What Should I Do ? Extremely High Temples But Yet Have Recceded Very Slowly

Andrew11

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Hi guys ! New to the forum (unfortunately lol) i have always had extremely high temples. It seems that they have been even higher since 16 but since than have not budged i am now 23, 5 months removed from 24. Alot of people off the bat would say im balding and i know my hairline to say the least is fked up but i seem to be a different case (even though i know that im probably heading there slowly) but im currently saving from here to another two years to accumulate 20k to see dr.rahal (keep seeing great things about his work) and have a hair transplant. Im wondering if i should take some steps to help myself in the meantime. I have never seen any shed or diffrence in 6-8 years but just incase id like to help myself. I have thin hair as well and always hairstyled myself with spikey hair usualy the front up which made it that i didnt really realize. Genetically my grandfather on my fathers side lost his hair but was 45+ and thats it....below i posted alot of pictures to help analyze my case better some are extremely young, and as you can tell yes it receded sincei was 12 until 16 but didnt really change after that . now i shampoo every 3 days instead and have quit smoking. I have bought a shampoo that promotes hair growth and has dht blockers. I am afraid of starting rogaine for the fact i dont want to make it worse as i have two years to wait till my transplant and havent seen reccession (or much at all ) atleast since i was 16 , there are also some pictures that are recent where i shaved the sides of my head. The ones where i have my hair down with a white shirt is the most recent (its also tricky because alot of photos i shaved my sides and put my hair up). Its a time game i know but im confident i can make it till two years with the right care and treatment, (although i wouldnt mind starting rogaine if it wouldnt somehow accelerate recession) I also dont know if a FUE or a FUT might be better as i just started doing research. I will also consider SMP as well. I work out 5 days a week as well and have became pretty muscular so i guess thats good. It seems to me that small recession did happen in my teens but since 16 it stayed virtually the same. I might be the only teen to have a norwood 3 for 8 years haha (sad) Thanks to all in advance if you took the time to read and help me out , heres hoping ill just be able to maintain what i have for 2 years until i can afford the transplant. (The 22 yr old picture is actually 21)
 

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Andrew11

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It looks kind of creepy the black and red writing sorry guys haha
 

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Andrew11

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Heres tonight forgot to post super recent up close. One is when i put my hair all in the middle and other is when i put it to the side
 

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Andrew11

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Well its definately a concern... i know im probably heading towards receding at one point , i dont think anyone has ever kept a hairline like this. I just want to maintain what i have but im so new to this that its tough to know what steps to take. Its interesting to see what people think as well because i have never thought about this until now. I was hoping people would be able to give me advice. If i would be able to maintain i feel like i would be a good candidate for a hair transplant
 

Retinoid

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Well its definately a concern... i know im probably heading towards receding at one point , i dont think anyone has ever kept a hairline like this. I just want to maintain what i have but im so new to this that its tough to know what steps to take. Its interesting to see what people think as well because i have never thought about this until now. I was hoping people would be able to give me advice. If i would be able to maintain i feel like i would be a good candidate for a hair transplant

The thing with high temples is they usually start to move in to connect leaving the front end to be a patch/island that will slowly degrade as well. Something like Finasteride may prevent or vastly slow this process down IF it is going to happen.

It is up to you if you think it will happen. After hair transplants they still want you to take preventive drugs like a DHT inhibitor and Minoxidil as 1) the donor hair can eventually be susceptible to loss and 2) the hair behind the donor hair could fall out leaving the donor hair in the front and baldness in the back. So it may be worth using Finasteride now.
 

Andrew11

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Interesting. Im just worried ill hinder it and if it isnt receding at the moment i dont want to advance the process. Do you think finistride can hinder it in any shape or form ? I do not mind taking these drugs after the hair transplant if the doctor says its necessary. I was thinking of waiting one more year to start taking minoxidil because i read that one year leading to the hair transplant it must be tooken. Like rubbing just the temples and such to avoid any unnecessary shedding of the top of the scalp. Thanks btw for the reply !
 

Retinoid

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Interesting. Im just worried ill hinder it and if it isnt receding at the moment i dont want to advance the process. Do you think finistride can hinder it in any shape or form ? I do not mind taking these drugs after the hair transplant if the doctor says its necessary. I was thinking of waiting one more year to start taking minoxidil because i read that one year leading to the hair transplant it must be tooken. Like rubbing just the temples and such to avoid any unnecessary shedding of the top of the scalp. Thanks btw for the reply !

People on here will tell you Finasteride can accelerate loss if taken and stopped by upregulating androgen receptors. However there is no real evidence for this and is mainly Internet forum conjecture. All the studies point to the people who stop Finasteride after taking it do not quickly fall below the people who never took Finasteride, but that their balding commences its normal course.
 

Andrew11

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Yeah the concern was more if i started taking it would it start to fall but i guess that would be the opposite effect to what its supposed to do. I will definitely do some research on it to better understand it. Its not easy to start but just the hair transplant is a risk im willing to take for a long term result. I wonder how the shampoo with dht blockers will do for me just as in maintaining for 2 years. A noobish question but does finasteride come in pill form im pretty sure i read that it does? And how would i know exactly to undergo a fut or a fue for my situation ?
 

Retinoid

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Yeah the concern was more if i started taking it would it start to fall but i guess that would be the opposite effect to what its supposed to do. I will definitely do some research on it to better understand it. Its not easy to start but just the hair transplant is a risk im willing to take for a long term result. I wonder how the shampoo with dht blockers will do for me just as in maintaining for 2 years. A noobish question but does finasteride come in pill form im pretty sure i read that it does? And how would i know exactly to undergo a fut or a fue for my situation ?

Finasteride is a pill. They also have topical Finasteride...Brintop is Minoxidil+Finasteride.

I would go to the hair transplant section to ask that, I am not extremely learned in that.
 

Andrew11

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Thank you i appreciate your responses! I definitely will be checking out finasteride before the hair transplant , and will have to see the diffs between fut and fue !
 

alekgn

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There's such a thing as a "mature hairline." It's basically a hairline where the temples have experienced fairly minor recession, but there is no diffuse thinning all over the head or the crown or the mid-scalp region. The temples are also stable. If you've had temples like that for years, they're probably stable. I don't see the need to do anything unless you notice a definite change in the shape of your hairline or the density of your hair on any particular region. If I were you, I would just monitor your hairline, the top of your scalp, and the crown region every 3 months, with both wet and dry pics.

My general philosophy is that you should only get on meds if you're absolutely certain that you have active recession/thinning and are willing to deal with sides.

The shitty thing about male pattern baldness is that it can be very inconsistent and unpredictable. You may experience some recession to a NW2 in your teens or early twenties, and never experience recession again except possible senile alopecia, or you may aggressively bald in a decade. No one knows for sure how fast or when you'll go bald.

Also, you don't need a transplant man. You're not "bald" to society yet.
 

Andrew11

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Yeah its just ive heard that the m shape is purely receded temples where as the mature hair line is kind of straight. It does kind of make sense in the sense that it hasent changed in a long time. Yhe best thing might be to just take care of it and monitor it until the hair transplant but finasteride does seem interesting. At worst i would get a hair transplant for added density and more hair in general but i just have never seen a hairline like that and how it can be kept long term (in my 30s for example)

There's such a thing as a "mature hairline." It's basically a hairline where the temples have experienced fairly minor recession, but there is no diffuse thinning all over the head or the crown or the mid-scalp region. The temples are also stable. If you've had temples like that for years, they're probably stable. I don't see the need to do anything unless you notice a definite change in the shape of your hairline or the density of your hair on any particular region.
 

alekgn

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Yeah its just ive heard that the m shape is purely receded temples where as the mature hair line is kind of straight. It does kind of make sense in the sense that it hasent changed in a long time. Yhe best thing might be to just take care of it and monitor it until the hair transplant but finasteride does seem interesting. At worst i would get a hair transplant for added density and more hair in general but i just have never seen a hairline like that and how it can be kept long term (in my 30s for example)

A mature hairline doesn't have a super specific shape. It just means that the temples have receded, to varying degrees, but aren't actively receding anymore it can be fairly straight, more U-shaped (not extremely though) or more M-shaped. The key thing is that the hair isn't thinning in any part of the scalp and the hairline isn't receding anymore. I've had a so-called mature hairline for a while, at least a year, maybe more:
hairline.png


The upper red line is my hairline, the lower red hairline is a hairline with no temple recession, and the blue regions are the temples. My father (in his 50s) has a similar hairline and is not active balding; he's mainly experiencing senile alopecia.

I would strongly suggest not taking finasteride unless you see that your hairline has clearly receded even more or you begin to experience thinning on any part of your scalp.
 
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Andrew11

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Thanks alot for your reply ! I guess that puts me alittle more at ease , but your hair seems much better than mine haha. I have thin hair as well but have always been like that. Like i said my hairline since 16-17 has not really changed and when i tell people that i know about this they say well your hair has always been like that... but i would still like to fill in more hair obviously and hopefully catch it quick *knock on wood hopefully not* if it were to recede further , just to be prepared per say. And the transplant would be a couple years from now do i mean i would be doing it for a long term result (late 20s 30s 40s)
 

alekgn

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Thanks alot for your reply ! I guess that puts me alittle more at ease , but your hair seems much better than mine haha. I have thin hair as well but have always been like that. Like i said my hairline since 16-17 has not really changed and when i tell people that i know about this they say well your hair has always been like that... but i would still like to fill in more hair obviously and hopefully catch it quick *knock on wood hopefully not* if it were to recede further , just to be prepared per say.

Having finasteride on hand isn't a bad idea in the case you do notice legitimate further recession or thinning; just don't take it until that point. Using finasteride for preventative purposes is unnecessary and potentially dangerous. Also, I really don't see a reason to fill in your temple regions, lol. Your hairline looks very normal to society and would not be called a receding hairline. You should only get a hair transplant if you're on meds and you're not thinning further on them and you've progressed far along the Norwood path (Like NW3V or greater). NW1s and NW2s (that's what you are) don't need them. Some transplant doctors won't even take patients who are below NW3.
 

Andrew11

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Well i mean when i brush all my hair in the middle it def looks like a nw3 with the temples clearly showing imo but yeah your right about the not taking finasteride for preventive but i would keep it in mind if i see it would recede for sure ! It seems like the best route out of all of them.like i said it would be 2 years so well see how it goes. Do you think switching to a hair growth dht blockers shampoo is okay for my hair ? I just wanted to get rid of sulfate and keep it as healthy as i can.
 

alekgn

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Well i mean when i brush all my hair in the middle it def looks like a nw3 with the temples clearly showing imo but yeah your right about the not taking finasteride for preventive but i would keep it in mind if i see it would recede for sure ! It seems like the best route out of all of them.like i said it would be 2 years so well see how it goes. Do you think switching to a hair growth dht blockers shampoo is okay for my hair ? I just wanted to get rid of sulfate and keep it as healthy as i can.

Dht blocker shampoos are fine. In fact, I think they're beneficial, even if you aren't actively balding. Don't expect miracle hair growth though. They are only absorbed topically, rather than systemically. I personally use one (Regenepure; there are many, many brands though) just because it has good ingredients for my hair and with few chemicals.
 

Andrew11

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Yeah i got one that predominately uses argan oil from amazon well see how it goes ! Thanks for your replies ! Ill continue to monitor and take care of it and ill reassess a couple of years from now. Ill definitely keep doing my research
 
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