How Do You Treat Diffuse Hair Loss in Donor Area?October 9th, 2006
Q: I underwent hair transplant surgery several years ago and was pleased with the results. However, over the last 2-3 years I’ve lost hair in the donor area with subsequent loss of hair in the transplanted area. Is this type of hair loss especially difficult to treat? What accounts for hair loss from the back of the head that is typically considered “permanent”?
A: Less than 5% of patients have unstable donor areas, i.e. where the back and sides thin along with the front and top. We call this condition Diffuse Unpatterned Alopecia or DUPA. It is best to identify this condition before hair transplant surgery is contemplated as people with DUPA are not good candidates for hair transplantation. The diagnosis is made using densitometry by noting high degrees of miniaturized hair in the donor area.
At this point, I would use medications such as finasteride. I would not do further hair restoration surgery.Related Posts:
- Can Resistance Training Accelerate Hair Loss?
- Why Am I Still Losing Hair (Shedding) After 6 Months on Minoxidil And Finasteride?
- What is the Incidence of Hair Loss in Adults?
- What is Lichen planopilaris?
- What is the Origin of the Term DUPA?
Topic: Hair Loss
Tags: Densitometry, Diffuse Unpatterned Alopecia (DUPA), Donor Area, Donor Area Thinning, Miniaturization, Permanent Hair Zone, Propecia (Finasteride), Thinning Hair Posted by Robert M. Bernstein M.D. on October 9th, 2006 at 9:45 am