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Why Early Signs of M-Shaped Hair Loss Should Be Closely Observed

MOMO Plastic Surgery · 모모성형외과 · October 6, 2023

Why Early Signs of M-Shaped Hair Loss Should Be Closely Observed Factors that help gauge a person’s outward image and impression include the overall appearance of the face and feat...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: MOMO Plastic Surgery

Original post date: October 6, 2023

Translated at: April 24, 2026 at 3:09 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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Factors that help gauge a person’s outward image and impression

include the overall appearance of the face and features,

the outward shape of each part of the body, and so on. Based on these factors,

one can roughly judge whether a person has a positive or negative image or impression.

Among the elements that distinguish what is seen on the outside,

the design of a hairstyle also plays an important role. There is even the common saying

that “hair makes the face,” which shows that the way hair is styled can greatly change

a person’s image or impression.

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However, if a condition that causes natural hair to fall out appears, the number of hairs

that are shed keeps increasing, the volume noticeably decreases, and even the hairline

begins to change, it is only natural to worry. In particular, more and more people have

recently been visiting specialized clinics because of early signs of M-shaped hair loss.

If this is left unchecked with the thought that it will naturally improve, the affected area

may instead spread to the crown or other areas and worsen. Therefore, it is advisable

to receive an accurate examination of your current condition and take appropriate action.

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Unlike a type in which natural hair suddenly falls out in a circular pattern,

this type begins gradually as early signs of M-shaped hair loss, making it difficult to

notice directly, and it has the characteristic of progressing quickly. However, the typical

signs that can help you assess it yourself include the hairline receding compared to

before and the forehead appearing wider, especially when both sides are observed in an

alphabet-like shape, or when the surrounding hairs where natural hair is falling out

become progressively thinner and weaker.

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Also, if the thickness of natural hair differs and the amount of hair lost becomes more

frequent and greater than before when washing, sleeping and waking up, or brushing,

it can be judged that the process is already underway. And if hair comes out easily

even when pulled with a little force, or if pain appears when massaging the scalp, and

itching, dandruff, or a sudden increase in oiliness occurs, then if you are directly observing

and experiencing these early signs of M-shaped hair loss, it is advisable to visit a medical

institution and receive a thorough diagnosis.

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Then what are the factors that cause these early signs of M-shaped hair loss? At present,

modern technology has not clearly identified the cause, but through ongoing research and

analysis, it is inferred to be caused by genetic and environmental factors. It occurs through

the combined action of the genetic factor, which is considered the main cause, and a hormone

called DHT. In the case of genetics, it can be influenced by both the paternal and maternal

sides, and if you carry the relevant gene, the likelihood of developing a hair-loss condition

increases. However, because it may appear relatively inconsistently, there are also cases in

which it does not develop at all.

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That is why it is said that it does not appear solely because of genetics; DHT must also

act together for early signs of M-shaped hair loss to occur. Here, DHT refers to a hormone

that affects hair follicles and causes a condition in which hair falls out. It is a substance

converted from the male hormone testosterone, and this hormone is known to shrink hair

follicles and cause a phenomenon called miniaturization, in which natural hair becomes

thinner, weaker, and droops.

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In addition, acquired environmental factors such as daily lifestyle and eating habits,

health status, and stress can also be mentioned. Even if your existing hair is thick and

full, if your usual routine or habits are irregular, or if you are under excessive stress from

various situations, a hair-loss condition may progress. If the early signs and type of M-shaped

hair loss are already at a stage where progression has advanced to some extent, improvement

may be slow. Unlike other areas, even if treatment is consistently carried out, restoring the

hair to its previous state may be difficult.

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Even if restoration is possible, it may take a very long time to bring the symptoms under

control. That is why it is said that these symptoms should be carefully observed. When the

condition is still in an early stage and has not progressed much, the chances of overcoming

it can be increased through various treatment methods. However, if it has already spread

rapidly and the affected area has widened to the point where it cannot be improved by such

methods, trying hair transplantation can be another option for improvement. Through hair

transplantation, the empty areas can be filled, allowing for natural and satisfying results,

and because the hair used in the procedure is entirely your own natural hair, you may be

able to maintain a full hairstyle for a long time.

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In the case of hair transplantation, depending on whether an incision is made and the amount

of hair needed for transplantation, the appropriate method can be selected between the strip

method and the non-shaven FUE method. Recently, there has been a high demand for the non-shaven

method, which does not require shaving and, without removing a section of the scalp, carefully

extracts relatively healthy hairs from the back of the head and then transplants them into the

desired area. Because it is a method that does not involve incisions, it is less noticeable from

the outside, reducing concerns about scars or wounds, and it also tends to involve less pain,

making it possible to quickly return to daily life soon after the procedure.

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In addition, it can be expected that the corresponding graft survival rate is high, allowing you

to anticipate the results you are aiming for. However, before proceeding with such a hair

transplantation, it is essential to check whether the doctor in charge has extensive experience

with various cases over many years, and whether they possess sufficient skill, technique,

and know-how derived from that experience. Also, since the process does not simply end with

filling in hair, it is advisable to examine whether a systematic aftercare system is in place and

to make a decision carefully by setting multiple criteria.

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