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The Role of Genetics in Hairline Shape and Recession



Hair loss and hairline recession are common concerns for both men and women, affecting millions of people worldwide. While factors such as age, hormones, and lifestyle can influence hair loss, genetics play a significant role in determining an individual's hairline shape and their predisposition to hairline recession [1]. In this article, we will explore the genetic factors that contribute to hairline shape and recession, shedding light on how our DNA influences our hair growth patterns. We will also discuss potential measures that can be taken to slow down hair loss, even when it is genetically influenced.


The Genetic Basis of Hairline Shape: Recent studies have revealed that hairline shape is largely determined by our genetic makeup. Researchers have identified several genes that are associated with specific hairline shapes, such as widow's peak, straight, or receding hairlines. For example, the V-shaped widow's peak hairline has been linked to variations in the PAX3 gene, while a straight hairline is associated with the EDAR gene [2]. These genetic variations influence the distribution and growth patterns of hair follicles, resulting in distinct hairline shapes.


Genetic Predisposition to Hairline Recession: In addition to hairline shape, genetics also play a crucial role in an individual's likelihood of experiencing hairline recession or hair loss. Androgenetic alopecia, commonly known as male or female pattern baldness, is a hereditary condition that accounts for the majority of hair loss cases [3]. This condition is influenced by a combination of genetic and hormonal factors, particularly the sensitivity of hair follicles to dihydrotestosterone (DHT), a byproduct of testosterone.


Studies have identified several genes that are associated with an increased risk of androgenetic alopecia, including the AR gene, which encodes the androgen receptor, and the EDA2R gene, which is involved in hair follicle development [4]. Individuals who inherit certain variations of these genes are more likely to experience hairline recession and hair loss, especially when exposed to high levels of androgens.

Inheritance Pattern of Genetic Hair Loss: Contrary to popular belief, the genetic predisposition to hair loss is not solely determined by the mother's or father's side of the family. Both parents contribute to an individual's genetic makeup, and the inheritance pattern of androgenetic alopecia is polygenic, meaning that multiple genes from both parents influence the likelihood of developing the condition [5]. Therefore, having a family history of hair loss on either side of the family can increase an individual's risk of experiencing hairline recession or baldness.


Slowing Down Genetically Influenced Hair Loss: While it is not possible to alter one's genetic predisposition to hair loss, there are several measures that can be taken to slow down the progression of hair loss:

  1. Medications: FDA-approved medications such as finasteride and minoxidil can help slow down hair loss and promote hair regrowth in individuals with androgenetic alopecia [6].

  2. Low-level laser therapy: This non-invasive treatment uses low-level lasers to stimulate hair follicles and promote hair growth [7].

  3. Platelet-rich plasma (PRP) therapy: This treatment involves injecting a concentrated solution of the patient's own platelets into the scalp to stimulate hair growth [8].

  4. Platelet-rich fibrin (PRF) therapy: Similar to PRP, PRF therapy uses a patient's own blood to create a fibrin matrix rich in growth factors, which is then injected into the scalp to promote hair growth [9].

  5. Natural treatments: Some natural remedies, such as scalp massages, essential oils, and herbal supplements like saw palmetto, may help support healthy hair growth and reduce hair loss [10].

  6. Lifestyle changes: Maintaining a balanced diet, reducing stress, and avoiding harsh hair treatments can help support healthy hair growth and minimize hair loss [11].

  7. While genetics play a significant role in determining your hairline shape and predisposition to hair loss, modern hair transplantation techniques offer a way to defy your DNA and reshape your hairline. Hair transplantation involves relocating healthy hair follicles from the back and sides of the scalp (donor areas) to the balding or thinning areas, creating a natural-looking, fuller head of hair. With the advent of Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT) methods, hair transplant surgeons can skillfully restore receding hairlines, fill in bald spots, and create a more youthful, confident appearance. By strategically placing the transplanted follicles to mimic your natural hair growth patterns, hair transplantation can help you overcome the limitations imposed by your genetic blueprint and achieve a hairline that you can be proud of. So, while your DNA may have a say in your hairline's destiny, hair transplantation offers a powerful tool to rewrite the script and take control of your hair's future.


Understanding the genetic basis of hairline shape and recession can help individuals better predict and manage their hair growth patterns. While we cannot alter our genetic makeup, being aware of our predisposition to certain hairline shapes or hair loss can allow us to take proactive measures to slow down the progression of hair loss. By combining lifestyle changes with appropriate treatments, individuals with a genetic predisposition to hair loss can work towards maintaining a healthy and confident head of hair.


References: [1] Hagenaars, S. P., Hill, W. D., Harris, S. E., Ritchie, S. J., Davies, G., Liewald, D. C., ... & Deary, I. J. (2017). Genetic prediction of male pattern baldness. PLoS genetics, 13(2), e1006594. [2] Adhikari, K., Fontanil, T., Cal, S., Mendoza-Revilla, J., Fuentes-Guajardo, M., Chacón-Duque, J. C., ... & Ruiz-Linares, A. (2016). A genome-wide association scan in admixed Latin Americans identifies loci influencing facial and scalp hair features. Nature communications, 7(1), 1-12. [3] Lolli, F., Pallotti, F., Rossi, A., Fortuna, M. C., Caro, G., Lenzi, A., ... & Lombardo, F. (2017). Androgenetic alopecia: a review. Endocrine, 57(1), 9-17. [4] Heilmann-Heimbach, S., Hochfeld, L. M., Paus, R., & Nöthen, M. M. (2016). Hunting the genes in male-pattern alopecia: how important are they, how close are we and what will they tell us?. Experimental dermatology, 25(4), 251-257. [5] Cobb, J. E., White, S. J., Harrap, S. B., & Ellis, J. A. (2009). Androgen receptor copy number variation and male pattern baldness. Journal of Investigative Dermatology, 129(12), 2790-2792. [6] Varothai, S., & Bergfeld, W. F. (2014). Androgenetic alopecia: an evidence-based treatment update. American journal of clinical dermatology, 15(3), 217-230. [7] Darwin, E., Heyes, A., Hirt, P. A., Wikramanayake, T. C., & Jimenez, J. J. (2018). Low-level laser therapy for the treatment of androgenic alopecia: a review. Lasers in medical science, 33(2), 425-434. [8] Gupta, A. K., & Carviel, J. (2016). A mechanistic model of platelet-rich plasma treatment for androgenetic alopecia. Dermatologic Surgery, 42(12), 1335-1339. [9] Miron, R. J., & Choukroun, J. (Eds.). (2017). Platelet Rich Fibrin in Regenerative Dentistry: Biological Background and Clinical Indications. John Wiley & Sons. [10] Fabbrocini, G., Cantelli, M., Masarà, A., Annunziata, M. C., Marasca, C., & Cacciapuoti, S. (2018). Female pattern hair loss: A clinical, pathophysiologic, and therapeutic review. International journal of women's dermatology, 4(4), 203-211. [11] Guo, E. L., & Katta, R. (2017). Diet and hair loss: effects of nutrient deficiency and supplement use. Dermatology practical & conceptual, 7(1), 1.


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