is Scalp Micropigmentation (https://scalpmicropigmentation.com/) which, although it is not hair, will make the donor area look normal. This is something we do all of the time.


2020-07-13 20:21:11What is going on in my donor area

How Bald Should Someone Be Before Stopping Toppik?

Hi Doc,

Just wanted to know at what norwood class one should stop using a product like Toppik. I am a class 6 and have noticed that I need to put quite a lot of toppik on my head and it really just looks like a coating of coal dust! Does my hair have to be longer for it to look better? Or do you think I’m putting on too much!

I don’t know if you’re using too much or too little Toppik. I think the answer is really simple — just look at yourself in the mirror or ask someone if it looks too fake or if it looks normal. I really don’t know what to tell you beyond that, as there’s no way for me to tell based on an email if it looks like a “coating of coal dust” or if it blends well enough to be an effective camouflaging product.

Many early Norwood class 6 and 7 use Toppik with great results. The length of hair and hair loss matters, but it is on case by case basis.