Hair transplantation for diffuse hair loss is always not possible and especially in DUPA (diffuse unpatterned alopecia). To know moe we need to know about the Grades of Baldness on Norwood Scale and perhaps also the Ludwig scale for hair loss in women.
Androgenetic alopecia (also referred to as male pattern baldness or female pattern baldness) is characterized by a shortened anagen phase and hair follicle miniaturization.
Diagnosing and differentiating DUPA and DPA early is important since-
1. They both respond well to medication.
2. DPA patients make for good hair transplant candidates. DUPA patients almost never do.
So let us know more about them:
DPA
It is an androgenetic alopecia manifested as diffuse thinning in front, top and crown with a stable permanent zone at the back and sides of the head. The entire top of the head thins (miniaturizes) out without passing through the typical Norwood stages. It never progresses to complete baldness. The hairline does not recede significantly. The stable permanent zone differentiates it from DUPA.
It is seen very occasionally in females since the cause is the male sex hormone and the genetic make-up of women makes them mostly resistant to the damaging effects of DHT on hair follicles.
Diffuse patterned hair loss (DPA) is found more in men than diffuse unpatterned hair loss (DUPA). As the hair appears thinner at the side and back it differs from male pattern baldness but the initial cause is the same, genetic hair loss.
DUPA
This is also androgenetic alopecia but lacks a stable permanent zone. It is faster in progress than DPA and is found more commonly in women. It ends up in a horse-shoe pattern resembling NW VII but unlike it the horse-shoe pattern looks almost transparent due to low density of hair at the back and sides of the head.
DUPA normally advances quicker than DPA resulting eventually in horse-shoe shaped baldness on the top with thinning hair around the sides and back.
Treatment:
1. Hair Loss due to DPA and DUPA can start as early as the late teens in men but if caught in the early stages there is a higher success rate of being able to stop the process through medication.
2. DPA in many patients is amenable to hair transplant surgery.
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This is Dr Bhatti's Darling Buds Clinic. Our RU-vid channel is a destination for those researching Hair Transplant and other remedies for hair loss. We make videos to showcase our hair transplant results on the web through RU-vid; all techniques available for hair transplant; and advances in the field of hair transplant are often dealt with.
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22 авг 2024
