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What are the best treatments for hair thinning at the temples and top of the scalp for a 35-year-old?
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Skin & Hair Concerns
Question #29710
45 days ago
264

What are the best treatments for hair thinning at the temples and top of the scalp for a 35-year-old? - #29710

Client_eaf1a5

I have been experiencing hair fall for a long time, particularly at the front sides (temples) and the top middle area of my scalp. I am concerned about hair thinning and would like advice on possible hair regrowth treatments. Could you please guide me on: Whether I should use Minoxidil, and which strength (e.g., 2%, 5%, etc.) would be suitable for my condition? How to use it correctly (application method and duration)? Are there any alternative treatments or solutions available for hair regrowth? My age is 35, there is no baldness issue in family

How long have you been experiencing hair fall?:

- More than 1 year

How would you describe the severity of your hair thinning?:

- Moderate — some thinning visible

Have you noticed any other symptoms along with hair fall?:

- No other symptoms

What is your current hair care routine?:

- Regular shampoo and conditioner

Have you tried any treatments for hair regrowth before?:

- No, this is the first time seeking help

Do you have any underlying health conditions or take any medications?:

- No, I'm generally healthy

How would you rate your stress levels recently?:

- Moderate — some stress
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Doctors' responses

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.
44 days ago
5

Hello dear Please be aware See following medications can bring large amount of involution in your clinical symptoms

Minoxidil (2% or 5%) or rosemary oil for hair gain( prefer rosemary oil) 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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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.
44 days ago
5

Hello

Your pattern—thinning at the temples and top—is most consistent with early Androgenetic alopecia. It can happen even without a strong family history and is very treatable if you start early.

Minoxidil (yes, you should use it): Use Minoxidil 5% (foam or solution). Apply about 1 ml twice daily directly to the thinning areas on a dry scalp. Gently spread it with your fingers and leave it on (don’t wash for at least 4 hours). Initial shedding in the first 4–6 weeks is normal. Real improvement usually starts after 3–4 months, with best results by 6–12 months. You need to continue long-term to maintain results.

Other effective options: A doctor may prescribe Finasteride (1 mg daily), which reduces the hormone causing follicle miniaturization—this is one of the most effective ways to stop progression. It requires medical guidance. Adjuncts like PRP (platelet-rich plasma) injections can help in some cases, and microneedling can improve response to minoxidil.

Lifestyle & basics: Manage stress, ensure adequate protein intake, check for deficiencies (iron, vitamin D, B12 if needed), and avoid very harsh hair treatments. Use a mild shampoo regularly.

Expectation setting: You can thicken existing hair and slow/stop further loss; complete regrowth in fully bald areas is unlikely. Starting treatment now gives you a strong chance of good improvement.

Regards

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Minoxidil is often a good starting point for addressing hair thinning, especially at the temples and top of the scalp. You might consider using the 5% solution or foam, as it’s typically more effective in men than the 2% formulation. Apply it to clean, dry scalp twice a day, ideally morning and evening. Use the dropper for about 1 ml of solution or half a capful of foam, and gently massage it into the affected areas. Though it may take around 3 to 6 months before seeing noticeable results, regular use is key; discontinuing the use could lead to a return of hair loss. In addition to Minoxidil, other potential options might include low-level laser therapy devices, which you can use at home and have shown some effectiveness in promoting hair growth. Finasteride, a prescription medication, can also be considered, primarily if hair loss is more pronounced, but requires medical evaluation due to potential side effects. You should keep in mind necessary lifestyle adjustments as well; a diet rich in vitamins and minerals, such as iron, vitamin D, and biotin, can support hair health. Reducing stress through techniques like mindfulness or yoga, along with quitting smoking, if applicable, can affect hair growth positively. Though family history seems not to indicate baldness, a dermatology consultation could rule out other causes like scalp infections or hormonal imbalances. Keep an eye out for unusual symptoms - rapid weight changes, fatigue, or unexplained skin conditions - as they warrant prompt professional reevaluation.

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