Is It Normal For Indian Males to Have Maturing Hair Line?

Do Indian heads undergo maturing? My father started going bald at the age of 35 and my grandfather at 40. However my mother’s side is devoid of any kind of MPB. My question is my temples have undergone receding corresponding to the MATURE hairline that I read in this website. Is this normal for an Indian male like me? Also there is no further thinning, as far as I know and my hairline has remained the same for the past 1-1.5 years. Can I safely call it a maturing hairline and put all my mental worries and tension aside? This is killing me and I hope you read this and help me and my case.

Almost all men have some form of maturing hair line as they transition into adulthood. About 5% of Caucasian men maintain part of all of the child;s hairline well into maturity (former presidents Reagan and Clintoon). Maturing hair lines are not considered balding. Balding in the form of androgenic alopecia (AGA) also called Male Pattern Balding (BMP) is genetic and is inherited from your mother or father (close to 50/50); however, it does not always follow a predictable pattern and you may have the balding pattern where your immediate family members do not. There is no specific cure to reverse genetic male pattern balding or maturing of a hair line and even the drug Propecia (finasteride) which works so well on genetic balding does not stop the maturing hairline from appearing.

Man comments on November 2nd post

Nice post on your blog. I’ve always wondered why some people’s HT don’t always take.
Questions this brings up:
– should one go to a dermatology clinic instead of a doc to get this done?
– perhaps in the same way one can take fin to mitigate shockloss, would it be wise to take corticosteroid pills say leading up to and after a HT?
Just trying to gauge how to put this information into practical use 😀
Thanks again! Love your work!
This patient is referring to the post: https://baldingblog.com/?s=ishrs+pearl. All good hair transplant surgeons should know how to do trichoscopy and perform it in their offices to analyze the hair and scalp. Such an examination will pick up diseases or suspicion of diseases like LPP or FFA. Steroids should not be taken blindly.

Is Itchy Scalp a Symptom of MPB?

I have an itching scalp in the area where I experience hair thinning. Could this be a symptom of MPB, or could it be a symptom of something that is unrelated to MPB but causes hair thinning?

I also have dandruff, if that matters. Although I use Head and Shoulders, there are still flakes when I itch my head.

Some people have reported an itchy scalp when they are balding. I often wonder if what these people are complaining about a scalp that gets more sun, more air movement, and gets exposed to more drying.

Perhaps in your case it’s just the dandruff causing the itch and the location of the loss is coincidental.

Is My Dermatologist Denying My Hair Loss for Some Reason?

Hi Docs,
I’m a white Caucasian man who turned 27 in April. I have been balding for 6 years now. I have no more doubt about that because my frontal hairline receded about 1 inch maybe more (depending on how I pull my hair back more or less) and I have got miniaturized hair on the temples. I would like to know why the dermatologist (head of a dermatology department) keeps denying my baldness and if I am really balding or not.

Well, at the very beginning, I didn’t notice anything. I used to go to the hairdresser once a month. But, at the age of 24 (about 3 years ago) I could see my scalp through my hair witch obviously began thinning. And my hair’s colour wasn’t the same anymore (much clearer than before).

So, one day I decided to have my hair cut very short. That day I realized that my hairline was receding. I could see the temples that I have never had and never seen before. According to the pictures, I’m receding since the age of 21 or 22. At the age of 21 I had a full head of hair and no temples, at the age of 22, I had temples, at the age of 24 I reached the first stage of baldness and now I’m at least at the first or maybe second stage of baldness at only 27.

Well, I can assume that I’m balding and having a similar evolution as my father had (maybe a little slower) except that he started a little earlier. At the age of 18-19, my father reached the first stage of the Norwood-Hamilton scale, at the age of 27, he was at the second stage maybe a little more (almost third), at the age of 32, he was at least NWD 3, by the time he turned 37 he reached the fourth stage and now, he is a 50 years old man and he’s almost 5 (almost bald)!

In my family, my father is the only “real” bald man. My grand father (my dad’s father) is only Norwood 2 at the age of 75, my uncles (my dad’s brothers) are Norwood 1 at 47 and Norwood 2 at 52 and my mother’s father is only Norwood 1 or 1.5 at the age of 68. I have to say also that when I was a kid I had a similar implantation (very low and with no temples at all), the same hair quality (very thick) and the same hair colour (dark) as my mothers’. Now, I keep my hair long and I only cut a little of length when it’s too long and I’m hiding the temples with my hair from the middle of the head.

I have already seen the dermatologist several times and he always denied the truth by saying “You’re not balding.” or “You have got only temples.” or “You have a lot of hair” or “You have got no hair loss.” etc. The last time I have seen the dermatologist (April of 2013) he told me that I had a “very young” implantation and I had no kind of baldness and he asked me how my mother’s brothers were but she has got only sisters !

So, I would like to know if it is possible that the dermatologist is denying my baldness or maybe is not seeing it. Am I really balding or not? (My hairline receded about 1 inch or more in only 6 years. That is what I call the second stage, maybe it is still a first stage).

Thanks for reading. I wish you could answer to my question.

I don’t know what purpose it would serve for your dermatologist to deny your hair loss if you actually had genetic loss. In situations like this, I would that you get another opinion. You can send me some good quality photographs with your eyebrows lifted high so that the wrinkles of your forehead show, and then I can give you the feedback you want and apparently need. Second opinions are always a good idea if you lack the confidence in the opinions you are given.

You would need to call my office at (310) 553-9113 or (800) NEW-HAIR to set up a formal phone or in-person consultation for this. Personal / individual consultations are not given via email or this site.

I Had 5000 Grafts, Will My Donor Area Regrow? (Photos)

No, your donor area is depleted. I don’t believe that 99% of people who get 5000 FUE grafts can support that number without getting a see-through donor area. Your residual donor density is probably too low for reasonable coverage. Scalp Micropigmentation works well for managing the APPEARANCE of this problem (See: https://scalpmicropigmentation.com/)


2019-02-14 06:27:36I Had 5000 Grafts, Will My Donor Area Regrow? (Photos)

Is Norwood Class 1 a Mature Hairline?

Hello, Dr. Rassman, I have a couple questions for you about hairlines. You see, I’m a little confused…

I am a 24-year-old Caucasian male with no outward signs of pattern baldness, even though it does run on both sides of my family. I was looking at pictures of myself the other day from when I was about 12, and noticed in one picture of me with a crew cut, that I at one time had a very rounded hairline, like that of a female. This got me thinking (and a little worried), since my hairline today looks like that of the guy in the first picture on the Norwood scale. It’s not the hairline I had when I was 12, but it’s not a “mature hairline” either. I did the brow measurements and my hairline is still very much in the juvenile position, albeit more square in shape and rising slightly at the corners, just like the guy in the picture.

So I’m curious, is it possible for the first Norwood illustration to be the mature hairline in some cases? My hairline has been like this since I was about 18 or 19-years-old and hasn’t moved an inch since then.

Thank you for your help on the matter.

Norwood 1I’d say that yes, a Norwood Class 1 (see art at right) and a mature hairline are basically the same. The hairline you saw at 12 years old is your childhood hairline and it is completely normal for your hairline to mature to some degree a dozen years later. You can not tell at your age for sure, but with a good mapping of your scalp and measurements looking for miniaturization in the corners, you might just see where your hair loss is going, if anywhere.

6 month old Hair transplant and disappointed (photo)

You have to give it a couple of more months as more hair may yet grow and the hair that is growing will grow longer. If it doesn’t get better than see your surgeon and he/she should make it right as any good surgeon would as long as trust is there.


2021-01-21 16:16:466 month old Hair transplant and disappointed (photo)

Is Scarring Common at the Recipient Sites?

Thank you for the time and effort you put into answering all of our questions. My question regards scarring. I have heard some people say that scar tissue forms where the hairs are implanted during a transplant, and that this can result in bumps or raised spots on the hairline. Is this true? If so, is it common? If not, why don’t scars form where the hairs are implanted? After all, a wound of sorts must be made to implant the hair, so how would do you prevent hundreds or thousands of scars from forming after a hair transplant?

With the technique we pioneered, we do two things that minimize recipient site scarring —

  1. We make very small wounds in the skin, essentially slits that approximate the size of the grafts. These heal very fast.
  2. When preparing the grafts for implantation, we cut off the skin disk at the skin level. To minimize the skin disk, we remove the top layer of the graft skin from the surface of the graft. This prevents the skin from surviving the transplant which could, in some individuals, produce the bump seen in recipient areas. The same process is done with grafts taken from strip surgery.

When doctors use grafts that have a larger surface area than what I described above, the bumps you referenced get more prominent. We have seen from the old days when plugs were done and the graft sizes ranged from 3-5 mm across, the skin always was deformed. Clearly the more skin that survives at the top of the graft, the more detectable will be the existence of the transplanted graft.

6 months on finasteride and minoxidil (photo)

This is another great result on a person who appears sensitive to both minoxidil and finasteride. Reversal is more common when hair loss was in the past couple of years.

 


2020-07-06 17:59:316 months on finasteride and minoxidil (photo)