Male pattern baldness or naturally high hairline? What procedures are necessary? (Photos)

If you have a high forehead you do not like, see a doctor for possible treatment options such as hair transplant surgery or forehead reduction.

At 18 years of age, we can see male pattern baldness with hairline recession. However, if you feel like your hairline hasn’t changed over the past few years it is more likely that you have a hereditary high hair line. If it is male pattern baldness, then early intervention with medical therapy is the best course of action as a transplant would not be advised at your age without a clear established pattern. However, if you have a hereditary high hair line with no family history or evidence of hair loss, then forehead reduction surgery or a hair transplant may be a treatment option for you. 

That is not a hair loss because of ongoing process of androgenetic alopecia but  a simple juvenile type maturing of frontal hair line.  That is seen almost every young boys almost between 16-21 that have a very rounded hairline without recession in the corners.  Recession in the corners is a sign of mature pattern male frontal hair line.

Your biggest enemy is the progressive thinning leading to a balding pattern that is not evident at this point in time. The degree of thinning that you are experiencing would suggest that you should see a doctor who most likely will get Bulk Measurements of your hair to determine the degree of the thinning that you are presently having. If the diagnosis is early genetic hair loss (the most common cause of hair loss in young men), then the best treatment would be the drug finasteride which is highly effective in men of your age and may not only stop the hair loss but possibly reverse it. If you are developing a more advanced balding pattern the best test to get will determine the Bulk Measurements of your hair and this will show, over a one-year time frame, how effective the treatment will be. Once you know this information, then you and your doctor need to develop a MASTER PLAN which will define what you need to do over the years to come.