Male Pattern Baldness

Male Pattern Baldness – What Is It?

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Hair loss can occur for various reasons. Stress, diet, health, sleep, drug use, etc. But male pattern baldness, scientifically termed androgenic alopecia, is the most common cause of hair loss.

Male pattern baldness technically starts in the womb. Your predetermined genetics will manifest in male pattern baldness 20 to 40 years later depending on whether your mother passed it down to you through her X chromosome. Men whose mothers’ fathers suffer male pattern baldness have a much higher chance of experiencing the condition. And men whose fathers suffer male pattern baldness are also more likely. This is due to the fact that women have two X chromosomes while men have an X and a Y. The androgen receptors, which determine the fate of your hairline, reside within the X chromosome specifically. So both parents have the capacity to pass the gene down, it is just 50% more likely to come from the maternal side of the family.

Receding hairline due to male pattern baldness.

Receding hairline due to male pattern baldness.

Empty crown due to male pattern baldness.

Empty crown due to male pattern baldness.

Once your genetic fate is decided, the mechanism of your inevitable male pattern baldness is actually hormones. Testosterone, in combination with the enzyme 5-alpha-reductase, turns into dihydrotestosterone, or DHT. DHT is a powerful hormone in the scalp that wreaks havoc on hair follicles, causing them to weaken and break off.

Is There A Cure For Male Pattern Baldness?

There are different treatment options for male pattern baldness, which depend on a few variables. The only solution that reverses hair loss permanently is hair transplantation. For more information on this solution to male pattern baldness, schedule a free online consultation with Dr. Umar of the DermHair Clinic.

Severe Baldness and Bad Hair Transplant Repaired by Follicular Unit Extraction and Body Hair Transplant

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This patient’s hair loss became catastrophic after a failed transplant procedure at another clinic that used the outdated “strip harvesting” technique. He was left with a huge scar, pluggy implants and an unnaturally straight hairline. He came to us hoping to have his strip scar hidden, his empty crown filled and his hairline made to resemble that of a celebrity.

Dr. Umar used body hair transplant to relocate hair from his beard, leg and nape of neck during the restoration effort. As you can see, the patient was quite pleased with the result of his hair restoration.

Have more questions about your hair loss options? Contact Dr. Umar for a free online consultation today.

Follicular Unit Extraction: Aesthetic Value of A Hair Transplant Using Head and Body Donor Hair

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The patient presented in this photo has a history of prior Follicular Unit Extraction (FUE) and Body Hair Transplantation (BHT) hair restoration procedures performed upon him at another facility. These previous surgeries of his focused mainly on restoring his hairline, frontal scalp and crown. However, the patient was not happy with the esthetic results of the outcome.

Therefore, though intensive research and hearing recommendations, the patient decided that Dr. Umar was the best choice of hair surgeon to perform the repair of his past hair transplants. He wanted his hairline softened and the shape and direction streamlined to his taste. The aim was to achieve a subtle but evident change in the hairline. He also wanted hair density added to his mid scalp area.

Dr. Umar performed 3,000 grafts upon the patient using the FUE-BHT method under the Single Follicle Extraction and Transfer (SFET) hair restoration technique.

The breakdown of the donor sources were as follows:

Head donor: 1293

Nape: 597

Lower abdomen and upper pubic areas: 1115

This procedure highlights the importance of the aesthetic and artistic expertise of the hair restoration facility and hair restoration surgeon you choose. Hair transplantation depends heavily on medical science and is its own way is a form of art. The results this patient achieved also highlight the role of nape hair in the refinement of hairlines. The utilization of nape hair as donor hair is something that the hair restoration community has neglected since its inceptions, leading to entrenched paradigms that are not always evidence based. The front of a thinning hairline should be very soft, and this softness is rarely achievable by using traditional head donor hair, which are usually thicker and less ideal for the task even if they are single hair follicles, and thus they tend to create an artificial solid line of hair which could look harsh and artificial in real life. Therefore, the soft texture of nape hair makes it the most effective form of donor hair to create the most natural looking hairline. This makes it ideal for the creation of softer looking hairlines, while avoiding the harsh artificial look that is often the result of hairline transplants done by traditional methods.

Dr. Umar makes it possible for hairlines to be reconstructed with nape hair though his process of SFET-FUE-BHT because FUE Hair Transplant avoids the problem of creating a linear scar, which is the main issue that results from strip surgery. For more information, please contact Dr. Umar at DermHair Clinic in Los Angeles at (310)318-1500, or visit

Pattern Baldness: Hair loss in men versus Hair Loss in women

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The characteristics of female pattern baldness hair loss differ from typical male pattern hair loss due to the pattern in which hair is lost. The most recognized hair loss pattern is the common type seen in men, where the hair loss occurs on the temples and crown. Female pattern hair loss however diffuses across the top of the head, and eventually become invisible peach fuzz. This is because instead of having the hair follicle completely stopped in its hair cycle, the hair loss seen in females happens when the affected hair is loss, and the root still grows but instead is replaced by a shorter one, which creates the peach fuzz. Female and male pattern baldness hair loss also differ from each other in that the hormone and enzyme receptor sites are different in various areas of the scalp. In addition, another main difference important difference is that male hair loss pattern is typically always due to a genetics and inheritance along with the aging factor. For women, hair loss can happen at any time and under any conditions that could exaggerate hair loss. For both men and women though, underlying health conditions can also influence hair loss, even if androgenetic alopecia is diagnosed as an actual cause.


hair loss in females

(Flickr-Creative Commons) hair loss in women can be due to genetics, physiological changes, environmental factors or a combination of variables

Individuals can experience female pattern hair loss as early as when they reach puberty, which could be due to hormone imbalances during the phase. Hormone imbalances are a major cause for female pattern hair loss and can occur especially after pregnancy or after a period of sudden physical or psychological stress that the body endures. Therefore, if you feel like you are losing hair due to hormonal problems, consult with an experienced hair doctor in order to evaluate the hormone imbalance and receive advice on how to slow down the hair loss.

Dr. Umar is board certified by the American Board of Dermatology, and is qualified to manage female patients with complaints of hair loss. Dr. Umar often receives referral of female patients from other physicians including other hair transplant doctors.. Dr Umar may require performing some tests to determine the cause of your hair loss and the best treatment options available. For more information, please contact Dr. Umar at the DermHair Clinic in Los Angeles at (310)318-1500, or visit

First Documented Success Case of Body Hair to Leg Hair Transplantation

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Leg hair Restoration
Leg hair Restoration
This picture presents a special case of the first documented success case of using body hair to restore the hair of the legs. The patient had the hair on his shins lost due to friction. He went through a failed attempt of restoring his leg hairs with thigh hairs at another hair restoration clinic prior to seeing Dr. Umar in Los Angeles for the body hair transplantation.

Dr. Umar performed a body hair transplantation surgery using 600 FUE-BHT grafts derived from the chest area and transplanted these donor hairs to the balding areas of the shins. From these pictures, the red spots left from the results from a previous attempt at the other hair restoration clinic are still evident before and after Dr. Umar’s treatment. Dr. Umar was able to successfully complete this patient’s leg hair restoration by using his own invented method by which he calls the Single Follicle Extraction and Transfer (SFET) method. SFET allows Dr. Umar to perform body hair transplantation in the most minimally invasive way possible by using tiny punches without using a scalpel. SFET is a breakthrough procedure and is even more advanced version of the popular Follicular Unit Extraction (FUE) technique. Thus by using SFET Dr. Umar was able to achieve a case that could pass for the first successful body to body hair transplant.

Hair loss on the scalp is a common issue for many people, but hair loss can happen on other parts of the body as well. Many people are even familiar with the loss of hair of the eyebrows or facial hair, but they are not accustomed to the loss of hair on other areas of the body such as the leg. But usually since these less common areas of hair loss are less visible and exposed, many do not turn it into a concern. In this instance, the little bit of hair added to the shin gave the patient the satisfaction of not having an obvious bald patch of hair, which saves him from having others assume that the bald spot was caused by an underlying health problem.

For more information, please contact Dr. Umar at the DermHair Clinic in Los Angeles at (310)318-1500, or please visit

Hair Loss: Why it happens to us and Why we lose our hair

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The reason for hair loss resides in the genetic predisposition of the hair follicle itself, rather than that of the scalp. Therefore, transplanted hairs will continue growing because the hair follicle keeps its original genetic coding, and thus these are the follicles that are not affected by Dihydrotestosterone (DHT), which is the hormone that causes male-patterned baldness. In addition, despite being moved into a formerly bald area, it still maintains its donor hair characteristics, which is to not fall out and keep regrowing hair. When DHT resistant hair from the back of the scalp is transplanted to the top, it will continue to be resistant to DHT in its new location and grow normally. Immediately after the follicular unit hair grafts are extracted and transplanted into the scalp, the surrounding tissue will begin feeding the transplanted follicle and the healing process begins. The hair shaft may also shed, but the hair follicles will stay and often go into telogen (resting) phase. It is surveyed that hair graft survival rates are nearly 100%, although about 85-90% would manifest above the skin at any given time due to cycling.

Dr. Sanusi Umar, a renowned Los Angeles hair transplant surgeon, is able to use advanced Follicular Unit Extraction (FUE) methods to extract hair from the body and hair areas and use them as sources for hair transplantation. This process is known as body hair transplantation (BHT), for which Dr. Umar is the leading surgeon and pioneer in the field. Since areas of body hair are different in both quality and cycling, shortage of head donor supply is an issue of which a hair transplant surgeon should be aware of. The level of hair restoration depends on a patient’s degree of hair loss and their desired outcome.
At the DermHair Clinic in Los Angeles, board certified dermatologist and hair surgeon Dr. Umar is the first FUE-only clinic. For more information, contact the DermHair Clinic for hair restoration consultation from a board certified Los Angeles hair restoration doctor and dermatologist. Please call the Los Angeles hair restoration clinic at (310)318-1500, or visit

Hair Graft Advantages with Follicular Unit Extraction (FUE)

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Follicular unit extraction (FUE) is a hair transplant method that involves donor harvesting where the doctor uses a small punch, .8mm to 1 mm in width, to individually extract each follicular unit from the donor area and transplant them to balding areas of the head. FUE was developed as a response to avoid scarring in the donor area that typically is always a result with strip surgery. Therefore, with the advent of Follicular Unit Extraction, the extraction of individual grafts with a small micro punch leads to the avoidance of a linear scar on the back of the head.

FUE is beneficial for patients who want the option of having very short hair, like a buzz cut, while being able to not show any signs that they had a hair transplant. With strip surgery, even if a patient had his head shaved, a linear scar will be visible even if it is very fine. However, with FUE, after the areas of donor extractions heal, it is very difficult to see any scars or signs of incision, even if the hair is cut very short.

Young patients with a significant degree of hair loss at an early age are probably going to progress to a severe balding state in later life. Unfortunately there is no way to predict the extent of the future baldness or the rate at which it would occur. Even family history of balding patterns cannot be used as a measure with certainty. Therefore FUE will be advantageous for young men need only a small number of grafts in the hairline with the future degree of their hair loss unknown because with FUE they have the option of shaving their head instead of undergoing more hair transplants if their hair loss progresses in the future.

In addition, patients who have already had strip surgery will probably have a lack of donor hair due to previous donor hair decimation from strip harvesting. FUE can solve this problem because the technique allows for the opportunity to obtain more grafts from other areas of the body (Body Hair Transplantation). The FUE hair transplant procedure has continued to advance, becoming more minimally invasive as the graft incisions become more smaller in size. The FUE hair restoration treatment is minimally invasive, meaning that it requires no scalpels, strip surgery or stitches. Scarring and downtime are minimized. Best of all, because the transplant procedure allows for the use of body hair (BHT), and thus the number of transplantable donor hair supply is greatly increased. The newly transplanted hair follicles grow in a natural pattern from the first treatment. Typically, patients will return to a normal life immediately and many have no need to cover their head with a hat ever again. For more information on Follicular Unit Extraction in Los Angeles or Los Angeles FUE performed by Dr. Umar, please contact DermHair Clinic in Los Angeles at (310)318-1500, or visit

Los Angeles Hair Restoration: The Problems with Receiving Hair Transplant At Early Age

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Hair Loss at an Early Age

The occurrence and beginning of hair loss for men usually occurs at an older age. However, it happens in younger men, too, even for those who are under 21 years old. Because hair loss is generally unexpected before age 21, it can be shocking for someone that young to discover that he is losing his hair. The first sign of hair loss is likely to be the thinning of the temporal area of the frontal hairline, and this can result in the appearance of a high forehead. Hair loss before age 21 can be very disturbing for a young man because it is happening at a psychologically and emotionally vulnerable time in his life and can thus leave him feeling disfigured, less attractive, and hindered in the job market.
In the case with Dr. Umar’s Single Follicle Extraction and Transfer (SFET) method or body hair transplantation (BHT), hair restoration is possible for young men to correct the beginning of hair loss in their life.  These procedures do not leave a linear scar that runs from ear to ear as is the case with most other types of hair transplantation, which is important for young men who usually have short hair cuts, as opposed to older men. Thus, younger patients must consult a hair restoration specialist so they can understand the process of receiving a hair transplant at an early age. Now men of all ages can now undergo a hair transplantation at will, but young men should know note these precautions:
(1.) Young patients with a significant degree of hair loss at an early age are probably going to progress to a severe balding state in later life. Unfortunately there is no way to predict the extent of the future baldness or the rate at which it would occur. Even family history of balding patterns cannot be used as a measure with certainty. 

(2.) At this age most are not certain of the hair styling options they would come to adopt when they get older.

(3.) A hair transplant quick fix of a receding hairline for instance would leave the patients with an odd look as an isolated horse shoe (for full hair line implants) pattern or devils horn (for temporal recess filling), which will become more evident as hair loss advances. Because of this factor, young patients must understand that another transplant will be necessary in the future or else an odd look may result in the future as the hair loss progresses.

For more information regarding receiving a hair transplantation at a young age, contact Dr. Umar at the DermHair clinic in Los Angeles at (310)318-1500, or visit for a free consultation.

Follicular Unit Hair Graft and FUE Hair

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Almost everyone suffering from inherited pattern baldness can be successfully treated with hair transplantation. Results of hair transplantation are usually most dramatic when the procedure is performed on individuals with advanced degrees of hair loss. Hair transplantation differs from skin grafting in that grafts contain almost all of the epidermis and dermis surrounding the hair follicle, and many tiny grafts are transplanted rather than a single strip of skin.

The follicular unit is the most popular because it offers a natural appearance and recreation of normal hair growth. Hairs on your scalp naturally grow in one to three hair groups in a single unit, and these follicular units are left intact when they get implanted in a recipient area. Thus since this type of graft leaves hair in their natural state of one to three hairs, the transplant will look more natural and undetectable. This procedure has evolved over time, becoming more refined and minimally invasive with smaller and smaller graft incisions.

The traditional method of transplantation is called follicular unit strip surgery (FUSS) also known as follicular unit transplantation (FUT). In this method a strip of hair bearing flesh is removed from the middle of the back and sides of the head. The hair from the strip of flesh is then cut to extract the follicles which are then transplanted into the balding area. FUE is a recently developed hair transplantation procedure. In this method, punch or needle instruments are used to score the hair follicle individually from the donor area. This is then moved to balding areas. The wound that results is a tiny puncture wound which typically heals with cosmetically insignificant signs. This it is linear scar free, stitchless and minimally invasive.

Many surgeons prefer to use strip surgery because it is easier and faster to perform. Keep in mind, however, that this procedure is a lot more painful and will leave a linear scar on the scalp. A strip surgery patient is typically less able to keep a shorter haircut when compared to an FUE patient. Strip surgery also has a limited donor source since you can only take donor hair from the middle of the backside of the scalp, whereas FUE can utilize hair from every non-balding area on the head. Additionally, in selected patients, some hair restoration surgeons can use this method to extract hair from non head areas in a procedure loosely called body hair transplantation (BHT). Adding body and beard hair to the donor supply increases the donor pool vastly. When researching hair transplantation, be sure to research the experience of the doctor in either FUE or FUSS. Either method could go wrong if performed improperly. When you have decided on having FUE, beware of clinics that would want to convince you to switch to strip surgery for no genuine reason.

At DermHair Clinic in Los Angeles, Dr. Sanusi Umar does not perform strip surgery and is one of the few hair restoration doctors in the world who prefers FUE over strip transplants. A board certified dermatologist, he specializes in the Follicular Unit Extraction (FUE) type of hair restoration. He calls his version of FUE single follicle extraction and transfer (SFET), a procedure he pioneered. Using SFET, Dr Umar has restored severely bald individuals to the degree not feasible using the traditional FUSS strip surgery. He achieves this by using the expanded donor pool of head and non head hair. He has also repaired some of the worst botched hair surgery results in the world. These are cases that have been written off as impossible repairs. For more information, please contact DermHair Los Angeles hair restoration clinic at (310)318-1500, or visit his website.

Why Hair Transplants Work

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Men can be assured — hair transplants work. However, the success of the procedure depends on the overall density of his hair. The hair that is transplanted is usually removed from an area where the patient has more hair (the donor site) to the place where the patient has less hair (the recipient site). It is the ideal solution to baldness because it uses a person’s own hair.

Hair transplants work because hair removed from the permanent zone in the back and sides of the scalp continues to grow when transplanted to the balding area in the front or top of one’s head. The reason is that the genetic predisposition for hair to fall out resides in the hair follicle itself, rather than in the scalp. Therefore, transplanted hair keeps right on growing because the hair follicle keeps its original genetic coding, and thus it does not attract dihydrotestoserone, the hormone that causes male-patterned baldness. When DHT-resistant hair from the back of the scalp is transplanted to the top, it retains DHT resistance in its new location. The scalp is also very vascular, so immediately after the follicular unit hair grafts and micro-grafts are transplanted, the surrounding tissue begins feeding the transplant follicle and healing begins. The hair shaft may also shed, but the hair follicles remain and often go into a resting phase. Hair graft survival rates are nearly 100 percent.

How much hair is restored depends on the patient’s degree of hair loss and their desired result. Some needs are met in one hair transplant procedure while the goals of others may be best achieved over multiple hair transplant surgeries. Patients should research thoroughly before choosing a hair transplant specialist. At the DermHair Clinic in Los Angeles, board certified hair surgeon and dermatologist Dr. Umar has had years of extensive training and practice. Visir Dr. Umar’s website to see examples of his work at or call the DermHair Clinic at (310)318-1500.