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hair loss

Male hair loss

Hair loss is common in men, with one in three experiencing early signs of baldness between the ages of 20 and 50. Typical issues include a receding hairline, thinning at the temples, reduced hair density, and bald patches on the crown.

CAUSES OF HAIR LOSS IN MEN

Hair loss in men can result from various factors, but it is typically due to a combination of genetics, ageing, and hormonal changes. The most common causes are hereditary baldness, stress-related hair loss, and patchy baldness.

Hereditary baldness (androgenetic alopecia) is the most prevalent cause of hair loss in men. It results from a genetic sensitivity of hair follicles to DHT, which shortens the hair growth cycle and can halt it altogether, potentially starting as early as puberty.

Other causes of hair loss

While androgenetic alopecia is a natural, age-related genetic condition rather than a disease, other causes of hair loss include hair disorders like alopecia areata, medication side effects, stress, hormonal imbalances (unrelated to genetics), and external factors such as an unhealthy diet.

A thorough diagnosis by a medical specialist is essential before starting any treatment.

Norwood-classificatie voor haaruitval bij mannen

 

characteristics of hereditary baldness

Hereditary baldness follows a distinct, recognisable pattern that professionals can easily diagnose. In men, it is characterised by a receding hairline, thinning at the temples, and a bald crown. A key feature is that hair on the sides and back of the head (the ‘wreath’) remains unaffected by DHT.

Permanent hair loss

Another characteristic is hair miniaturisation, where each growth cycle produces progressively thinner hairs until only fine, downy hair remains. This is the final stage before the hair falls out permanently and does not regrow. This process is irreversible. However, hereditary male pattern baldness can be effectively treated with the HST method.

Facts & figures

men experience incipient baldness between the ages of 20 and 50
1 in 1
of men from western backgrounds have a genetic predisposition to baldness
1 %
of men from western backgrounds experience baldness as early as around age 20
1 %

Impact of baldness

No one likes dealing with hair loss that leads to deep thinning or a bald crown with minimal hair remaining. Many men find baldness particularly distressing, and it can cause significant insecurity, especially at a younger age.

Is it temporary or permanent?

In addition to hereditary baldness, hair loss can also result from diseases, stress, medication, and hormonal fluctuations. Non-genetic hair loss is often temporary and typically resolves once the underlying cause is addressed. However, hereditary baldness is permanent; once the hair has fallen out, it does not regrow on its own.

Hair loss - what's normal?

Hair growth progresses through three phases: the growth phase, the transition phase, and the resting phase. Typically, at least 85% of our hair is in the growth phase, while the remaining 15% is lost during the transition and resting phases.

Temporary hair loss

Hair loss can be temporarily worsened by factors such as stress, seasonal changes, hormonal fluctuations, and medication. Non-genetic hair loss is usually temporary and often recovers once the underlying cause is addressed. In contrast, hereditary baldness is permanent and does not reverse on its own.

Losing more and more hair

Up to the age of thirty, losing up to fifty hairs a day is normal. This number can increase to up to eighty hairs per day by age fifty, and up to one hundred hairs per day after fifty. Normal daily hair loss often goes unnoticed because it occurs gradually and evenly across the scalp rather than in one specific area.

Hair loss by age group

<30 years: 50 hairs per day hair loss
<50 years: 80 hairs per day hair loss
>50 years: 100 hairs per day hair loss

Psychological effects of baldness

Yes, baldness can have significant psychological effects. When dealing with alopecia, your appearance can be unexpectedly and dramatically altered by factors beyond your control. While it is not life-threatening and does not indicate illness, the involuntary and visible change in appearance can lead to considerable insecurity, especially at a young age. Therefore, it is a serious issue that deserves careful attention.

Inlets

Inlets and a receding hairline are hallmarks of hereditary baldness (androgenetic alopecia), which follows a distinct pattern easily diagnosed by professionals. In men, this condition features a receding hairline, thinning at the temples, and a bald crown. A key characteristic is that the hair on the sides and back of the head (the ‘Hippocratic wreath’) remains unaffected because it is not sensitive to DHT, the hormone causing the condition.

Crown

Thinning hair on the crown is a sign of androgenetic alopecia, where DHT shortens the hair growth phase from several years to just a few months. This results in progressively thinner hair and visible scalp. The typical pattern – receding hairline, thinning at the temples, and bald crown – is characteristic of hereditary male pattern baldness. The good news is that this type of hair loss can be effectively treated with HST.

Facial hair

Male pattern baldness can affect facial hair as well. If you have bald spots in your beard or want a fuller beard or moustache, an HST beard transplant can provide a permanent solution, even for areas with scars or burns. Like a regular hair transplant, the procedure uses hair from a donor area to implant new hairs in areas where growth is lacking.

FOLLOW-UP TREATMENT

HST offers permanent results, with transplanted hairs continuing to grow for a lifetime. If you experience hair loss elsewhere or have additional hair needs after a previous transplant, follow-up treatments are possible, as the donor area remains intact. Additionally, Hair Science Clinic specialises in reconstructive surgery to correct failed transplants with visible scars or unnatural hairlines from other clinics.

Get professional advice

A proper diagnosis is crucial for identifying the cause of your hair loss and selecting the right treatment. During a free consultation with one of our doctors, we will review your personal situation and preferences. You will discuss your options and expectations with the doctor, who will then provide a customised treatment plan.

Good to know

Hair loss is often temporary and treatable, especially if it is structural. For many types of baldness, a Hair Stem-cell Transplant (HST) provides an effective solution with natural, aesthetically pleasing results.