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Maturation of Scalp Hair Line

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I saw an 18 year old young man today who was worried about the recession of his hairline in Encino office of US Hair Restoration. We mapped his scalp hair to analyze the degree of miniaturization using a digital microscope

You see significant miniaturization in the frontal area. When we examined a few centimeters behind his frontal hairline the miniaturization rate dropped sharply to less than 20% which was consistent throughout the top and crown area of the scalp. The patient’s father lost his hair at an early age. Patient started taking finasteride a month before his visit with us and topical Rogaine about a week before this visit.

What we noticed was the maturation of his hair line, which occurs between the ages of 16-25 in most men. Hair line maturation is when the hair line migrates 1 to 2 cm higher than its normal position as when we are child (kiddy hairline). It is more significant in the corners but could be seen in the midline too. As Caucasian men go through the maturation process, the hairline rises, but many non-Caucasian men never experience hair line maturation and the hairline stays flat and low.

The greatest method to distinguish the maturation of the hairline from the early stages of baldness is by comparing miniaturization in different scalp areas. If you are experiencing early hair loss, your miniaturization could be seen behind the first centimeter of the frontal hairline, but if the rate of miniaturization drops sharply it could indicate that the hair line is going through maturation and the hair loss may stop shortly after maturation is complete.

For that patient, I stopped all anti hair loss medications that the patient recently started, and we recommended another miniaturization study in 6 months to a year to follow his hair loss progression.

Parsa Mohebi

Dr. Parsa Mohebi is the medical director for US Hair Restoration. Re-establishing a patients’ self image and self-esteem by using the most modern medical and surgical approach is one of Dr. Mohebi’s goals. He and his staff are highly committed to using the highest techniques and devices.
Dr. Parsa Mohebi is personally involved in all stages of patient care. Dr. Mohebi is collaborating with many academic centers on the topics of hair growth, gene therapy techniques and hair multiplications. Dr. Mohebi performed surgical internship at University of North Dakota followed by residency at University of New Mexico and York Hospital.
Dr. Mohebi then continued his aspirations in surgical research by joining the Department of Surgical Sciences at Johns Hopkins School of Medicine. It was there that he performed several studies on wound healing and hair growth using growth factors and gene therapy methods.
His main focus has been dedicated towards the research of hair growth, hair multiplication, wound healing and psychology of hair loss. Dr. Mohebi completed a fellowship in surgical hair restoration at NHI.
Dr. Mohebi has many publications and presentations at national and international levels on hair loss, hair restoration and wound healing. He is involved in improving surgical methods and techniques on a daily basis. He is also the inventor of the Laxometer, a device that measures the mobility of the scalp before hair transplant procedure. Laxometer increases a surgeon’s accuracy and helps minimize the widening of scar tissue.

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