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Mature Hairline Measurements

Dear Dr Rassman,

I know you’re probably sick of hearing questions about this but here goes… I read in one of your more recent posts that ‘a mature hairline is usually about one finger width above your highest forehead wrinkle.’

Doesn’t this seem to contradict earlier measurements which suggest it can rise as high as an inch and a half in the corners? Or in this post are you referring to the center? If the corners receded by only a finger width (which is like half an inch) wouldn’t that be more like a NW 1.5?

The problem I am having with my hairline at the moment is that the sides are moving up (probably by just over an inch) but the center isn’t really moving. This is creating a weird angle. I actually want some of the middle to recede to even it out!

I have seen you describe this as ‘persistent forelock’ — but is a persistent forelock a greater indication of MPB than maturation?

In fact, the part of the center which persists actually seems to be more to the right, and the whole right side of my hairline is still thicker than the left. So maybe this isn’t a persistent central forelock and actually indicates the point remaining which still touches the highest forehead crease should fall out?

Just on a side note it seems as though a lot of males have a juvenile hairline whose central point is actually higher than the corners, kind of like David Schwimmer from Friends. So when their hairlines mature some of the corners recede and their hairline still looks straight. However, my central point was probably a tad lower than the corners (furrowing my brow shows a slight ‘dip’ in the middle’) and I still have hair touching the lowest line in that dip.

Thanks

This really is not that complicated. If you think you are losing hair and you want to do something about it, see a doctor. Even if you have a juvenile hairline or a “weird” hairline and you are bothered by it, you can address it with hair transplant surgery. If you can live with it, then leave it alone. If you think it will get worse, then have it examined by a doctor.

There is no point breaking straws and going over a definition of a juvenile hairline or a NW 1.5 versus NW 1.75 versus NW 2, etc. Nobody has a perfectly even hairline.

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Are there long term effects of finasteride and dutasteride?

https://pubmed.ncbi.nlm.nih.gov/32202088/

Of course, taking medications for life as one must for finasteride and dutasteride for hair loss has never been evaluated for long term safety (decades). The authors raise the alarm, but we need data here. There is a balancing act, to get the immediate benefits of these drugs vs suffer long term ill defined harm yet to be made clear. I don’t know the answer but I thought my readers should be aware that this is a relevant issue for those on long-term use of these drug. In a study of finasteride use over 20 years ago published in the New England Journal of Medicine with men over 55, there was a decreased incidence of prostate cancer in those who took finasteride by 25% compared to a control group. As prostate cancer is the leading cancer in men, this was an impressive finding.


2021-08-18 10:33:16Are there long term effects of finasteride and dutasteride?

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Medicated Shampoo and Hair Loss?

Hello Doctor

I know many people with hair loss that use ketoconazole 2% shampoo times a week, thinking it fights seb derm. Others use salycylic acid shampoos 4 – 5 times a week thinking it thickens the hair shaft

My question is: Could overusing active medicated shampoos for long periods, contrary to official recommendations lead to permanent hair loss?

Thank you

I don’t think shampoos will cause permanent hair loss per se, but you should not be using medications of any sort in ways they are not prescribed or recommended.

Ketoconazole shampoo (also known as Nizoral, among other names) does work in treating seborrhoeic dermatitis, but you should follow your doctor’s recommendation for dosing.


2011-07-04 07:56:07Medicated Shampoo and Hair Loss?

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Mexico Had Decided to Pay for the Wall

This is the first political statement I made on baldingblog.com but I had to post this after receiving this picture from a close friend.


2019-02-14 06:25:40Mexico Had Decided to Pay for the Wall

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Autoimmune Disease causes thinning

This patient has thinning in the front and top of their head. The leading edge of the frontal hairline shows loss of vellus hairs suggestive of an autoimmune disease such as LLP, FFA or CCA. This patient should NOT get a hair transplant because it will fail. This is why you need a skilled doctor who knows how to make a diagnosis that tells that this is not a hair transplant case


2021-03-20 08:21:07Autoimmune Disease causes thinning

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Microneedling and Minoxidil for 3 months

There is a huge movement to using microneedling plus minoxidil for stimulating hair growth shown nicely in this man. I wish the photos were more comparable. Many young men are doing this themselves with a low cost (some pain with the microneedling).


2020-03-04 09:10:52Microneedling and Minoxidil for 3 months

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I Have Let My Hair Grow Out 3 Months and the Back of My Head Looks like It Is Balding

You have significant donor site depletion. This problem is caused by over-harvesting the grafts from your FUE three months earlier. The only thing you can do is to get Scalp MicroPigmentation, which will hide the balding spots, but it will not add hair.

See here: https://scalpmicropigmentation.com/scar-covering/


2018-06-21 08:57:49I Have Let My Hair Grow Out 3 Months and the Back of My Head Looks like It Is Balding