Intact hairline but losing hair behind my hairline, advice? (Photos)

If a biopsy has confirmed non-pattern male androgenic alopecia, treatment options may include:
1. Topical Medications: Minoxidil (Rogaine) applied directly to the scalp can stimulate hair growth.
2. Oral Medications: Dutasteride be taken orally to inhibit the conversion of testosterone to dihydrotestosterone (DHT), which is linked to hair loss. Oral Minoxidil may be substituted for topical Minoxidil.
3. Platelet-Rich Plasma (PRP) Therapy: This involves injecting a concentrated form of the your own platelets into the scalp to stimulate hair growth.
4. Low-Level Laser Therapy (LLLT): Devices such as laser caps or combs can be used to stimulate hair follicles and promote hair growth.
It's important to consult an expert dermatologist to discuss these treatment options in detail and determine the most appropriate course of action based on individual factors such as the extent of hair loss, medical history, and personal preferences. Additionally, biopsy results can help guide treatment decisions by providing information about the specific characteristics of the hair loss.
Jeff Rapaport MD FAAD
Realself Hall of Fame
Castle Connolly Top Doctor

Hello and thank you for your question. I suggest you see a reputable dermatologist for a diagnosis. Best of luck to you.

Dr. T

Based on the photos, the initial condition that I believe should be ruled out is a type of scarring alopecia known as central centrifugal cicatricial alopecia. I strongly advise you to consult a dermatologist for a diagnosis, either through dermoscopy with or without biopsy.