Hormone independent ( It’s the back permanent area that stays for life in most of the humanbeings.)
These susceptible follicles are located on the front and top of the scalp and not on the back and side of the scalp and thus it produce a specific pattern of hair loss, initially described by NORWOOD.
Testosterone is a hormone responsible for sex characteristics in men and there is an enzyme- 5- alpha reductase which converts testosterone into dihydrotestosterone (DHT). It is this DHT which causes hair loss in men with genetically predisposed follicles.
Some other causes – hormones, stress, dandruff, supplements , steroid intake , drug abuse.
All the above mentioned causes need proper management . Not only hair transplant but diet and supplement maintenance should also be explained thoroughly to the patient to get desired results and utmost patient satisfaction .
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