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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
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.
Hair transplantation may not be the most effective therapy for some medical causes of hair loss; in some instances, it exacerbates the condition. Therefore, workup to rule out other treatable causes of hair loss is important, especially in women, in whom nongenetic etiologies for the hair loss are more common than in men.
In addition to male pattern baldness and female pattern baldness, a variety of conditions can be successfully treated with hair transplantation. Scarring of the scalp due to trauma or surgery and hair loss due to traction (seen with the extended wearing of hair pieces or trichotillomania) can be repaired with hair transplantation. Finally, hair transplantation can be successfully used to restore hair to the eyebrows; eyelashes; beard, mustache, or goatee area; and even to areas of the body, such as the pubis or chest.