Hi Dr. Rassman:
Once again, thank you for contributing to a great blog.
I am a 32 yr old white male with dark hair. Approximately 2 years ago I first noticed thinning hair on the Crown (about the size of a ping pong ball). I went on propecia and have been on it ever since. There has not been any visible progression (at least to the naked eye). In terms of family history, all of my immediate family members have their hair except once uncle in his 50s has a bald spot around his crown. My one deceased grandfather buzzed his hair but according to my Dad, still hair hair (not completely bald).
I went for a consultation with a hair transplant doctor who advised me that I would need around 2000 grafts to cover that space but since I have an unstable permanent zone (i.e. miniaturization) he did not recommend it.
- The doctor did not use the acronym “DUPA” but is that what he was essentially saying?
- I have had fine hair since I was in my teens. Is DUPA progressive or stable? I have what appears to be a full head of hair - will it stabalize here or continue to progress?
- Dr. Bernstein states that those with DUPA can look “fine” if they keep their hair very short. Does he mean short as in the same look achieved through scalp micro pigmentation?
- Can scalp micro pigmentation be of use to someone with DUPA?
- There has been a lot of discussion about hair cloning/manipulation being available commercially within 10 years (according to Dr. Bernstein). In your professional opinion, do you think such an advancement be of any use to someone with DUPA?
1. Genetic male pattern baldness doesn’t include the permanent zone, so diffuse loss there could be DUPA.
2. DUPA is often progressive, but it can be stable for a number of years. These conditions tend to be unstable if it is associated with genetic balding.
3. No, not that short. I am sure Dr. Bernstein means clipping it to 1/4 or 1/3rd inch.
4. It can be, but I do not like to generalize on this without examining your scalp and hair loss.
5. That 10 year mark has been moving every year. There’s no use speculating on what cloning can or can’t do for treating various issues, as it won’t be commercially available in the near future. If hair cloning becomes closer to reality, I’m sure the answers will come.