Causes of Hair Loss in Men and Women: A Plastic Surgeon’s Perspective in Bangalore

1. Male Pattern Baldness (Androgenetic Alopecia)

  • Caused by genetic sensitivity to DHT hormone
  • Usually begins with a receding hairline or crown thinning
  • Progressive if untreated
  • Sudden increase in hair fall
  • Usually reversible with proper management
  • Thyroid disorders
  • Autoimmune conditions
  • Post-illness hair shedding
  • Certain medications
  • Diffuse thinning over the scalp
  • Hairline usually preserved
  • May worsen after menopause
  • PCOS
  • Thyroid disorders
  • Postpartum hormonal changes
  • Air pollution
  • Hard water
  • High-stress corporate lifestyles
  • Irregular sleep cycles
  • Hair loss pattern is stable
  • Donor area is adequate
  • Medical causes are ruled out or controlled
  • Patient expectations are realistic
  • Medical therapy
  • PRP treatment
  • Nutritional correction
  • Hormonal stabilisation
  • Poor surgical outcomes
  • Continued thinning after transplant
  • Unnatural density patterns
  • Wasted donor hair

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