Brief Answer:
Possibly either Androgenetic Alopecia Or Triangular Alopecia

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I will keep a likely possibility of Androgenetic Alopecia (AA). Temporal Triangular Alopecia (TTA) is a second possibility.
Hair loss in such a pattern is typical of androgenetic alopecia and it gives the appearance of a broad forehead.
Androgenetic Alopecia is fairly common in females as well as in males, wherein patients also notice gradual thinning and hair loss from the top of the scalp apart from the area above the temples. It can start at anytime after puberty.
Treatment modalities for androgenetic alopecia in females include minoxidil 2% or 3% solution and Oral antiandrogens like spironolactone, finasteride etc
However, if the temple area has gone totally bald minoxidil may not work in such cases. Minoxidil only works in those cases who have thinning but are not completely bald yet.

Triangular Alopecia (TTA) on the other hand is characterized by early onset of oval patches of alopecia in the temporal region.
TTA starts very early and may be present since childhood unlike androgenetic alopecia. Though the hair density is normal but hair are fine Or vellus in the patches.
Androgenetic alopecia might overlap with this condition and thus pose confusion in the diagnosis.
In TTA, minoxidil has been tried as a treatment modality; hair transplantation is another.

So I would like know more from you regarding your query.

-Do you also notice hair thinning from the top of the scalp? and Is there a family history?
-Are you sure it was not present in childhood? Is the area totally bald or are there fine (vellus) hair in this area?
-Can you upload a clear digital picture of this area?

Regards

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Brief Answer:
Can try minoxidil 2% or 3%; hair weaving is a good option

Detailed Answer:
Hi

I apologize for delay in my reply.
Thank you for clarifying. This is likely androgenetic alopecia.

Topical Minoxidil is approved for treatment of Androgenetic alopecia. The concentration of Minoxidil recommended for use in females is either 2% or 3%, twice daily unlike in males where it is used in 5% strength.
Though I am afraid minoxidil would reverse hair loss if the affected area has gone completely bald.

Finasteride and spironolactone are oral antiandrogens which are also effective in androgenetic alopecia but even they wont regrow hair in those areas gone completely bald; all the presently available treatments are meant to arrest further progression of androgenetic alopecia.

Finasteride and spironolactone should be used with caution in females of reproductive age group because there is a risk of feminization of male fetus, in pregnant females.

Hair weaving is a good option. This is often the least expensive and safest way to deal with female pattern baldness.

Regards

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