You are using a browser that is not supported. Please use the latest version of Google Chrome, Firefox, Microsoft Edge, or Safari.

Hair Loss
Erectile Dysfunction
TestosteroneTestosterone Replacement
FAQ
Man examining his receding hairline in a bathroom mirror

Receding Hairline

What Is a Receding Hairline? Causes, Stages, and Treatments

A receding hairline is often one of the first visible signs of male pattern hair loss.

It usually starts subtly with a little thinning at the temples and a slightly higher forehead. Over time, it can become more pronounced until it's clear that you're losing your hair.

Receding hairlines are influenced by a combination of genetics, hormones, and age. Understanding what's driving the change and addressing it early can help you preserve your hair, and even regrow it.

If you're noticing changes along your hairline, this article is for you. It'll explain how to tell if your hairline is receding and help you decide whether treatment makes sense for you.

Think your hairline is receding? Get treatments today and start growing it back

What is a receding hairline?

A receding hairline refers to the gradual backward movement of the front hairline. Instead of a straight or rounded hairline across the forehead, the hair begins to thin and pull back, creating more visible skin along the frontal scalp.

Types of receding hairlines

Not all receding hairlines look the same. Common patterns include:

  • M-shaped hairline: Recession at both temples that forms a noticeable "M" shape across the forehead.
  • Mature hairline: A mild, stable recession that may not progress significantly over time.
  • Widow's peak: A central point at the front hairline, with recession occurring around it rather than across the entire forehead.

Note: Some people experience temporary hair shedding for a number of reasons, which is not the same as a receding hairline. The main difference is that hair shedding is temporary, while a receding hairline is more permanent (unless you undergo treatment).

Learn more: Hair Loss vs Shedding —What's the Difference?

Causes of receding hairlines

The most common cause of a receding hairline is androgenetic alopecia. This condition is driven by sensitivity to dihydrotestosterone (DHT), a hormone derived from testosterone.

DHT binds to receptors in genetically susceptible hair follicles and gradually causes them to shrink, which is a process known as follicle miniaturization. As follicles shrink, hair grows thinner, shorter, and less pigmented until growth eventually stops altogether.

Frontal hair follicles, particularly those at the temples, tend to be more sensitive to DHT than follicles in other areas of the scalp. This is why recession often begins at the hairline before spreading elsewhere.

Stages of receding hairline

For most men, a receding hairline follows a gradual, predictable pattern that starts at the front of the scalp and slowly moves backward over time.

You might notice subtle thinning at the temples or a slight change in the shape of your hairline early on. As recession progresses, the temples move farther back, the hairline takes on a more pronounced shape, and the amount of visible forehead increases. In later stages, recession at the front often connects with thinning at the crown, creating more advanced hair loss.

Because these changes tend to happen slowly, many people don't realize their hairline is receding until the pattern becomes obvious. This is where a standardized scale becomes useful.

The Norwood scale and receding hairlines

The Norwood scale (also called the Norwood–Hamilton scale) is the most widely used clinical tool for classifying male pattern hair loss. It divides hair loss into stages based on how far the hairline has receded and whether thinning has appeared at the crown.

Rather than diagnosing hair loss, the Norwood scale helps describe where someone is in the progression, which can be helpful when deciding whether treatment is likely to help and how aggressive it needs to be.

Below is a simplified mapping of common receding hairline stages to Norwood stages.

The Norwood Scale: Reference Guide

Visual LabelClassificationVisual Description (What to look for)
Stage IControl / NormalThe "juvenile" hairline. It is not actually a receding hairline; the hair sits low on the forehead, and there is no hair loss at the crown.
Stage IIMature HairlineThe hairline has lifted slightly around the temples. The recession is usually symmetrical and stops about one inch (2.5 cm) in front of the ears. This is often just a sign of maturity, not necessarily balding. It is sometimes referred to as a "mature" hairline.
Stage IIIEarly BaldingThe first "official" stage of balding. The recession at the temples deepens significantly, creating a distinct M, U, or V shape. The recessed areas are either bare or have very sparse hair.
Stage III VertexCrown ThinningThe hairline may look like Stage 2 (less recession), but there is a distinct bald spot or significant thinning appearing on the vertex (the crown/top of the head).
Stage IVAdvanced RecessionTwo distinct areas of loss: deep recession at the front and a bald spot at the crown. Importantly, there is still a solid band of hair separating the two bald areas.
Stage VSevere SeparationThe band of hair separating the front loss from the crown loss is breaking down. It is now much narrower and sparser than in Stage 4.
Stage VIThe Bridge BreaksThe "bridge" of hair across the top is completely gone. The receding hairline and the bald spot on the crown have merged into one single large bald area.
Stage VIIExtensive LossThe most advanced stage. The top of the head is completely smooth. Only a horseshoe-shaped pattern of hair remains around the sides and back of the head.

Understanding how a receding hairline maps onto the Norwood scale helps set realistic expectations. Earlier stages (Norwood I–III) are often the most responsive to medical treatment, while later stages may require a combination of approaches or surgical options.

Receding hairline: Frequently Asked Questions (FAQs)

Receding hairlines are one of the most common early signs of male pattern hair loss, and they raise a lot of questions, especially about what's normal, what's reversible, and what actually causes it. Below are clear answers to the questions men most often ask when they first notice their hairline shifting.

Do you notice your hairline receding suddenly, or is it gradual?

For most men, a receding hairline happens gradually rather than all at once. Since the process is subtle, many people don't notice it until they compare photos from a few years earlier or realize their forehead looks slightly larger.

Sudden or rapid hair loss at the hairline is less typical of male pattern hair loss and may point to other causes, such as telogen effluvium or medical stressors.

Can a receding hairline grow back?

In some cases, yes, especially if it's caught early.

Hair follicles at the hairline don't disappear right away; they shrink gradually in response to DHT. While follicles are still active, treatments that reduce DHT or support hair growth can help slow progression and, in some men, improve thickness and density at the hairline. Once follicles are fully miniaturized and inactive, regrowth becomes much less likely without surgical options.

Does a receding hairline always lead to baldness?

Not necessarily. A receding hairline does not guarantee that you'll go completely bald.

Hair loss patterns vary widely depending on genetics and hormone sensitivity. Some men experience mild recession that stabilizes for decades, while others continue to lose hair across the scalp. Progression depends on how sensitive your follicles are to DHT and whether treatment is started early.

At what age does a receding hairline usually start?

Receding hairlines can begin surprisingly early. For many men, the first signs appear in their late teens or early twenties, although progression is often slow at first. Others may not notice changes until their thirties or forties.

Age of onset is strongly influenced by genetics — if close male relatives experienced early hairline recession, your risk is higher.

Can stress cause a receding hairline?

Stress alone does not typically cause a true receding hairline associated with male pattern hair loss. However, significant physical or emotional stress can trigger temporary hair shedding (telogen effluvium), which may make thinning more noticeable around the hairline.

Once the stressor resolves, this type of shedding often improves. Male pattern hair loss, by contrast, is driven primarily by genetics and hormones rather than stress.

Does wearing hats or styling hair cause hairline recession?

No. Wearing hats, helmets, or styling your hair does not cause a receding hairline. There's no scientific evidence that normal hat use restricts blood flow or damages follicles in a way that leads to androgenetic alopecia.

Certain tight hairstyles that pull on hair repeatedly can cause traction alopecia, which is a different condition altogether and usually affects different areas of the scalp.

Treatment: How do I get my hairline back?

A receding hairline can be treated. However, results depend on how early you intervene and which therapies you choose. Since frontal hair follicles are particularly sensitive to hormonal changes, the most effective treatments are those that address the underlying biology of male pattern hair loss.

Medications: The first-line of treatment

Prescription medications are considered the most reliable starting point for a receding hairline.

Finasteride functions by lowering levels of dihydrotestosterone (DHT), the hormone most responsible for hairline recession in genetically susceptible men. By reducing DHT, finasteride can slow further recession and help preserve existing hair at the temples and frontal scalp. It is most effective when started early.

Learn more: Everything you need to know about finasteride

Dutasteride is a stronger DHT-blocking medication that suppresses DHT more extensively than finasteride. It may be considered for men who continue to lose ground at the hairline despite standard treatment and requires careful medical oversight.

Learn more: What is dutasteride? A complete guide to hair loss medication

Minoxidil does not block DHT but can help extend the hair growth phase. When used alongside a DHT-blocking medication, it can support thicker, healthier regrowth in thinning areas along the hairline.

Learn more: What is minoxidil? Your complete guide to minoxidil in Canada

Procedural options

In addition to medications, there are a number of procedures that can help rejuvenate your hairline.

Hair transplant surgery

Hair transplant surgery can be an effective option for restoring a receded hairline, particularly when medical therapy alone is no longer sufficient to produce visible improvement. Modern techniques, such as follicular unit extraction (FUE) and follicular unit transplantation (FUT), involve relocating hair follicles from areas of the scalp that are genetically resistant to hair loss (typically the back or sides) to areas of recession.

Note: Hair transplant surgery does not stop the underlying hair loss process. In other words, you can get a transplant, but the hair will continue falling. To stop it, you'll need medications.

Clinical guidance consistently emphasizes that transplants work best when ongoing hair loss is stabilized first, usually with medical treatments such as finasteride and/or minoxidil. Without stabilization, native hairs surrounding the transplanted follicles may continue to thin over time, leading to uneven or unnatural-looking results.

Outcomes also depend on factors such as donor hair density, hair characteristics, extent of recession, and surgeon expertise. For these reasons, hair transplant surgery is typically considered a secondary option, best suited for individuals who have already addressed the biological drivers of hair loss.

Platelet-rich plasma (PRP)

Platelet-rich plasma (PRP) therapy involves injecting a concentrated preparation of a patient's own platelets into the scalp, with the goal of stimulating hair follicle activity through growth factors. PRP has gained popularity as a minimally invasive option, but its effectiveness varies.

Systematic reviews and meta-analyses suggest that PRP may lead to modest improvements in hair density or thickness for some individuals with androgenetic alopecia. However, study protocols differ widely in terms of preparation methods, injection frequency, and outcome measures, which limits the strength of conclusions.

Based on the above evidence, it seems PRP works best as an adjunct therapy, rather than a standalone solution. This is in part because, like transplants, it does not address DHT-driven hair loss.

Dermarolling

Dermarolling, also called microneedling, involves using a device with fine needles to create tiny micro-injuries in the scalp. This process is thought to stimulate wound-healing pathways and increase blood flow around hair follicles.

Some studies suggest that microneedling may improve results when combined with proven treatments like minoxidil, particularly along the frontal scalp.

That said, dermarolling on its own is unlikely to completely reverse a receding hairline. Its role is best viewed as supportive, not curative. Improper technique can also irritate the scalp or worsen shedding, which is why it's generally recommended only as part of a clinician-guided plan rather than a standalone DIY solution.

Other options

A number of other approaches are often discussed online, but their effectiveness for a receding hairline is limited or inconsistent:

  • Shampoos and supplements may improve scalp health or hair quality, but they do not address DHT and are unlikely to stop hairline recession on their own.
  • Low-level laser therapy (LLLT) devices have mixed evidence and may offer modest benefits for some users, usually alongside medication.
  • Lifestyle changes, such as stress management, sleep, and nutrition, can support overall hair health, but do not reverse hormonally driven hair loss by themselves.

While these options are sometimes marketed as solutions, none consistently replace the effectiveness of prescription treatments for male pattern hair loss. A clinician-guided plan helps ensure you're using the right combination of treatments at the right stage and not wasting time on options that won't meaningfully help the hairline.

Taking control of receding hairlines

A receding hairline can feel like the beginning of the end. It's also something you can often slow down (and sometimes improve) with the right treatment plan.

The biggest advantage you have is timing. The earlier you treat a receding hairline, the more hair you're able to preserve and the better the odds of seeing visible improvement.

Even if you've already noticed changes at the temples, there are clinically proven options that can help stabilize loss and support healthier regrowth.

Start your online visit today.

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment.