Q: I’m currently 24 years old. Ever since turning 20, my hair on top began to thin little by little. I have noticeable thinning on the top part of my scalp and on my crown, but have no recession at the temples. My hairline looks amazingly young and hair on the donor areas seems quite thick. Am I in the early stages of male patterned baldness? I cannot place myself in the Norwood scale since my thinning doesn’t seem to follow the classic pattern. I just started on Propecia. Should I be considering a hair transplant?
A: From the description, it sounds like you have typical Diffuse Patterned Hair Loss or Diffuse Patterned Alopecia (DPA).
Please see: The Classification of Hair Loss in Men for more information.
In this condition, the top of the scalp thins evenly, the donor area remains stable, and the hairline is preserved for a considerable period of time.
Propecia would be the best treatment at the outset. When the hair loss becomes more significant, patients with DPA are generally good candidates for surgical hair restoration.
It is important, however, that your donor area is checked for miniaturization to be sure that it is stable before a hair transplant is considered.
Topic: Hair LossTags: Classification of Hair Loss in Men / Crown / Diffuse Patterned Alopecia (DPA) / Early Hair Loss / Hair Loss in the Temples / Hair Thinning / Hairline / Miniaturization / Norwood Hair Loss Classification / Propecia
Posted by Robert M. Bernstein M.D. at 2:13 pm
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