Thinning crown but hairline is not receding.

[Feyd]

So a little background about myself. I'm a 28 year old male with a family history of thinning hair and baldness.

- My maternal grandfather was bald and my paternal great grandfather was bald. Both lost their hair at fairly young ages.

- My older brother went completely bald at the top and front of his head by age 25, leaving only the 'horseshoe' appearance. I would say he's probably a VI on the Hamilton-Norwood scale. His hair loss occurred very quickly.

- My mother has fairly thin and weak growing hair as she entered her 50s and so do some of her sisters.

People on my mom's side either have nice thick hair well into old age or are lacking hair/bald. There does not seem to be much of a middle ground. Consequently, I'm fairly paranoid about hair loss.

Over the years, I've tried to keep an eye out for hair loss by paying attention to my hairline. I thought I might be spared from significant hair loss until my cousin pointed out that I had a bald spot with thinning hair at the back of my head.

That definitely caught my attention. Unfortunately, I don't have any good pictures of the back of my head from years past to compare. If I am thinning, it has been gradual enough to escape my attention. I have not noticed clumps of hair in my pillow or anything like that. I do not take any drugs or medication, so I can at least rule out that as a source of hair loss.

I've taken a few pictures of my hair, washed only with water. My biggest concern right now is the crown. A thinning spot is definitely noticeable. My family and friends think I'm being paranoid but to me the crown does look thin.

What I find strangest of all is that my hairline has not changed at all. I still have a widow's peak and nothing has receded as far as I can tell. I always thought hair loss began at the front since that was the case for my brother and other family members with MPB. So what are your thoughts? Is this the beginning of MPB or something else? Should I consider trying a regimen of some kind or take my chances and see if it gets worse?

Any help or advice would be appreciated.

[dex89]

So a little background about myself. I'm a 28 year old male with a family history of thinning hair and baldness.

- My maternal grandfather was bald and my paternal great grandfather was bald. Both lost their hair at fairly young ages.

- My older brother went completely bald at the top and front of his head by age 25, leaving only the 'horseshoe' appearance. I would say he's probably a VI on the Hamilton-Norwood scale. His hair loss occurred very quickly.

- My mother has fairly thin and weak growing hair as she entered her 50s and so do some of her sisters.

People on my mom's side either have nice thick hair well into old age or are lacking hair/bald. There does not seem to be much of a middle ground. Consequently, I'm fairly paranoid about hair loss.

Over the years, I've tried to keep an eye out for hair loss by paying attention to my hairline. I thought I might be spared from significant hair loss until my cousin pointed out that I had a bald spot with thinning hair at the back of my head.

That definitely caught my attention. Unfortunately, I don't have any good pictures of the back of my head from years past to compare. If I am thinning, it has been gradual enough to escape my attention. I have not noticed clumps of hair in my pillow or anything like that. I do not take any drugs or medication, so I can at least rule out that as a source of hair loss.

I've taken a few pictures of my hair, washed only with water. My biggest concern right now is the crown. A thinning spot is definitely noticeable. My family and friends think I'm being paranoid but to me the crown does look thin.

What I find strangest of all is that my hairline has not changed at all. I still have a widow's peak and nothing has receded as far as I can tell. I always thought hair loss began at the front since that was the case for my brother and other family members with MPB. So what are your thoughts? Is this the beginning of MPB or something else? Should I consider trying a regimen of some kind or take my chances and see if it gets worse?

Any help or advice would be appreciated.

You should see a dermatologist or a hair specialist first before taking on a regime. If was in your shoes, propecia/proscar would be suitable. Use one treatment at a time before using a whole regime to know which treatment is working for you.

[elnino]

i think its slightly patchy at the crown but fine at the front, just a mature hairline. this is where its tricky, its not that noticable so im not sure about going on meds to correct something that small or whats possibly natural. get a professional opinion.

[Feyd]

You should see a dermatologist or a hair specialist first before taking on a regime. If was in your shoes, propecia/proscar would be suitable. Use one treatment at a time before using a whole regime to know which treatment is working for you.

Right, I definitely want to see a specialist before trying anything. So is Finasteride the generic form of propecia/proscar?

i think its slightly patchy at the crown but fine at the front, just a mature hairline. this is where its tricky, its not that noticable so im not sure about going on meds to correct something that small or whats possibly natural. get a professional opinion.

To be honest I am a bit worried about or potentially making the hair situation worse through medications. I feel like I'm in a limbo state where it's not quite so bad to justify something like fin, but not okay enough to justify ignoring it. I'm just starting to read about hair loss in a more serious manner and the problem is I think my thinning has been gradual enough to catch me off guard. It's hard to say how "natural" it is.

So what does it mean if you have thinning hair at the crown but no receding hairline. Am I still a candidate for classic MPB? Also, how quickly does MPB manifest itself? Is it variable from person to person?

[mpb47]

Right, I definitely want to see a specialist before trying anything. So is Finasteride the generic form of propecia/proscar?



To be honest I am a bit worried about or potentially making the hair situation worse through medications. I feel like I'm in a limbo state where it's not quite so bad to justify something like fin, but not okay enough to justify ignoring it. I'm just starting to read about hair loss in a more serious manner and the problem is I think my thinning has been gradual enough to catch me off guard. It's hard to say how "natural" it is.

So what does it mean if you have thinning hair at the crown but no receding hairline. Am I still a candidate for classic MPB? Also, how quickly does MPB manifest itself? Is it variable from person to person?

MPB has different variations and I have read in various places that it can start in the back rather than the front. My dad never lost any noticeable hair up front yet had a spot in the back in old age. I have seen several older men who looked almost like NW0's except for having spots in the back.
The spread of your mpb can change over time. It can come on fast...then stop for a good while..then start slowly... It is variable ...

Take pics every 3-6 months and see if you notice any changes. If you do, go to your dr and get on meds as it is easier to stop it, than regrow lost hair. Good luck!

[konfusion]

very nice frontal hair, I don't think you are a candidate for classic MPB considering your age, about the area on the back, it might be your natural swirl or maybe only little thinning. Only a dermo can tell you that, go and see one, what's the harm?