Hair Loss, Temple Hair Loss,
& Receding Hairlines
If you go about your everyday life and take the time to
observe hair loss patterns in men, you'll notice that most
men have some degree of frontal hair loss and temple hair
loss. While making this observation, you'll notice that
it is almost a rarity to see men with no frontal hair loss
Frontal hair loss is first identified by men as a receding
of the hair line in the front (above the forehead) or the
temple regions (the flat space on either side). When examining
your own temple regions, look for hair that appears smaller
in density, "weaker," almost like "fuzz."
This is hair that is being attacked by DHT,
the main cause of genetic hair loss in men.
Until recently, it was thought that minoxidil and finasteride
(Rogaine and Propecia respectively) were not effective in
treating frontal hair loss. This is no longer true as recent
studies have shown.
Minoxidil for Frontal Hair Loss & Receding
According to a Dermatology Times article which portrayed
a study of minoxidil in the treatment of frontal hair loss,
there was clear evidence that showed minoxidil was effective
in treating not only the vertex but the frontal scalp region
"Results at 48 weeks (study conclusion) show
that visible, photographically evident improvements were
seen in the frontal scalp regions of 51 percent of men
using 5 percent minoxidil, 42 percent using 2 percent
minoxidil, and 13 percent of placebo users. Among these
men, moderate to great increases in hair growth were seen
in the frontal scalp regions of 19 percent of men using
5 percent minoxidil, 10 percent using 2 percent minoxidil,
and 3 percent of placebo users." - Dermatology
Times, 2003 (1) (Article no longer available without registration)
It's important to note that although 19 percent of men
had success in growing hair in the "frontal" region,
this does NOT include the temple areas.
Finasteride for Frontal Hair Loss & Receding
Finasteride was another hair loss treatment drug that was
thought to be largely ineffective against frontal hair loss
until a recent study proved different.
During the first year of the study, 50 percent of men in
the finasteride group saw a self improvement in the amount
of frontal hair growth while 70 percent of the group saw
no decrease in the amount of frontal hair by hair count.
The placebo group saw continued hair loss in 56 percent
of the subjects.
The investigator assessment of hair growth demonstrated
improved for the finasteride group over the placebo group
at all points of the study beginning with month 3. The magnitude
of this improvement increased over time. By month 12, 37
percent of the men were rated as improved by investigators.
Scalp hair counts at month 12 revealed that men treated
with finasteride had an average increase of 12 hair per
square centimeter compared with the placebo group.
"It appears that finasteride acts initially
to slow down the miniaturization of hairs and to stimulate
hair growth. With continued therapy, the newly grown hairs
become longer and thicker. Because hair cycling is a slow
process, it is not surprising that these effects improve
slowly over time." - Clinical Study (1)
Hair Transplants for Frontal Hair Loss & Receding
Follicular unit grafts are a highly effective way to regain
your lost frontal and temple hair. Follicular unit grafts
are very natural looking and last a life time. They never
need daily treatment or maintenance.
According to Frontal Hair Loss.com, hair transplant
doctors reform the frontal hair line using 1-hair, and maybe
2 hair follicular unit hair grafts in order to achieve the
most natural looking results. "The best method
for reproducing a frontal hairline is to implant these 1
hair grafts in an irregular, zig-zag pattern. These grafts
will not be implanted or appear as a uniform line such as:
. . . . . . . or _______ But rather
more like: . - . - . - . - . -
- Frontal-Hair-Loss.com (3)
Flap Surgery for Frontal Hair Loss & Receding
Although flap surgery has improved over the years, it is
still the least desirable of all frontal hair loss treatment
methods. Flap surgery works by rotatating an entire portion
of the scalp from the side of the head to the front. This
can result in the below appearance (same individual as pictured
above but showing his left side) which leaves a dense and
unnatural looking hair line. Hair lines are broken up and
do not begin or end suddenly. Compare the photo above and
below to see the difference.
- Title Unknown, Dermatology Times, 2003, Retrieved May,
in the treatment of men with frontal male pattern hair
loss, Journal of the American Academy of Dermatology
- June 1999
- Frontal Hair
Loss Causes & Treatment Options, January, 2006