Good to see you today. We repeated your HAIRCHECK measurements today which we have performed on numerous times over the past couple of years. This instrument continue to report no balding evident which means that there is no detectable hair loss behind the frontal hairline. Despite this, you have now what appears to be some mild recession, but considering that you have a persistent frontal forelock, this may be an illusion and you could be developing a maturing hairline in the corners as there is no hair loss in the mid-line where the persistent frontal forelock is present. Notice the faint line I drew at the leading edge of your hairline, which takes into account the persistent frontal forelock and a location where I think a mature hairline belongs. This is where your hairline actually belongs. It does appear that you have some early erosion of this leading edge of the hairline.
The question we discussed is: What is the timing of finasteride? If you take it now, you will be locked into it for the rest of your life. IF you do have balding, then at some point decide to stop the drug which may have been holding the hair on your head, then you will develop catch-up hair loss. If you hold off starting the drug and come back in a year, it may become more apparent what you diagnosis is. We both decided to wait another year, repeat the HAIRCHECK test at that time, reassess your frontal hairline when compared to the photos we took today, and then take another assessment if finasteride is appropriate for you.
https://newhair.com/wp-content/uploads/2018/06/nhi-medical-356px.png 0 0 William Rassman, M.D. https://newhair.com/wp-content/uploads/2018/06/nhi-medical-356px.png William Rassman, M.D.2020-07-03 03:00:002020-07-02 08:01:44Maturing hairline in 22 year old male - an interesting analysis (with photos)
I have always assumed that a male will not recede from genetic balding without some hair loss somewhere on the scalp. This patient has challenged me as I hold this concept. I believe that both the frontal forelock (in some people) and the juvenile hairline in all men, have a different genetic makeup with regard holding on to their hair. I have seen men who have kept a fully intact juvenile hairline and become a full Class 7 pattern of balding, and to me that proves this concept. The concept that a persistent frontal forelock remains as the corners recede is common and all of us have seen this. This 22 year old male is different because I have been following him before the juvenile hairline disappeared. I believe the corners of this line are now receding. Here is the letter I sent to him as well as a series of experts in the field of hair restoration for opinions on my question.
Question: Can frontal recession occur without any evidence of miniaturization or hair loss elsewhere on the head of a male.
Answer: Yes, recession in some men can be independent of miniaturization and hair loss behind the hairline.