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Male Pattern Baldness

Androgenic Alopecia or male pattern baldness in men follow a typical pattern of hair loss.This pattern typically involves bitemporal areas first, followed by frontal region and vertex. Midscalp remains as a hair bridge connecting two temporal 'horns' and thins out in the last stages of hair loss. This Progression of Baldness has been divided into seven stages called Hamilton-Norwood classification. Advanced stages of baldness usually require more than one session of hair transplant to achieve good results.

Stage I

Essentially normal adult male hairline. Temporal recessions are well defined with frontal hairline in normal position. The hairline is youthful with little or no evidence of miniaturisation.

Hair transplant is not required unless for medical reasons like hair loss caused by burns or injury.

Stage II

Hair Loss in stage 2 male pattern baldness shows recession(< 2 cm than ideal) and thinning, which is more pronounced in temporal area. The "A" variant implies that hair line recession involves anterior (front) area and temples uniformly, resulting in concave hair line.In this stage hair transplant should be done if the baldness is stable. Usually a single session is adequate.
Graft Requirement in Stage 2 Baldness
See Hair Transplant Results in Stage 2

Stage III

In stage III male pattern baldness, there is definite recession in frontal hairline combined with deep temporal areas and usually thinned out look in most of frontal area. Crown may also show thinning and/or actual hair loss (Stage III Vertex). In this stage, the baldness is very obvious and most transplant surgeons would consider performing a procedure in such patients.

Patients are also advised to use anti hair-loss medications, like minoxidil solution and Finasteride, to avoid further hair loss, if not already using.
See Hair Transplant Results in Stage 3

Stage IV

This is a more advanced state of male pattern baldness, in which frontal and fronto-temporal recession is deeper than in Stage III and the density of hair in these areas is noticeably reduced. As the baldness moves from front to back and circumferentially in crown area; a bridge of healthy hair remains in the mid-section of scalp. Loss of bridge is considered a feature of advanced baldness.
Graft Requirement in Stage 4 Baldness

See Hair Transplant Results in Stage 4

Stage V

Area of baldness keeps increasing. In this stage thinning of bridge segment is also present, but it is not completely lost. Remaining scalp hairs in temporary zone are of poor quality with widespread miniaturisation. Hair Transplant gives good results in such cases, but may require touch-up for density. Anti hair-loss medications are recommended.

Graft Requirement in Stage 5 Baldness

See Hair Transplant Results in Stage 5

Stage VI

In this penultimate stage of male pattern baldness, there is total disappearance of the bridge segment that separates the two main areas of baldness. The depth of the frontal and crown areas has expanded sideward and backwards.
In some individuals, frontal forelock may be spared to become 'isolated forelock'. In these patients a two stage planning is required for good hair restoration. In first stage facial framing is planned with density or crown coverage being left for a latter stage.

Graft Requirement in Stage 6 Baldness

 See Hair Transplant Results in Stage 6

Stage VII

This is the most advanced stage of male pattern baldness. In this stage only the universal safe zone remains.
Hair transplant is useful only in those individuals of stage VII who have good hair characteristics. Two or more sessions may be used. Body hairs may be required for individuals desirous of high density or large coverage or both.

Graft Requirement in Stage 7 Baldness

See Hair Transplant Results in Stage 7

Hair transplant is possible from stage II through VII. Advanced stages of baldness usually require more than one session to achieve maximum benefit. In selected individuals mega sessions can be planned to cover large areas in one go.

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