Thinning on the top of the head of young people is usually seborrheic alopecia, which can be treated with topical and oral medications, as well as surgical treatments. Seborrheic alopecia is often associated with abnormal androgen levels, and tends to occur in young people. It can be treated with topical medications such as minoxidil solution. Oral medications such as finasteride can be used for men and spironolactone and cyproterone can be used for women. In addition, if the phenomenon of hair loss on the top of the head is severe, microneedling treatment and hair transplantation treatment can also be performed. If the phenomenon of hair loss on the top of the head of young people is serious, they should go to the hospital in time for examination, and the use of the above drugs should pay attention to follow the doctor’s instructions.