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I am 24 and my father has a receding hairline and there is balding on his side of my family. Will that happen to me?

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I see many young men like this man with a what appears to be a full head of hair. He was concerned that he may inherit his father’s pattern and does not want to go bald. He wants to be proactive on the use of drug. When he asked me about the drug finasteride, I originally told him I would not prescribe it unless I was certain he was balding. From what I saw on my first impression, I did not think so, but when I did bulk measurements of his hair, I found that despite the visible full head of thick hair that I saw, he actually lost 45% of his frontal and crown hair. With that knowledge, I prescribed the drug finasteride and he was very grateful.

Many readers routinely send photos for me to diagnose their hair loss condition. I cannot do this with photos alone. I would never have thought this patient was balding by just looking at him. It was the measurements and examination that made the diagnosis.

At the age of 24, his future is uncertain with regard to hair loss, but with thinning in the top and crown of his head at this time, he does run a risk of a more advanced balding pattern over time and this test shows clearly the value of early diagnosis to try to prevent his probably outcome or at the last slow it down. Early diagnosis is best done in the doctor’s office who offer a ‘hair bulk analysis, which can identify hair loss before it becomes visible to the naked eye.



Tags: bulk test, balding, father, photos, hair bulk analysis


My hairline is starting to look like my son’s hairline. The frontal part in the mid-line has gone up about 1/2 inch, and my corners have disappeared creating a V-shape to my hairline. I am 52 years old.

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Women’s hairlines often rise up to an inch as a woman ages. Menopause accentuates the hair loss process, and it is reported that about 50% of women past menopause lose their hair and are balding to some degree. This could be seen as a thinning hairline with overall thinning in the front, top, and crown of the head, or receding hairline with a disappearance of the corner hairline.

New Hair Institute Female Temple Corner Rounding 1000 grafts - 7 MONTHS Post Op

New Hair Institute Female Temple Corner Rounding 1000 grafts – 7 MONTHS Post Op

I am assuming that this lady has seen these changes recently. She is of menopausal age. The normal female hairline is located on the crease of the furrowed brow; however, as the hairline in women rise with age, it may rise as much as a full inch from the crease of the furrowed brow in the mid-line. Additionally, the corners of the frontal hairline often becomes thinner with age, taking on the shape of the male’s mature hairline as this lady is reporting.

In women who have plastic surgery of the face, hair lines and frontal corners are often impacted with hair loss. Brow lifts induce frontal loss and lift the frontal hairline back, increasing the size of the forehead. Is is very common to see frontal corner hair loss after facelifts and brow lifts. We commonly get referrals from plastic surgeons for women who complain about the hair line changes after a facelift.

Hair transplants can address hair line issues reasonably well and can lower the frontal hairline back to the crease of the furrowed brow. The corners can also be filled in with hair transplants.


I am 14 yr old male with a patch of white pubic hair. The area with the white public hair is also a bit fair and different from other. I just wanted to know if this is normal or not. Is it a side effect of something or a disease? Will the hair become black or not?

I have shaved my pubic hair, but it itched very much. Even the new hair grew white. I am not close with my dad and I am not comfortable talking to my mom about this. Is there some treatment or medicine?

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While 14 years old does sound pretty young, this can be an hereditary thing and there is really nothing that you can do. Shaving the area will usually result in it itching when it is regrowing, so that isn’t entirely surprising. I wouldn’t be concerned about the white color, and it doesn’t mean you have a disease or a side effect.

Tags: pubic hair, hair growth, hair color


Hi Doc,

I have been wondering, what if any evolutionary reason was there for males going bald at as early as their 20’s and a lot more during their 30s and 40’s?

My speculation is that this trait becomes apparent well after puberty and sexual maturation, therefore it does not affect the passing of the genes. Do you have any thoughts on this?

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I’m not sure of the evolutionary reason for going bald, but genetic balding can start at any age. The hair follicles have a programmed ‘death’ date and it is triggered by the hormone dihydrotestosterone (DHT) when the date comes to pass. Blocking the DHT with finasteride (Propecia) can delay the start date. Balding can come from either the mother or the father’s side, and very rarely does one see balding prior to sexual maturation, unless it is a variant of a genetic malformation.

There are case reports in family lines where complete hair loss starts at about 2-3 years of age. A family group has been studied in Pakistan where this genetic pattern is widespread in a particular town. The triggered age seems to be about 3 or 4 years old and unlike male pattern baldness, this is far more extensive balding, so it is clear that when there is a gene for some time or balding that is expressed, it is age triggered.

Tags: hairloss, hair loss, evolution, genetics


I am 17 years old and experiencing heavy signs of MPB, receding hairline, receding temples, Shedding and thinning. I understand that DHT is what causes hair loss in men, but DHT is also known to be the primary catalyst for penile growth. I am currently still growing (bones) and developing sexually (penis growth facial/pubic hair Etc).

My question is will DHT blocking shampoos block DHT in the body, specifically the DHT responsible for penis growth? Or do the shampoos only block DHT locally in the scalp? I don’t want this shampoo to interfere with DHT pathways and the metabolizing of testosterone into DHT (DHT attaching to androgen receptors etc).

I realize there are numerous factors that influence penile growth but I don’t want to hinder my penis growth at such an age, resulting in a less developed penis than what my genetic blueprint has set out for me. Thank your for your time, its highly appreciated.

The DHT shampoo i had in mind contains Ketoconazole DHT inhibitor, saw palmetto, emu oil, biotin & salicylic acid

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DHT blocking shampoos probably don’t work to treat hair loss, and certainly not systemically. Some people claim that ketoconazole shampoo regrows hair, but it’s just a good antifungal treatment as far as I’m concerned.

Moreover, I don’t believe that these shampoos will impact the size of your penis. At 17 years old, you’ve likely completed puberty by now (or close to it).

Tags: teenager, hairloss, hair loss, dht, shampoo, nizoral, ketoconazole


Sir, I am a male at 48 years old and still have a fine head of hair. i wash it everyday and eat healthy and take regular exercise. is it possible that i have not inherited the baldness gene? and there is a good chance that i will keep for hair for life?

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If you do not have any signs of balding at 48 years old, you have a way better-than-average chance of not inheriting genetic male pattern baldness. Most people with genetic hair loss see the impact well before the age of 40.

I can’t, of course, guarantee that you’re 100% safe from any hair loss — but it’s not common to develop it at your age.

Tags: hairloss, hair loss, age


Snippet from the article:

Popeye, Garfield, My Little Pony and Snoopy: some of the world’s most famous cartoon characters are getting a very special makeover in an effort to help kids cope with losing their hair to cancer.

Knowing that hair loss brought on by chemotherapy can make children feel different from others, Brazilian cancer advocacy group GRAACC created a unique campaign called “Bald Cartoons.”

According to the Bald Cartoons website, “Famous cartoons from all over the world have gone bald, sending out the message that a child with cancer deserves to be seen just like any other child.”

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Read the rest — “Bald Cartoons” Help Sick Kids Cope With Hair Loss

I really love this campaign. Emotional pain from hair loss sometimes gets the best of many young men, and children may be especially affected. These cartoons help show kids that losing their hair due to chemotherapy isn’t something they should be embarrassed of.

Tags: bald cartoons, hairloss, hair loss, chemo, chemotherapy, cancer, children


My 8 year old son has a big scar on his head from one ear to the other due to head operation. Can hair grow on on that area? What are his options? Thanks

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I don’t know what kind of procedure was done, but usually scar tissue won’t regrow hair on its own. Hair transplants into scars from surgery work well. If the scar is narrow enough, Scalp MicroPigmentation (SMP) would probably work. The two in combination will certainly solve the detectability issue.

Tags: hair transplant, child, scarring


My son has shown signs of balding from the age of 14/15. We have very successfully been using minoxidil, and he has just turned 18. We are about to start propecia and I would like to confirm that there are no additional considerations I need to take into account because of his age.

Many Thanks

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Yes, you should have him visit a doctor who uses the HairCheck device, which is a bulk measurement tool for the hair. I believe that this is important, because it tells us where he started from, then in a year when the measurement is repeated it will tell us where he is going with his hair loss.

I have recently had two patients who had their hair bulk measured with us when they were 16 and 17 years old. One was stabilized on Propecia (finasteride) and the other showed a downhill course on his hair loss. That meant some important counseling needs to be considered if he has emotional problems resulting from balding before he turns 20.

In the case of your son, he is 18 years old and has completed puberty. If a young man was to start the drug at say 14 years old, I don’t know what the growth effects might be. I don’t believe that clear documentation is available to answer that question.

Tags: propecia, finasteride, hairloss, hair loss, teen hair loss


Every morning I wake up to see my pillow full of hair.. more hair than usual. Before I shower, I run my fingers through my hair and get some hair out. When I take out my hair band, strands of hair are stuck to it. It seems that lately more hair has been coming out, but I am only 14 years old and none of my parents or family members are bald. Is this normal? Why is it so sudden? Will it stop? What can I do to help it? Please help because I am worried.

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We typically lose 100-150 hairs a day, but if you’re seeing excessive loss, there could be a variety of possible reasons. I don’t know what you consider excessive, though.

At 14 years old, you should get your parents involved and see a doctor to try to determine a cause for your thinning. Until we know why you’re losing hair, we can’t determine whether the loss is temporary or even what the treatment plan might be.

It’s quite possible that you are just seeing the effect of hair cycling, which is common in everybody. If you lose 100-150 hairs per day, you almost certainly are regrowing 100-150 new hairs per day.

Tags: hairloss, hair loss, female hair loss


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