Hair Restoration for DUPA

Q:

Hi Dr. Mohebi,
Do you have any experience with DUPA hair loss? It’s very rare in men yet I am 34 and have had DUPA hair loss since I was 12 or 13 years old. I’ve had my head shaved since I was 23 years old because of it. I have very very thin hair on the sides, back and top of my head. If you think you can help, that would be great.

Thank you!

A:

DUPA (Diffused Unpatterned Alopecia) is a type of hair loss in which the hair is thinning diffusely everywhere on the scalp. There is not a protected permanent zone on the back and sides of the scalp like in typical male patterned baldness.

Unfortunately, DUPA patients usually aren’t good candidates for a hair transplant due to their poor donor quality. Some types of DUPA, especially the patients that have a combination of DUPA and Male Patterned Baldness, may respond well to typical hair loss medications like finasteride and minoxidil. Although a hair transplant is usually not a good option in DUPA, mild cases of DUPA and the ones that show significant improvement with hair loss medications might be helped with a hair transplant. In those situations, patients whose conditions are improved with these medications can become better candidates for a hair transplant. These patients will be dependent on hair loss medications since their improved donor hair can still be lost in the absence of hair loss medications.