Hello @thedominator. Welcome to the forums. Thanks for posting your question. It looks like you definitely have some recession going on. You say it hasn't changed over the past 10 years, but the hairline looks rather high, so I'm wondering if it actually has been slowly moving over the years, but you just haven't noticed because it's a slow process I'd try to compare your current hair line with some older pictures of yourself to be sure. The rest of your hair seems to be doing pretty well with maybe some very slight thinning towards the crown, although it looks like that could be just your hair naturally parting and growing away from each other in that area. Hair is always constantly falling out and regrowing, so seeing some hair fallout is normal. I'd say if they are long, thick hairs that fall out then that's a good sign that they are probably not falling out prematurely.