Medically reviewed by Vicky Davis, FNP
Written by Our Editorial Team
Last updated 11/30/2022
It happens to a lot of us — you're styling your hair and there's one section that just won't go the way you want it to. This could be a cowlick — a lock of your hair that simply grows in a different direction from the rest — or, in some cases, a sign that you’re starting to go bald.
Dealing with the occasional unruly area of hair isn’t necessarily a sign that you’re going bald. In fact, it’s totally normal for people to have sections of hair that don’t want to cooperate, resulting in a spot that looks thinner than the rest of your hair or the appearance of a receding hairline.
Even some degree of hair shedding isn’t necessarily a signal that you have long-term hair loss, as most people with a full head of hair shed anywhere between 50 and 100 hairs a day.
It’s when your hair falls out at a faster rate and stops growing back that you may have an issue such as male pattern baldness.
While a cowlick on its own isn’t indicative of male pattern baldness or hair loss in general, it can often be mistaken for a bald spot. Since the difference between cowlick or balding can be pretty easy to spot and take care of, you'll want to keep reading to find out how.
Below, we’ve talked about what a cowlick is, as well as how a cowlick can differ from a receding hairline, bald patch or other signs of long-term hair loss.
We’ve also discussed what you can do if you’re starting to develop a receding hairline, a balding crown or other signs of hair loss, from styling techniques to hair loss treatments.
A cowlick is a natural hair growth pattern that’s different from the pattern of the rest of your hair on your scalp. Often, a cowlick appears as one section of hair on the top of the head that sticks straight up or grows in the opposite direction from the rest in a "hair whorl."
While cowlicks are less noticeable on longer hair, they can usually be located near the crown of your scalp, near the sides of your hairline or in the middle of your hairline.
Most people have one cowlick, or hair whorl, that’s located around the midline of their scalp and close to the vertex, or crown. A small number of people — about five percent of the population — have two hair whorls, or a “double crown.”
Because a cowlick can disrupt your hair’s flow and make it harder to style, it can often result in the appearance of hair loss.
In certain ways, dealing with a persistent cow lick can be like going through a never-ending bad hair day, as no style seems to “stick” or look quite like it should.
A cowlick differs from a bald spot in several ways. First, a cowlick is a natural, normal feature of your scalp that occurs as a result of your genes. Most people are born with a specific hair whorl (a topic we’ve discussed more below), meaning this feature rarely changes over time.
In contrast, most forms of hair loss, such as androgenetic alopecia (male pattern baldness) tend to develop as you grow older. A range of factors can play a role in balding, from your genetics to your production of certain hormones, such as dihydrotestosterone (DHT).
Second, because cowlicks are genetic and formed prior to birth, they’re generally not something that you can treat. While you can conceal a cowlick by styling your hair carefully, there isn’t a pill that you can take to relocate a hair whorl or make it less visible.
In contrast, there are several treatments available for both male pattern baldness and temporary hair shedding, from over-the-counter treatments to prescription medications.
Cowlicks develop before birth and can affect both men and women. While a fetus is developing, cowlicks are caused when hair follicles grow in a slant that is opposite to the direction of the rest of the hair.
Many researchers agree that cowlicks develop primarily due to your genetic makeup and family history.
However, it’s possible that factors other than your genes also play some role in the development of cowlicks, even if their influence is relatively small.
For example, research has found that identical twins, who share 100 percent of genetic material with each other, almost always have matching hair whorls.
However, a small percentage of identical twins show opposite whorls, suggesting that this trait is less than entirely genetic.
“Crown balding” is a term that’s used to describe hair loss around your vertex scalp — the area near the top of your head. Losing some or all of the hair around this part of your scalp is one of the most common signs of pattern hair loss in men.
Balding near your crown is most commonly caused by male pattern baldness, which can occur due to a combination of genetic factors and the effects of dihydrotestosterone, or DHT.
Over time, DHT can attach to hormone receptors located throughout your scalp and cause your hair follicles to miniaturize. As the follicles become smaller, they eventually stop producing hairs that are capable of penetrating the outermost layer of your skin.
This process typically begins at your hairline and crown, resulting in the classic receding hairline and bald patch that many men with male pattern baldness eventually notice in the mirror.
Although most cases of crown balding are caused by male pattern baldness, some can happen as a result of other forms of hair loss.
Other types of hair loss that can affect hair growth around your crown include:
Alopecia areata, a form of hair loss that’s caused by immune system damage to your hair follicles.
Telogen effluvium, a form of hair shedding that’s triggered by stress, illnesses that cause fever, nutritional deficiencies and other issues.
Traction alopecia, a form of hair loss that’s caused by hairstyles and products that pull on your hair follicles.
Tinea capitis, a form of hair loss that can develop as a result of a fungal infection in your scalp.
Cicatricial alopecia (scarring alopecia), a form of hair loss that happens when scar tissue develops over your hair follicles.
Hair loss can also occur as a result of certain medications, such as chemotherapy drugs, thyroid medications and anticoagulants.
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For the most part, a cowlick isn’t a sign of hair loss. Instead, it’s an aesthetic feature that you’re born with that has no impact on your hair’s thickness, density or general health.
Similarly, having a visible hair part is a normal aesthetic feature and isn’t necessarily a sign that you’re losing hair.
However, if you have a cowlick and have noticed that it’s starting to change, or that your hair is starting to thin and make your cowlick less visible or hair part wider, it may be a sign that you’re starting to develop hair loss.
Other common signs of male pattern baldness include:
A receding hairline that’s unrelated to your cowlick
Slow or no hair growth in certain areas of your scalp
A hair part that’s gradually getting larger and wider
Diffuse hair thinning that occurs across your whole scalp
Thinning and lower hair density at the crown of your head
Our guide to telling if you’re going bald goes into more detail about these signs, as well as how you can pay attention to them to catch male pattern baldness early.
As we mentioned above, a cowlick is a normal, natural feature of your scalp — not necessarily a sign that you’re going bald. However, when a cowlick affects the way your hair sits or prevents you from styling your hair the way you’d like, it’s easy to mistake it for a sign of balding.
The main difference between a cowlick and balding is that balding is hair loss, while a cowlick is simply a feature that can create the illusion of thinner hair.
Because a cowlick is a natural feature of your hair, the absence of a cowlick is generally a more reliable sign of hair loss than a cowlick itself.
If you have a cowlick and notice that it’s starting to fade, or that your hair appears thinner in the area around your cowlick, it could be a sign that you’re starting to develop diffuse thinning near your crown (or at the front of your scalp, if you have a cowlick in your hairline).
Even if you’re sure you aren’t balding, a cowlick can be just as frustrating to deal with. Although you can’t make a cowlick go away forever, there are several ways that you can make styling the hair around a cowlick easier.
Here are some of the easiest ways to get rid of your cowlick — at least aesthetically — and make your hair look more even and consistent.
Because a cowlick is a section of hair that sticks out from the crowd, one of the easiest ways to make this feature less visible is to stick with a short haircut.
The shorter your hair is, the less visible your cowlick will typically be. If you’re tired of having to style your hair to conceal a cowlick, consider trying a buzz cut or other short hairstyle to stop it from affecting your hair’s overall appearance.
Another easy, albeit slow, way to cover up your cowlick is to grow out your hair a bit. Longer hair is heavier, which means that your cowlick will eventually be pulled down so that it sits in line with the rest of your hair.
For even better results, try applying conditioner to your hair regularly. This ensures that your hair stays moisturized, which can increase its weight and help it to sit naturally against your scalp.
If your hair isn’t long enough to sit down naturally on its own, but isn’t short enough to hide your cowlick entirely, you may want to consider using styling products to bring it under control.
From a little bit of gel to some wax or pomade, many styling products can help to tame even the most stubborn cowlick.
When you’re choosing styling products, be aware that some hair styling products, such as those that give a wet look, can make thinning hair more obvious. Try experimenting with different gels, pomades and other products to find one that matches your hair texture and styling needs.
Even though you can’t force your hair to grow in a different direction, you certainly can work with your hair to help it sit the way you’d like it to.
In addition to using hair styling products (or as an alternative), you can tame a cowlick by using a blow dryer to bring it under control.
To control a cowlick using heat, blow dry it in the direction you’d like it to point, then use a comb to style it more effectively. After you’ve used warm air to control the cowlick, switch to cooler air to help hold it in place.
One thing to keep in mind when using a blow dryer is that excessive heat can damage your hair, which may make thinning worse. To limit damage, use the lower heat setting and hold the blow dryer so that it’s as far from your scalp as possible while still providing adequate airflow.
The key to preventing baldness is to take a proactive approach. If you wait until you’ve lost most of your hair or developed a severely receding hairline to take action, you’re unlikely to get the type of results you’d like.
On the other hand, taking action as soon as you notice a pattern of hair loss can make it easier to keep most or all of your hair.
Unfortunately, one of the most common reasons men let their hair loss go unchecked is denial about the severity of their hair loss.
Hair loss is something that can happen to men at any age. Whether you’re in your 40s and 50s, your 60s or 70s, or just in your late teens to early 20s, the effects of male pattern baldness can develop and take a toll on your hair’s thickness and density.
This means that when you begin to notice more than the usual amount of hair on your pillow or around your shower drain, it’s important to take action quickly.
Currently, the most effective way to treat hair loss is by using medication to prevent DHT from damaging your hair follicles and stimulate new hair growth.
The FDA has approved two medications as hair loss treatments — the over-the-counter topical medication minoxidil and the prescription oral medication finasteride.
Minoxidil, which is available as a liquid and foam, is believed to work (its exact mechanism of action still isn’t entirely understood) by increasing blood flow to your scalp and moving your hair into the anagen phase of the hair growth cycle. It’s usually applied two times per day to areas of your scalp with noticeable hair thinning.
Finasteride works by stopping the conversion of testosterone to DHT, the hormone that causes male pattern baldness.
We offer minoxidil solution, minoxidil foam and finasteride online, as well as a Hair Power Pack that contains both medications.
Hair transplant surgery is a cosmetic procedure that involves moving healthy hair follicles from the back and sides of your scalp to areas with active hair loss.
The hair follicles that are used in this procedure are resistant to DHT, allowing them to be used to restore your hairline or fill in bald patches.
Hair transplant surgery can vary significantly in price based on the number of follicles required to fill in bald patches and the type of technique used. Our guide to hair transplant surgery goes into more detail about this type of procedure, as well as its advantages and disadvantages.
Finally, if you have visible hair loss that you’d like to conceal, switching to a different hairstyle can often make it more difficult for other people to notice.
While the classic combover is rarely a good choice for hiding balding, haircuts that keep your sides short can often create the appearance of a thicker head of hair.
Our guide to looking good while you’re balding shares tips and techniques that you can use to find the right hairstyle for your hairline and hair thickness.
At first glance, it can often be tough to tell if you have a cowlick or balding. This can result in confusion and panic when that old cowlick you’ve had for your entire life looks the same as a bald patch in the mirror.
While a cowlick can look similar to a bald patch, the two are very different. Cowlicks develop naturally as part of the pattern of hair follicles on your scalp, while male pattern baldness is a hormonal and genetic condition that tends to become more severe as you get older.
If you have a cowlick that makes styling your hair a challenge, try using the tips above to gain control over your hair.
If you’re starting to notice the early signs of male pattern baldness, you may want to look into our range of evidence-based hair loss treatments.
Hair loss is treatable, and starting early is often the key to success. You can learn more about your options by taking part in a hair loss consultation, or by reading our full guide to preventing hair loss in men.