Hair Loss on the Sides of the Head: What to Know

Hair loss above the ears or at the temples may follow repeated pulling from braids, ponytails, extensions, or headwear. Early Male Pattern Hair Loss often changes the temples, while Female Pattern Hair Loss more commonly affects density across the top, although individuals vary. Smooth isolated areas can be a presentation of Alopecia Areata. Itching, scale, black dots, or hairs snapped close to the skin raise concern for Scalp Ringworm. Diffuse shedding can make the sides appear thinner without starting there; this can occur with Telogen Effluvium.

Loosen hairstyles and alternate where clips, bands, or head coverings sit. Avoid brushing forcefully, repeated chemical processing, and picking at flakes. Wash the scalp gently and keep combs and brushes clean. Photograph the temples and sides periodically in the same light, and write down whether hairs are falling from the root or breaking. A clinician may examine the hairline, scalp, and other body hair before suggesting treatment.

Arrange a review when thinning persists after reducing tension, when the hairline recedes, or when the skin becomes visible in a new area. Seek prompt care for painful inflammation, pus, crusting, fever, or rapidly spreading loss. A smooth patch that enlarges or is joined by eyebrow loss should be assessed soon.

Is the temple pattern consistent with traction or a pattern disorder? Are the hairs breaking or shedding from the follicle? Would scalp treatment, testing, or a discussion of Finasteride Treatment be appropriate for me?