What is temple balding?
Temple balding is a gradual loss of hair in the temporofrontal region of the scalp. It progresses over the years and may increase in severity, depending upon the cause. It starts as thinning across the scalp, and then the temple region begins to bald.
Although temple balding is a common woe in many adult men with male pattern baldness or androgenic alopecia, women and young adults are susceptible to it as well. It's essential to identify this condition as soon as possible and start treatment accordingly.
Why does hair loss start at the temples?
To better understand hair loss you need to know about the hair growth stages;
It is the growth phase. On average, about 80 to 85 percent of the hair on our scalp stays in this phase for around 2 to 6 years. Hair length depends on how long this phase lasts.
The hair follicle renews itself in this two weeks long phase.
This is the resting phase in which the hair follicle lies dormant. Around 12 to 20 percent of hairs are in this phase. After the hair growth cycle is completed, anagen starts again and the existing hair strand sheds to make space for new growth in the hair follicle.
The most common reason for balding near the temples is associated with the male hormone, testosterone (present in small amounts in women). The cells in our scalp convert testosterone into dihydrotestosterone (DHT). The follicles near the temple region become more sensitive to DHT due to a genetic predisposition or mechanical tension, which causes the hair follicles to shrink.
So naturally, you'd want to remove DHT from scalp, right? We have a guide on that here, too!
Hair loss occurs when the anagen phase becomes shorter, and the telogen phase extends due to this miniaturization of the hair follicles. Eventually, the anagen phase becomes so short that the new hairs stop growing out of the scalp's surface leading to baldness.
What are the signs of temple hair loss?
You should look out for the following signs of early balding if you suspect hair loss at the temples:
- Decrease in overall hair volume
- Itching or irritation of the temporofrontal scalp region
- Brittle or weak hair
- Increased hair fall
- Visibly thinning hair (scalp showing through in the temple area)
- Hairline receding in a v-shape near the temples or a widow’s peak
What causes temple balding?
There are a variety of conditions and behaviors that can cause balding near the temples. Some of the common causes for temple balding are given below;
In males, androgenic alopecia or male pattern baldness is the most common reason for temple balding. It occurs as part of the natural aging process, but some men begin to develop it in their early teens or early twenties.
This condition runs in families and is directly related to the male sex hormones (androgens). It starts as thinning on the crown and temples and eventually a receding hairline in an M-shaped pattern. As explained above, in this type of hair loss, the hair follicles shrink near the temples and crown, leading to partial or complete baldness.
Female pattern baldness is a condition affecting women that can cause hair thinning, widening of hair-part, and hair loss at the temples. Unlike male pattern baldness, women don’t suffer from a receding hairline or complete baldness. But, female have different hairlines. Due to the prominent role of hormones in female pattern baldness, menopause and polycystic ovary syndrome can also lead to this condition.
Frontal Fibrosing Alopecia
It is a form of lichen planopilaris that involves progressive hair loss and scarring near the frontal scalp hair margin and, in some cases, other parts of the body as well. Itching and pain are the early symptoms in frontal fibrosing alopecia and occur before any noticeable hair loss. The exact cause of this condition is still unclear.
People who tie their hair in tight braids or wear hats can cause mechanical pulling on the scalp, which can lead to bald spots in different areas, including the temples. This is known as traction alopecia. If it is diagnosed early, precaution can be taken by ceasing the hair-pulling; therefore, traction alopecia is reversible, and hair regrowth is possible.
Telogen effluvium is an abrupt and excessive hair loss due to stress in which the hair roots go prematurely into the resting or telogen phase. It usually causes diffused hair loss but thinning around the temples is also observed. Following are some of the reasons behind this condition;
- Hormonal imbalance
- Nutritional deficiencies (Iron, Zinc, Vitamin D, and B complex)
- Use of certain medications such as antihypertensives, antidepressants, and birth control pills.
- Physical trauma such as surgery
- High-stress levels
This condition resolves entirely on its own after six months, when the root cause is addressed.
Can you treat temple hair loss?
Yes, hair loss at the temples can be treated, and depending on the stage of balding, it can be reversed as well. Treatment options can potentially regrow hair in the thinning or balding areas near the temples. A multipurpose approach, which involves a combination of various topical and oral medications, is usually recommended to treat hair loss caused by androgenic alopecia (the leading cause of temple baldness).
What are the available treatments?
Following treatments are available to treat temple baldness in both men and women:
- Platelet-rich plasma
- Low-level laser therapy
- Hair transplant
- Saw palmetto
- Rosemary oil
- Pumpkin seed oil
- 3% peppermint oil
- Onion juice
- Green tea extract
- Hair growth products
This drug is used commonly for male pattern baldness and works by blocking the amount of dihydrotestosterone (DHT) in the scalp.
A topical medication used to widen the hair follicle and extend the anagen or growth phase of hair. However, to maintain regrowth, minoxidil has to be applied indefinitely.
PRP is a noninvasive treatment in which the platelets extracted from the patient are then injected into the scalp to stimulate hair growth.
Low-level laser therapy
This procedure uses lasers to stimulate new hair growth by increasing blood flow in the scalp. It also prevents the excessive buildup of DHT in the hair follicles.
Hair transplant is a surgical technique that involves moving the healthy hairs on the scalp (donor site) to thinning or balding areas (recipient site).
Are there any natural remedies that work for temple hair loss?
The following natural remedies have shown some effectiveness in supporting hair growth, although they should not replace medical treatments due to limited research on their efficacy.
Scandinavian Biolabs Hair Growth Routine
These products (shampoo, conditioner, and serum) contain plant growth factors such as Capilia Longa, derived from stem cell technology which can reduces hair loss, promotes regrowth, and enhances hair density.
Some natural remedies to temple hair loss include:
- Saw palmetto
- Rosemary oil
- Pumpkin seed oil
- 3% peppermint oil
- Onion Juice
- Green tea extract
Will your hair grow back on the temples?
The possibility of hair regrowth on the temples is dependent on the underlying cause and severity of the situation. Hair loss due to traction alopecia and telogen effluvium can be reversed and regrowth is achieved in a few months.
On the other hand, temple balding due to alopecia cannot be completely reversed. However, with early diagnosis and intervention hair loss can be slowed down.
Temple balding can be a nerve-wracking issue for many men and women. It can be caused by many conditions ranging from hormonal to behavioral to emotional behavior, but with timely diagnosis and treatment, the process of hair loss can be slowed and possibly reversed.
It's essential to get your condition identified with the help of a professional, who can guide you towards a suitable treatment plan.
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- Phillips TG, Slomiany WP, Allison R. Hair Loss: Common Causes and Treatment. Am Fam Physician. 2017 Sep 15;96(6):371–8.
- Kerkemeyer KLS, Eisman S, Bhoyrul B, Pinczewski J, Sinclair RD. Frontal fibrosing alopecia. Clin Dermatol. 2021 Mar;39(2):183–93.
- Low dose laser therapy for hair loss [Internet]. [cited 2021 Oct 9]. Available from: https://dermnetnz.org/topics/low-dose-laser-therapy-for-hair-loss
- Hair Growth Routine [Internet]. [cited 2021 Oct 9]. Available from: https://scandinavianbiolabs.com/collections/hair-growth-products-for-men/products/hair-growth-routine-for-men