The facial and masticatory musculature, the Norwood pattern and the cause of pattern hair loss

User27041995

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Visualisation of the facial and masticatory muscles in the faces of men with pattern hair loss and 4 hypotheses to consider the role of the facial and masticatory muscles:
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Hypothesis A: Craniofacial development
Simplified summary/interpretation: Due to genetic factors and an unsuitable diet, poor craniofacial development occurs. The result is, among other things, chronically tensed facial and masticatory muscles. This chronic tension triggers a chain of effects (degeneration process) that ultimately leads to pattern hair loss.


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Hypothesis B: Stimulus-response pattern (conditioning)
Simplified summary/interpretation: Through interpersonal mimic and verbal interaction, humans are conditioned since birth to have their facial expressions under control so as not to provoke unwanted/wrong interpretations and associated reactions from their fellow humans. This results in a stimulus-response pattern, which results in chronic tension of the facial and masticatory muscles. This chronic tension triggers a chain of effects (degeneration process) that ultimately leads to pattern hair loss.

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Hypothesis C: Malocclusion
Simplified summary/interpretation: Due to malocclusion, the masticatory muscles are chronically tensed. This chronic tension triggers a chain of effects (degeneration process) that ultimately leads to pattern hair loss.

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Hypothesis D: Skull Expansion
Simplified summary/interpretation: Expansion of the skull results in chronic tension of the facial and masticatory muscles. This chronic tension triggers a chain of effects (degeneration process) that ultimately leads to pattern hair loss.
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dsd

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Why in many cases finasteride and minoxidil help? Does this fact make the theories A-D invalid?
 

User27041995

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Why in many cases finasteride and minoxidil help? Does this fact make the theories A-D invalid?
This fact makes theories A-D not invalid, if one assumes that finasteride and minoxidil only slow down the degeneration process, but do not eliminate the cause, which is for example craniofacial induced tension that triggers the degeneration process.

The existence of the Norwood pattern and the failure to date to develop drugs that completely "cure" pattern hair loss or prevent it from developing in the first place suggested that physiology could play a significant role in the development of pattern hair loss. Looking at the facial and masticatory muscles, it seems obvious at first glance that these (in combination with the galea aponeurotica) are the decisive component. However, just because a connection seems obvious at first glance does not mean that there is a connection – just as there is no connection between wearing a cap and pattern hair loss, even though a connection seems obvious at first glance.

It would be helpful to show how the hypotheses mentioned can be disproved and which studies would be necessary/suitable for this.

If it turns out that there is something to hypothesis X – very good!
If it turns out that hypothesis X is wrong due to test result X – very good!

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Chill dude

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Okay, so show a guy with desirable skull shape with desirable hairline? Nick Shell did a good few subjects with guys who can grow a beard who go bald and guys who can't grow facial hair who keep their hair.
 
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