Naturally Occurring Hairlines in Non-balding Oriental Men of East and Southeast Asian Origin

  • Damkerng Pathomvanich
  • Tyng Yuan Tan


Androgenetic alopecia is the commonest cause of hair loss in men. Hair transplantation in Orientals has been on the rise as more people become aware of the natural result that can be obtained from hair transplantation. The hairline design is one of the most important steps in a successful hair transplantation aimed at restoring the individual hairline. We studied a group of 209 Chinese of East Asian origin and found that the hairline does not recede with age (average height of 6.8 cm) although the density does decrease. There are three common hairline shapes: upslope, straight, and downslope. The temporal angle tends to point posteriorly on the right and inferiorly or posteriorly on the left.


Natural hairline Non-androgenetic alopecia Oriental men East and Southeast Asia 


Conflict of Interest

We have no conflict of interest to declare.


  1. 1.
    Arca E, Acikgoz G, et al. An open, randomized, comparative study of oral finasteride and 5% topical minoxidil in male androgenetic alopecia. Dermatology. 2004;209:117–25.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Khanna M. Hair transplant surgery. Indian J Plast Surg. 2008;41(suppl):S56–63.PubMedPubMedCentralGoogle Scholar
  3. 3.
    Norwood OT. Male pattern baldness: classification and incidence. South Med J. 1975;68:1359–65.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Hamilton JB. Patterned loss of hair in man; types and incidence. Ann N Y Acad Sci. 1951;53:708–28.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Takashima I, et al. Alopecia androgenica- its incidence in Japanese and associated conditions. In: Orfanos CE, Montagna W, Stutgen G, editors. Hair research status and future aspects. Berlin: Springer; 1981. p. 287–93.CrossRefGoogle Scholar
  6. 6.
    Pathomvanich D, Pongratananukul S, et al. A random study of Asian male androgenetic alopecia in Bangkok, Thailand. Dermatol Surg. 2002;28:804–7.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Paik JH, Yoon JB, et al. The prevalence and types of androgenetic alopecia in Korean men and women. Br J Dermatol. 2001;145:95–9.CrossRefPubMedGoogle Scholar
  8. 8.
    Su LH, Chen TH. Association of androgenetic alopecia with smoking and its prevalence among Asian men: a community-based survey. Arch Dermatol. 2007;143:1401–6.CrossRefGoogle Scholar
  9. 9.
    Xu F, Sheng YY, Mu ZL, et al. Prevalence and types of androgenetic alopecia in Shanghai, China: a community-based study. Br J Dermatol. 2009;160:629–32.CrossRefPubMedGoogle Scholar
  10. 10.
    Tang PH, Chia HP, Cheong LL, Koh D. A community study of male androgenetic alopecia in Bishan, Singapore. Singapore Med J. 2000;41:202–5.Google Scholar
  11. 11.
    Hwang S. Hair transplantation in East Asian males. In: Unger S, et al., editors. Hair transplantation. 5th ed. New York: Informa Healthcare; 2011. p. 428–9.Google Scholar
  12. 12.
    Lee W, Lee H-J. Characteristics of androgenetic alopecia in Asian. Ann Dermatol. 2012;24(3):234–52.Google Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2018

Authors and Affiliations

  1. 1.DHT ClinicBangkokThailand
  2. 2.The Aesthetics and Hair ClinicSingaporeSingapore

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