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Hair fall with low density and receding forehead hairline
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Skin & Hair Concerns
Question #21004
90 days ago
161

Hair fall with low density and receding forehead hairline - #21004

Sujith

Hi doctor, I am 18 years old and experiencing hair fall mainly at the front hairline and forehead area. Hair density is very low and thinning, and I am concerned it might worsen over time. I have not started any treatment yet. I am considering minoxidil but I am unsure if it is safe for my age, what strength to use, how long to use it, and possible side effects. My hair fall seems to be genetic, as my dad also has receding hairline and male pattern baldness. Please advise safe and effective options to reduce hair fall and improve hair density.please sir please please

Age: 18
Chronic illnesses: No chronic diseases. I am generally healthy, no heart, kidney, liver, or other long-term conditions.
Hair fall
Side effects
Low density
Forehead hairline
Minoxidil
Male pattern baldness
Genetic
Dad
Safety
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
90 days ago
5

Hello,

Based on your age and pattern, this most likely early male-pattern hair loss (genetic).

Minoxidil is safe at 18 and is the first-line treatment.

Use 5% minoxidil (foam or solution), once daily to the thinning areas.

It must be used long-term (months to years) to maintain results.

Initial shedding in the first 4–8 weeks is normal.

Side effects are usually mild (scalp irritation, dryness).

⚠️ Finasteride is NOT recommended at 18 unless a dermatologist specifically advises it.

Do Gentle hair care, Adequate protein, iron, vitamin D Manage stress and sleep well Use rosemary spray Diy onion curd hair mask Use fermented rice water everyday

Early treatment gives the best chance to slow progression.

A dermatologist visit is recommended to confirm diagnosis and guide long-term care.

Thank you

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
89 days ago
5

Hello dear See you are quite young so you need combination of both hair gain and anti hair fall medication. Iam suggesting some medication for improvement. Please follow them for atleast a month rosemary oil for hair gain OTC solution to be given topically

Finasteride on recommendation only by dermatologist only in person Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day

Selenium Sulfide (Selsun Blue) – antifungal shampoo for 1 month ( twice use)

Clotrimazole or Miconazole – antifungal creams for topical use In addition following preventive measures are must Avoid excess moisture and keep the infected completely dry If possible dry with clean towel Use bhringraj or onion oil gently twice a day for both massage and nourishment In case of no improvement in 1 month, consult dermatologist for better clarification . Hopefully you recover soon Regards

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Your concerns about hair fall and thinning at a young age are understandable, especially if you have a family history of male pattern baldness. Genetic factors do play a significant role, and addressing this early can help manage its progression. Minoxidil is indeed an option for treating androgenetic alopecia, even for someone your age. It can stimulate hair growth and may slow down hair loss. Generally, the 5% solution is more effective than the 2% concentration. However, the response to treatment can vary individually.

You can start applying minoxidil twice daily to the affected areas, ensuring it fully dries before sleeping or using other hair products. It’s essential to be patient, as it might take several months to see noticeable improvements. Possible side effects include itching, redness, or irritation of the scalp. It’s uncommon but some people might experience increased heart rate, dizziness or headaches, so if any severe symptoms occur, discontinue use and seek medical advice. Also, once started, consistent use is necessary, as discontinuation often leads to a return of hair loss to its previous state.

In addition to minoxidil, maintaining a healthy diet rich in iron, zinc, and biotin might positively contribute to hair health. Limiting stress through regular exercise and ensuring adequate sleep are also beneficial. You should consider consulting a dermatologist to evaluate your hair adequately and explore other treatments like low-level laser therapy or medications like finasteride under professional guidance, which are sometimes prescribed depending on the circumstances. Remember, treatment efficacy varies, and it may require adjustments based on your response over time.

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