Hair Restoration for DUPA


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!


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.