Hair Follicle Distribution on the Scalp: Is It Even? - Dermatology

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Is the distribution of hair follicles on a normal person's scalp uniform? Is it possible for certain areas of the scalp to have fewer hair follicles?

Xiao Ming, 10~19 year old female. Ask Date: 2018/07/27

Dr. Wu Yuxin reply Dermatology


It is generally not uniform; in cases of male pattern baldness, the unevenness is more pronounced.

Reply Date: 2018/07/27

More Info


The distribution of hair follicles on the scalp is not uniform across all individuals. In fact, it is quite common for certain areas of the scalp to have a higher or lower density of hair follicles. This uneven distribution can be influenced by a variety of factors, including genetics, hormonal changes, and environmental influences.

In normal circumstances, the scalp contains approximately 100,000 to 150,000 hair follicles, and the density can vary significantly from person to person. For instance, some individuals may have a naturally higher density of hair follicles in the frontal area of the scalp, while others may experience thinning in specific regions, such as the crown or temples. This uneven distribution can be particularly pronounced in conditions like androgenetic alopecia, commonly known as male or female pattern baldness, where hair loss typically follows a predictable pattern, leading to noticeable thinning in certain areas.

The presence of fewer hair follicles in specific regions can also be attributed to various factors. For example, hormonal changes, particularly those related to androgens, can lead to miniaturization of hair follicles, resulting in thinner and shorter hair strands. Additionally, factors such as stress, nutritional deficiencies, and certain medical conditions can contribute to localized hair thinning or loss.

Moreover, it is essential to consider that hair follicles have a natural growth cycle, which includes phases of growth (anagen), rest (telogen), and shedding (catagen). During the telogen phase, hair follicles may shed hair, leading to temporary thinning in specific areas. This is a normal physiological process, and it is not uncommon for individuals to notice variations in hair density over time.

If you are concerned about the distribution of hair follicles on your scalp or if you are experiencing noticeable thinning in certain areas, it is advisable to consult a dermatologist or a trichologist. They can perform a thorough examination, assess your hair and scalp health, and provide personalized recommendations based on your specific situation.

In summary, the distribution of hair follicles on the scalp is not uniform, and it is normal for certain areas to have a lower density of follicles. Factors such as genetics, hormonal changes, and environmental influences can all play a role in this uneven distribution. If you have concerns about your hair health or notice significant changes in hair density, seeking professional advice is the best course of action.

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