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Conditions

Hair restoration · Hair-loss diagnosis and restoration

Male pattern hair loss

Understand gradual recession of the hairline and thinning at the crown.

Editorial publication · Medical review pending.

Understand

Male pattern hair loss is progressive hair loss in which follicles that are genetically sensitive to androgens produce increasingly fine hairs.

Possible symptoms

The hairline commonly recedes at the temples and the crown thins; the scalp usually looks normal and is not scarred.

Causes and associated factors

It results from inherited susceptibility combined with hormonal action, particularly dihydrotestosterone acting on certain follicles.

Diagnosis

Diagnosis uses the history, typical distribution, scalp examination and sometimes dermoscopy to exclude another cause.

Tests

Tests are not routine when the pattern is typical; sudden, diffuse, inflamed or scarring loss calls for targeted investigation.

Course of the condition

It usually progresses slowly over years or decades and continues without treatment, although the rate varies greatly.

Care options

Medical treatments can slow progression for some people; transplantation can redistribute follicles from an adequate donor area but does not stop loss of non-transplanted hair.

When to consult

Seek assessment before treatment or transplantation to confirm the diagnosis and review stability, donor supply, expectations and long-term risks.

Urgent help

Sudden shedding, red or painful patches, pustules, crusting, or smooth scarred skin needs prompt medical assessment.

Questions for your doctor

  • What is causing my hair loss?
  • Are the follicles still active or already scarred?
  • Which medical treatments should be tried or stabilised before a transplant?
  • Can my donor area support a realistic and lasting result?
  • Which scalp signs need prompt medical care?

Continue reading

A procedure linked to a condition does not establish an indication for your individual situation.

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