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.

Is My Crown Balding or Is That Just How It Parts?

Hello,

I’m 22. I have had long hair for about 2 years now, and I hadn’t paid much attention to my hairline at all. Recently, in about the last 3-4 months, I began to start looking at it and noticed that I do indeed have a receding hairline. However, due to my long hair, I cannot quite tell if I have any vertex hair loss as well. I took a picture and have a spot, but it’s possible that it’s just the way my hair part. It has been like that ever since I’ve had my longer hair (I never paid attention to the back of my head). I have also noticed similar parts in other guys with long hair. None of my friends or family have mentioned it to me, especially my friends, since we talk about this type of stuff all the time.

What do you think?

 

First, thank you for allowing me to post your photo.

It is difficult to tell based on the lighting in the photo. Sometimes under harsh lights, the scalp can be seen even without any balding present. This indeed may be early crown balding, but the way to determine this is to map your scalp and look for miniaturization in both the frontal hairline and the crown. Then, if you have miniaturization, you are genetically balding and should consider treatment.

Is My Chest Pain from Minoxidil?

I had used minoxidil for hair growth 12 months ago for 4 months. I stopped it. That time I have not observed any side effects. Now I am again using the same to control the hair fall. Now I am feeling like chest pain (muscular). Is it because of minoxidil..? how safe this medicine ..? because chest and heart are more important than the hair.. Thanks in advance

Chest pain with minoxidil may indicated coronary artery disease, because minoxidil can drop blood pressure and cause reduced circulation to the coronary arteries (angina). Please see a doctor to make that diagnosis, as taking minoxidil may be the way you find out that you have some serious heart problem.

Is My Barber Possibly Pulling Hair Out?

Hello i think this website is great. I had one question…im experiencing some thinning in my bi-tempural areas. I get my hair shaved (not bald) every two weeks. I notice that my barber is a little rough with the clippers/shaver…could this be pulling my hair out??? Would this cause further miniaturization??

Does rubbing your scalp really work at reviving thinning hair??? thanks

If your barber is pulling out your hair, he is not furthering his business. Being rough with hair brushing will not accelerate miniaturization, but it can loosen hair that is on the way out to produce premature thinning.

Rubbing the scalp feels good, but you have to be careful that the rubbing does not pull out the weak hairs that are miniaturizing.


2006-10-02 12:09:56Is My Barber Possibly Pulling Hair Out?

Is My Alopecia Areata Returning?

I’m a 17 year old kid who had alopecia areata starting at 15 years old. I shaved my head (all the way to the skin, shaving cream and all) and did this for 2 years. Recently i stopped and my hair has grown again (YAY!) Its back to normal but for the past month, my hair has started falling again. Can alopecia areata come back again? Or is it another problem? and if please what will be a solution for it!

Thank you very much!

There is no cure for alopecia areata, and as such, it can regress and then come right back. If it comes back again, another such experience it is not predicable. Alopecia areata is a lifelong condition. Please the see National Alopecia Areata Foundation site for much, much more information on this condition.


2010-11-04 08:36:06Is My Alopecia Areata Returning?

Is Missing Facial Hair a Side Effect of Rogaine?

I have been using Rogaine 5% topical solution regularly for about 6 years now. It has worked marvelously for preventing the thinning of my hair at the back of my head.

Just recently I noticed two large, circular patches on my chin and neck where facial hair no longer grows. I grow a goatee and didnt mind the two empty patches but now another small, circular patch has developed in my goatee area. Could this be a side effect of using Rogaine?

Thank you for any assistance you can offer.

I would worry more about alopecia areata or fungal infection as a cause, which require a good doctor to make the diagnosis. I would doubt that this is a side effect of Rogaine.


2006-06-21 09:25:23Is Missing Facial Hair a Side Effect of Rogaine?

Is minoxidil working if I developed arm and chest hair?

If you developed arm and chest hair with minoxidil and not scalp hair, that means that you are either taking it orally or absorbing a lot of the medication through your skin. I gather it is not working on your scalp hair?


2021-01-04 15:01:33Is minoxidil working if I developed arm and chest hair?

Is Minoxidil or Propecia Making My Hair Thinner?

Hi, Dr., I’m 19 years old and I live in france, so excuse my english which isn’t wonderful. I’ve experienced hair loss for 3 months and I’m taking finasteride + minoxidil 5%. At the moment I’m not loosing hair but I’ve noticed that my hair are getting thinner? Is it possible that one of the two drugs I use is making my hair thinner? It’s bothering me a lot. Thank you for your understanding

Propecia and Minoxidil can possibly put you into a shedding phase, which will be short lived. Don’t be alarmed. Keep on the track you are on.

Is Minoxidil Only for Men?

I am a 58yr old woman. My hair is falling. A hair doctor has put me on to MINOXIDIL TOPICAL SOLUTION USP 2% HAIROUSE-MX. 1ML 2 X DAILY along with multivitamin tablets. I have been on it since 45 days. But to know more about this solution i googled it. To my surprise i found out that this solution should only be used by men, not women. Secondly,when stopped hair falls again.

What should i do? i am worried. I dont want to use it for the rest of my life. How do i stop it and being a female using this, am i harming myself? Please help.

2% minoxidil is sold as Women’s Rogaine, 5% minoxidil is sold as Rogaine (for Men). It is the only medication that is FDA approved for treating female hair loss. Some doctors may prescribe the stronger minoxidil (5%) for women, but that is on an individual case by case basis. Besides, it looks like your doctor put you on the 2% anyway.

You do need to use it for life if you want to continue seeing the benefits, and stopping it will result in a disappearance of any benefits you saw from it. In 45 days, you probably didn’t notice too much of a difference, if any. You should talk to your doctor about your concerns.

Propecia (finasteride) is only for men, so perhaps you’re confusing the two medications.


2012-02-07 10:52:13Is Minoxidil Only for Men?

Is Minoxidil Not Intended for Men Over 50 Years Old?

Hello. I want o try using Regaine (called Rogaine in the USA) for hair thinning around the front and temples. I have read it’s not intended for men over 50 and I am 54. I am otherwise fit and healthy but could it harm me?

Rogaine / Regaine / minoxidil does not work well (and is not labeled for use) in the front and temple areas. It is mainly for treating the top crown.

There is no age limit I am aware of, though the medication does reportedly work best in men under 40 with recent hair loss. As with any medication (prescription or otherwise), read the directions included with it or talk to your doctor.


2012-08-14 10:42:41Is Minoxidil Not Intended for Men Over 50 Years Old?