Dear mohammad2218, Thank you for your clinical post and photographs. At a very young age you’ve had some early frontal and temporal recession and notching. This is likely male pattern hair loss. However, visiting with an endocrinologist or knowledgeable hair loss dermatologist to ensure that this is male pattern hair loss and not a secondary cause of hair thinning is important. A trial of non-surgical treatment such as low-level light therapy, testosterone blockage with Finasteride or Propecia and red light therapy and the injection of a plasma rich protein can all be tried in an effort to help the rapid progression of the recessioning and notching. At this point in the notching, it is probably better to wait until some more recession has occurred so you can establish a hairline that doesn’t have natural hairs that are falling around and establish this hairline with a follicular unit only extraction transplantation that leaves no scar at the back of the scalp. Your initial session of hair restoration will simply be to strengthen the frontal and temporal hairlines and smoothen out any recession and notching irregularity that has occurred. It is important to note that significantly lowering the hairline will be ill-advised as we have precious little donor site to populate the rest of your male pattern hair loss as you get older. I hope this information is of some assistance and best of luck. To find out more, please visit the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto