What are the main regions of the scalp when you are talking about hair loss?

Frontal hairline:

Your hairline and the hair around your temples is considered the frontal hairline. When people talk about a receding hairline, they are talking about the regression of this area. For women experiencing hair loss, it is unlikely to see the frontal hairline change, but for men dealing with male pattern hair loss, the hairline moving backward may be one of the first noticeable changes. Hairlines may change from going straight across, to an M”, U”, or V” shaped pattern.


The front of your scalp is found just behind your natural hairline and stretches to just before the middle of your head, just about right where your ears start. It is common for this to start thinning along with the regression of the hairline.


Mid-scalp is the region right in the middle of your scalp, as the name suggests. This region runs across your head, starting right around where your ears start and ending approximately just after your ears. The hair in this region is generally the portion that holds out until the late stages of male pattern hair loss. If you are experiencing balding of the frontal and vertex regions at the same time, this may be seen as a bridge of hair separating these regions.

Vertex transition point:

The vertex transitions point is the area on your head where hair loss doctors can more or less gauge where the mid-scalp ends and the vertex begins. This may be at slightly different areas for different people. In general, this point will be slightly sloped upwards and is directly on the edge of the vertex.

Vertex (Crown):

The vertex, or crown, of your head is the highest point of your scalp towards the back of your head. In men, this is the circular area where the common bald spot” may start appearing.

Which regions of the scalp are usually the first to show hair loss in men?

All heads of hair and progressions of hair loss are a little bit different, of course. But, when it comes to male pattern hair loss, some regions of the scalp tend to start showing thinning or balding before others.

Using the commonly used male pattern hair loss scale, the Norwood Scale, as a general reference to the usual progression, we can identify a few patterns.

In men, the usual first sign of changes to the hair is a slight recession of the frontal hairline. This may also create an M”, U”, or a V” pattern to the hairline. There may also be a recession of the hair on the temples.

Next, men usually notice a continued thinning of the frontal hair, a thinning of the vertex (bald spot”) hair, or both.

This may progress until the remaining hair on the top of the head is in the mid-scalp, creating a band of hair separating the bald frontal and bald vertex regions.

The next stage of hair loss may be the loss of hair in the mid-scalp region, allowing the bald frontal and bald vertex regions to combine. The only remaining hair may be the DHT-resistant hair wrapping around the sides and back of the head in a horseshoe” pattern.

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