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Is an M-Shaped Hairline a Sign of Balding?

Knox Beasley, MD

Reviewed by Knox Beasley, MD

Written by Grace Gallagher

Published 06/06/2023

Updated 08/14/2024

Worried about an M-shaped hairline? Here’s everything you need to know.

Maybe you’ve noticed it gradually in the mirror or pictures, or perhaps one day you woke up and it hit you — your natural hairline has noticeably changed. Your once-straight hairline now takes on the shape of the letter M.

Could this M-shaped hairline be a sign of future baldness? While the thinning of hair on your head is likely due to male pattern baldness, there could be other reasons for this new M hairline.

Read on for answers, and learn more about what an M-shaped hairline could mean.

As the name suggests, an M-shaped hairline takes the shape of an M. The central part of the hairline is at the front, then recedes at the temples, either significantly or not much.

We’ll say this right off the bat, especially if you have an uneven hairline: There’s no such thing as a normal hairline.

There are all different types of hairlines, from naturally curved to widow’s peak hairlines (which we’ll talk about more below). Also, several factors can affect your hairline, some of which are in your control and some not.

If you’re noticing an M-shaped hairline, there are several potential causes. As we’ve mentioned, male pattern baldness is usually the culprit, but we’ll break down what causes male pattern baldness in the first place, plus other potential factors in an M-shaped hairline.

Genetics: Androgenetic alopecia is caused by genetics, specifically a genetic sensitivity to male sex hormones known as androgens — particularly the androgen dihydrotestosterone (DHT).

Higher androgen levels of DHT shorten the growth or anagen phase of the hair growth cycle and cause hair follicle miniaturization (where the follicle literally shrinks). These two factors combined result in hair loss that typically begins with an M-shaped hairline.

Age: Age can also cause your hairline to retreat into an M shape. Seeing as 30 to 50 percent of men have a receding hairline by the time they’re 50, male pattern baldness is a likely culprit.

Telogen Effluvium: Stress, illness, or injury can cause a type of hair loss known as telogen effluvium that affects your hair by interrupting the natural hair growth cycle. We’ll go into more detail below. However, telogen effluvium usually causes diffuse hair loss over your entire head rather than creating a receding M-shaped hairline like androgenetic alopecia. This type of hair loss typically occurs a few months after a stressful event and is temporary (so hair usually grows back on its own).

Lifestyle factors: Things like smoking, excessive alcohol use, or even dying your hair can contribute to hair loss over time.

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A widow’s peak hairline comes together in a downward V-shape at the center of the forehead — almost like a much-less-exaggerated or smaller M-shaped hairline. It can be quite distinctive in some people, especially when their hair is pulled back, while others have just the hint of one.

The similarity between an M-shaped hairline and a widow’s peak could have you wondering which type of hairline you’re dealing with.

Both hairlines are fairly common. A look at over 450 Japanese men and women found that over 42 percent of men had an M-shaped hairline, while almost 33 percent had a widow’s peak.

Though the cause of a widow’s peak isn’t entirely clear, some genetic conditions are associated with this type of hairline. They include:

  • Aarskog syndrome. Aarskog syndrome is a rare genetic disorder affecting mostly men.

  • Donnai-Barrow syndrome. Donnai-Barrow syndrome is a condition caused by mutations in the LRP2 gene, which leads to unusual features of the eyes, nose and ears.

  • Frontonasal dysplasia. Frontonasal dysplasia is a very rare condition involving abnormal development of the head and face.

People may compare an M-shaped hairline with a widow’s peak, as they both have one section of hair slightly lower down on the forehead. But they’re not actually the same thing.

The main difference is that a widow’s peak is curved up the sides and meets in a triangular midpoint, whereas an M-shaped hairline is much more triangular, even along the sides. Another way to think about the difference between the two is that an M-shaped hairline has more exaggerated points than a widow’s peak.

Although an M-shaped hairline doesn’t always mean you’re balding, this hairline is commonly associated with hair loss.

A receding hairline (sometimes referred to as a mature hairline) is caused by male pattern baldness — also known as androgenetic alopecia or androgenic alopecia.

Androgenetic alopecia is the most common form of hair loss that can affect both men and women (in women, androgenetic alopecia is called female pattern baldness or female pattern hair loss). In addition to an M-shaped hairline, other signs include hair loss affecting the top of the scalp.

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While fixing an M-shaped hairline might seem trickier to accomplish due to the very specific spots of hair loss, there are some potentially-effective techniques.

If you suspect poor diet, stress, or other issues are affecting your hairline, this can be counteracted with basic lifestyle changes.

Poor diet, for example, can be changed by reducing your intake of processed foods and increasing your vitamin intake — particularly vitamin A, vitamin D, and biotin.

You can also try M-shaped hairline hairstyles to make the receding hairline less noticeable. Consider:

  • Shaving your head to make the thin areas less noticeable

  • Slicking your hair back in a sleek pompadour or side-swept style

  • Combing all your hair to one side to create a deep part

  • Talking to your barber about haircuts or styling tips that’ll give the remaining hair more volume

You can also try regrowing the hair that’s receded. Effective medications for hair regrowth mostly include oral and topical products like finasteride and minoxidil.

Finasteride

Finasteride works to reduce levels of DHT (the hormone that causes hair loss with androgenic alopecia) circulating in your body.

Minoxidil

While the mechanism of topical minoxidil isn’t fully understood, studies show a 13 to 19 percent increase in total hair count over 48 weeks, depending on the concentration used.

Hair Transplant

Besides lifestyle changes and hair loss treatments like finasteride and minoxidil, hair transplant surgery is another option to fix an M-shaped hairline. The procedure involves hair transplantations from the sides and back of the scalp to areas with hair loss, such as your hairline.

Hair transplants can have both pros and cons, but this surgery can lead to natural-looking results and a fuller hairline when performed correctly. We’ve talked more about the types of procedures, costs, and how they work in our hairline restoration guide.

Hair loss treatments, delivered

Whether you call it a mature hairline, hair thinning, a receding hairline, balding, or simply hair loss, seeing your once-full head of hair disappear can be disappointing — especially if your hairline is becoming noticeably thinner and turning into an M-shape hairline.

This hairline shape is characterized by more hair in the front or center of the head and receding hair at the temples, creating an M shape. The M-shape hairline has more exaggerated hair loss at the temples and less of a point in the center than a widow’s peak, a similar-looking hairline.

Oftentimes, an M-shape hairline is an early sign of balding, though this isn’t always the case. You can fix an M-shape hairline by trying new hairstyles to create a fuller-looking head of hair, shaving completely, or having hairline restoration surgery.

Want more guidance around dealing with your M-shaped hairline? Consulting with a healthcare professional is a good first step, as they can help determine the cause of your hair loss and help you find workable solutions.

11 Sources

  1. Widow peak. (n.d.). NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/medgen/342891
  2. Kashiyama K, et al. (2021). Study of Frontal and Temporal Hairline Patterns in Japanese SubjectsRetrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8367035/
  3. Genetic Testing Registry. (n.d.). Aarskog syndrome. Retrieved from https://www.ncbi.nlm.nih.gov/gtr/conditions/C0175701/
  4. National Organization for Rare Disorders. (n.d.). Donnai-Barrow syndrome Retrieved from https://rarediseases.org/gard-rare-disease/donnai-barrow-syndrome/
  5. National Organization for Rare Disorders. (n.d.). Frontonasal dysplasia. https://rarediseases.org/rare-diseases/frontonasal-dysplasia/
  6. Al Aboud A. (n.d.). Androgenetic Alopecia. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK430924/
  7. Asghar F, et al. (2020). Telogen Effluvium: A Review of the Literature. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320655/
  8. Asfour L, et al. (2023). Male Androgenetic Alopecia. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK278957/
  9. Rafi AW, et al. (2011). Pilot Study of 15 Patients Receiving a New Treatment Regimen for Androgenic Alopecia: The Effects of Atopy on AGA. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3262531/
  10. Suchonwanit P, et al. (2019). Minoxidil and its use in hair disorders: a review. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/
  11. Zito PM, et al. (Updated 2024). Hair Transplantation. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK547740/
Editorial Standards

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Knox Beasley, MD

Dr. Knox Beasley is a board certified dermatologist specializing in hair loss. He completed his undergraduate studies at the United States Military Academy at West Point, NY, and subsequently attended medical school at Tulane University School of Medicine in New Orleans, LA. 

Dr. Beasley first began doing telemedicine during his dermatology residency in 2013 with the military, helping to diagnose dermatologic conditions in soldiers all over the world. 

Dr. Beasley is board certified by the American Board of Dermatology, and is a Fellow of the American Academy of Dermatology.

Originally from Nashville, TN, Dr. Beasley currently lives in North Carolina and enjoys spending time outdoors (with sunscreen of course) with his wife and two children in his spare time. 

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  • Dermatology Residency. San Antonio Uniformed Services Health Education Consortium

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