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Hair loss in men almost always is due to androgenic pattern baldness, which is usually referred to as male pattern baldness. Although the exact cause of pattern balding is unclear, the trait is transmitted by means of a polygenic type of inheritance.
In women, most hair loss is also genetic, although women have an increased incidence of hair loss caused by medical conditions, such as hormonal imbalance, trichotillomania, and post-stress telogen effluvium. Interestingly, even with androgenic alopecia in women, there appears to be an additional inflammatory contribution to hair loss, as scalp biopsies often reveal a localization of lymphocytic folliculitis around the stem-cell–containing bulge region of the hair follicle. As with male pattern baldness, female pattern androgenic hair loss is progressive. Breast Prosthesis
Nearly all men and most women who have androgenic or inherited pattern baldness can be treated with hair transplantation. As in all other elective cosmetic surgeries, the most important patient selection criterion in hair transplantation is the individual’s motivation. Results of hair transplantation are usually most dramatic when the procedure is performed on individuals with advanced degrees of hair loss. In general, the greater the degree of hair loss, the larger the number of grafts transplanted.
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