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Hi Doctor, your blog is extremely useful. I am an 18 year old Indian who has a hairline like Taylor Lautner when he was 18 years old…

You said in that post that he lost immature hairline rounded corners but otherwise had a juvenile hairline. My question doc is that, is losing the corners a sign of a receded hairline that falls under the category of a maturing hairline or is it still a juvenile hairline. Also, I would also like to point out that few of my friends have also lost there rounded corners. Is this normal. By normal I mean, is it not MPB or is it MPB or is it a maturing hairline or is it a juvenile?

I really hope you answer this question and ward off my worries. Thank you so much! Hope you have a great day!

Actor Taylor Lautner does not have balding. His front corner hair line looks slightly higher now than it did when he was younger. Thus I call this maturing hairline or loss of his juvenile hair line. Not balding.

Finally there is no such thing as “abnormal” MPB. Some people have the genes for Male Pattern Balding and some do not. Everyone has a juvenile hair line when they are in their “juvenile” years. Almost everyone will lose their juvenile hair line as they mature (in age). Some will go on to lose more hair (in their 20s and 30s) if they have the gene for Male Pattern Balding.

I have written to you before. Will minoxidil give me enough hair to avoid a hair transplant?

Traction alopecia from the use of a turban is usually permanent. You will know this because if the hair doesn’t regrow without the tight turban in 6 -9 months, it is gone. This is caused by traction. Unfortunately, only a hair transplant will solve the problem. Minoxidil might bring on some weak hair fuzz, but not real hair, worth a try though if you want to delay tackling a hair transplant

This young man is an excellent finasteride responder and should continue on this drug for the rest of his life. If he stops it, he will lose all that he gained.

Snippet from the article:

They are already talking with pharmaceutical firms about making the product, which would work by stopping the effects of a single guilty enzyme.

US-based dermatologists announced earlier this year that they had found that an enzyme, called prostaglandin D2 (PGD2), instructed follicles to stop producing hair. They identified it by screening 250 genes implicated in hair loss.

George Cotsarelis, head of dermatology at Pennsylvania University, said the one responsible for levels of PGD2 played “the major role”. He said he was now talking with several drugs firms about creating the anti-baldness product.

Read the rest – Baldness cure could be on shelves in two years

Two years seems like a bit of a stretch, considering there is no actual product yet… but the media is easily excited about hair loss “cures” as anyone that has been waiting for new treatments has surely seen. Apparently this new hype is based on a study of 17 people, but I don’t know where this idea came from about a proven safe and effective product being available by 2014. Whether or not PGD2 will be the next great hair loss treatment, there’s a lot of work that needs to be done first.

Just to sum this article up — apparently we went from a small study on PGD2, all the way to the miracle hair loss “cure” being on the shelves in a couple years even though there is no product just yet. I’ll believe it when I see it.

I’ve currently been on Finasteride for 3 months now, and Minoxidil for 5. My hairline is starting to regrow extremely slowly, but at the same time i’m not sure it will come back. I also would like to see if it would be possible to lower my hairline with FUE procedure as well as filling in a bit of the horshoe pattern as well that is receding. I contacted a facility in Miami, FL on Saturday I believe and was wondering how long it usually takes to schedule a consultation etc etc… I do realize i’ll probably have to get 1-2 or even 3 more hair transplants by the time i’m 40 but right now at age 20 my only fear is that when I go to college started this year, i’ll have missed out on my college social life due to my insecurity of my high and receding hairline.

At 20, you shouldn’t get a hair transplant. Medication is better. The reason is simple, you are very early in a progressive process and if you start now, you may end up chasing the balding. Any doctor who does surgery on a 20 year-old male is after the money and not the welfare of the patient.

Hey. I am a 20 years old guy and I am loosing my hair on my temples since I am 16. Right now there is the point where if I don’t go on medications I won’t ever do it because then my hair is too fucked up and it is already pretty bad. My urologist told me to not go on fin, he said it is not worth it and I should not fuck up my hormones. But lately hair loss is making me very depressed. How rare are the side effects to occur? And I don’t mean just ED. I mean brain fog and penile shrinking and stuff like that. It seems to be soo fucking retarded to repress DHT, a Hormone that is 5 times as strong as Testesterone. I mean if I hop an fin I would also hop on min, keto and dermarolling. Just to get a bit of regrowth. The thing is I already shaved my head bald 3 times and I instantly regretted it because people are me as an alien… what do u think ?