Hair Loss Causes and Medical Evaluation at Liv Hospital

Hair transplant surgery restores hair density using advanced FUE and DHI techniques. Learn about the procedure, diagnosis of hair loss, and recovery process.

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Causes and Evaluation

What Causes a Patchy Beard and Who Is at Risk?

The most common cause of a thin or patchy beard is genetics. Some men are genetically programmed to have fewer hair follicles on their face, just as others may experience hair loss on the scalp. If facial hair growth is weak in your family, you are more likely to experience the same condition.

However, genetics is not the only factor. Other common causes include:

Physical Trauma:
Scars caused by accidents, burns, or previous surgeries can permanently damage hair follicles, preventing hair growth in those areas.

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Hormonal Factors

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Even when testosterone levels are normal, facial hair follicles may not respond strongly to growth-related hormones, leading to weak or uneven beard development.

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Autoimmune Conditions

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Certain autoimmune conditions may cause the body to attack its own hair follicles, resulting in small, round bald patches within the beard area.

How Beard Transplant Evaluation Is Performed at Liv Hospital

At Liv Hospital, we believe that successful beard transplantation begins with an accurate medical evaluation. Rather than focusing only on visible gaps, we aim to identify the underlying cause of beard hair loss.

Our evaluation process includes:

Donor Area Assessment:
We examine the donor area, usually the back of the scalp, to confirm the presence of healthy and sufficient hair follicles.

Trichoscopic Analysis:
Using digital imaging, we evaluate skin condition and follicle health to rule out active skin or hair disorders that may affect healing.

Facial Symmetry and Design Planning:
We analyze facial proportions and bone structure to design a beard shape that appears natural and complements individual facial features.

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Select Your Beard Zones
Click on the face map or use the cards below to set the hair loss intensity for each beard zone.
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⚕ Disclaimer: This tool provides only an approximate estimate. The exact number of grafts can only be determined through a personal consultation with a specialist. On average, each beard graft contains 1–2 hair strands. These values do not reflect the exact results; please contact us to obtain accurate information.
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Estimated graft distribution for each selected beard zone.
💡 Note: Actual graft count may vary depending on hair texture, donor area capacity, skin elasticity, and the surgeon's assessment.
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Your estimated graft results are shown below. Fill in the form and our specialist team will contact you with a personalized assessment.
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The Role of the Beard Restoration Specialist

At Liv Hospital, beard transplant specialists combine medical expertise with aesthetic planning. The specialist determines whether the patient is a suitable candidate and calculates the appropriate graft density for a natural result. Since facial hair grows at a flatter angle than scalp hair, careful evaluation of hair direction is essential. This precise planning ensures that transplanted hairs grow naturally and blend seamlessly with existing facial hair.

For a personalized assessment and treatment plan, patients are encouraged to consult our specialist team.

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Asst. Prof. MD. Aslı Datlı Liv Hospital Ulus Asst. Prof. MD. Aslı Datlı Plastic, Reconstructive and Aesthetic Surgery Asst. Prof. MD. Ayşe Deniz Akkaya Liv Hospital Ulus Asst. Prof. MD. Ayşe Deniz Akkaya Dermatology Asst. Prof. MD. Nazlı Caf Liv Hospital Ulus Asst. Prof. MD. Nazlı Caf Dermatology Op. MD. Nilüfer Bahadırlı Liv Hospital Ulus Op. MD. Nilüfer Bahadırlı Plastic, Reconstructive and Aesthetic Surgery Prof. MD. İlteriş Oğuz Liv Hospital Ulus Prof. MD. İlteriş Oğuz Dermatology Spec. MD. Ömer Gezdur Liv Hospital Ulus Spec. MD. Ömer Gezdur Dermatology Assoc. Prof. MD. Ece Altun Liv Hospital Vadistanbul Assoc. Prof. MD. Ece Altun Dermatology Prof. MD. Sevilay Oğuz Kılıç Liv Hospital Vadistanbul Prof. MD. Sevilay Oğuz Kılıç Dermatology Spec. MD. Marziyeh Javadpour Liv Hospital Vadistanbul Spec. MD. Marziyeh Javadpour Dermatology Spec. MD. Meryem Ayşit Liv Hospital Vadistanbul Spec. MD. Meryem Ayşit Dermatology Assoc. Prof. MD.  Mehmet Emre Yeğin Liv Hospital Bahçeşehir Assoc. Prof. MD. Mehmet Emre Yeğin Plastic, Reconstructive and Aesthetic Surgery Assoc. Prof. MD. Nadir Göksügür Liv Hospital Bahçeşehir Assoc. Prof. MD. Nadir Göksügür Dermatology Op. MD. Yasemin Aydınlı Liv Hospital Bahçeşehir Op. MD. Yasemin Aydınlı Plastic, Reconstructive and Aesthetic Surgery Spec. MD. Esengül Kaya Liv Hospital Bahçeşehir Spec. MD. Esengül Kaya Dermatology Spec. MD. Vedat Ertunç Liv Hospital Bahçeşehir Spec. MD. Vedat Ertunç Dermatology Spec. MD. Özlem İpek Liv Hospital Bahçeşehir Spec. MD. Özlem İpek Dermatology Op. MD. Emre Gunenc Liv Hospital Topkapı Op. MD. Emre Gunenc Plastic, Reconstructive and Aesthetic Surgery Spec. MD. Betül Kızılkan Liv Hospital Topkapı Spec. MD. Betül Kızılkan Dermatology Spec. MD. Gizem Gökçedağ Ünsal Liv Hospital Topkapı Spec. MD. Gizem Gökçedağ Ünsal Dermatology Asst. Prof. MD. Caner Demircan Liv Hospital Ankara Asst. Prof. MD. Caner Demircan Dermatology Spec. MD. Aylin Gözübüyükoğulları Liv Hospital Ankara Spec. MD. Aylin Gözübüyükoğulları Dermatology Spec. MD. Elçin Akdaş Liv Hospital Ankara Spec. MD. Elçin Akdaş Dermatology Spec. MD. Vahid Ahmadi Liv Hospital Ankara Spec. MD. Vahid Ahmadi Dermatology Op. MD. Coşkun Erçel Liv Hospital Gaziantep Op. MD. Coşkun Erçel Plastic, Reconstructive and Aesthetic Surgery Spec. MD. Hatice Kübra Çakı Liv Hospital Gaziantep Spec. MD. Hatice Kübra Çakı Dermatology Asst. Prof. MD. Gül Şekerlisoy Tatar Liv Hospital Samsun Asst. Prof. MD. Gül Şekerlisoy Tatar Dermatology Op. MD. Hande Demir Liv Hospital Samsun Op. MD. Hande Demir Plastic, Reconstructive and Aesthetic Surgery Spec. MD. Abdurrahman Akbaş Liv Hospital Samsun Spec. MD. Abdurrahman Akbaş Medical Aesthetics Spec. MD. Ayşe İdil Baş Liv Hospital Samsun Spec. MD. Ayşe İdil Baş Dermatology Spec. MD.  İRFAN QEHREMANOV Liv Bona Dea Hospital Bakü Spec. MD. İRFAN QEHREMANOV Dermatology Asst. Prof. MD. A. Deniz Akkaya Asst. Prof. MD. A. Deniz Akkaya Dermatology MD. Gül Şekerlisoy Tatar MD. Gül Şekerlisoy Tatar Dermatology Op. MD. Yankı Görkem Keskin Op. MD. Yankı Görkem Keskin Plastic, Reconstructive and Aesthetic Surgery

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Underlying Causes

Identifying the cause is critical because hair transplantation is primarily effective for genetic hair loss, whereas other causes may require medical therapy first.

Common Causes of Hair Loss

Androgenetic Alopecia (Genetic Hair Loss):
This is the most common cause of hair loss, accounting for more than 95% of cases in men and a significant percentage in women. It is a hereditary condition influenced by aging and hormones.

Mechanism:
Testosterone is converted into dihydrotestosterone (DHT) by an enzyme called 5-alpha reductase. In individuals who are genetically sensitive, DHT attaches to hair follicles and causes them to gradually shrink. Over time, these follicles produce thinner hair and may eventually stop producing visible hair altogether.

Hormonal Factors For Women

  • Pregnancy and Childbirth: After childbirth, estrogen levels drop rapidly, which can lead to temporary hair shedding known as postpartum hair loss.
  • Menopause: Hormonal changes during menopause may trigger thinning hair or increased hair shedding in women.
  • Thyroid Disorders: Both underactive (hypothyroidism) and overactive (hyperthyroidism) thyroid conditions can cause widespread hair thinning.
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Stress and Physical Trauma (Telogen Effluvium)

Severe physical or emotional stress, such as major surgery, serious illness, rapid weight loss, or emotional trauma, can cause hair follicles to enter the resting phase earlier than normal. As a result, noticeable hair shedding may occur several months after the triggering event.

Staging Hair Loss: The Norwood and Ludwig Scales

Certain health conditions and treatments can contribute to hair loss, including:

  • Autoimmune diseases such as lupus and alopecia areata
  • Scalp infections like fungal infections (ringworm)
  • Medications used for cancer, arthritis, depression, and heart conditions
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Medical Conditions and Medications

Certain health conditions and treatments can contribute to hair loss, including:

  • Autoimmune diseases such as lupus and alopecia areata

  • Scalp infections like fungal infections (ringworm)

  • Medications used for cancer, arthritis, depression, and heart conditions

Traction Alopecia

Traction alopecia is caused by prolonged tension on the hair due to tight hairstyles such as braids or ponytails. Continuous pulling damages the hair follicles over time and may lead to permanent hair loss if not addressed early.

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Asst. Prof. MD. Aslı Datlı Liv Hospital Ulus Asst. Prof. MD. Aslı Datlı Plastic, Reconstructive and Aesthetic Surgery Asst. Prof. MD. Ayşe Deniz Akkaya Liv Hospital Ulus Asst. Prof. MD. Ayşe Deniz Akkaya Dermatology Asst. Prof. MD. Nazlı Caf Liv Hospital Ulus Asst. Prof. MD. Nazlı Caf Dermatology Op. MD. Nilüfer Bahadırlı Liv Hospital Ulus Op. MD. Nilüfer Bahadırlı Plastic, Reconstructive and Aesthetic Surgery Prof. MD. İlteriş Oğuz Liv Hospital Ulus Prof. MD. İlteriş Oğuz Dermatology Spec. MD. Ömer Gezdur Liv Hospital Ulus Spec. MD. Ömer Gezdur Dermatology Assoc. Prof. MD. Ece Altun Liv Hospital Vadistanbul Assoc. Prof. MD. Ece Altun Dermatology Prof. MD. Sevilay Oğuz Kılıç Liv Hospital Vadistanbul Prof. MD. Sevilay Oğuz Kılıç Dermatology Spec. MD. Marziyeh Javadpour Liv Hospital Vadistanbul Spec. MD. Marziyeh Javadpour Dermatology Spec. MD. Meryem Ayşit Liv Hospital Vadistanbul Spec. MD. Meryem Ayşit Dermatology Assoc. Prof. MD.  Mehmet Emre Yeğin Liv Hospital Bahçeşehir Assoc. Prof. MD. Mehmet Emre Yeğin Plastic, Reconstructive and Aesthetic Surgery Assoc. Prof. MD. Nadir Göksügür Liv Hospital Bahçeşehir Assoc. Prof. MD. Nadir Göksügür Dermatology Op. MD. Yasemin Aydınlı Liv Hospital Bahçeşehir Op. MD. Yasemin Aydınlı Plastic, Reconstructive and Aesthetic Surgery Spec. MD. Esengül Kaya Liv Hospital Bahçeşehir Spec. MD. Esengül Kaya Dermatology Spec. MD. Vedat Ertunç Liv Hospital Bahçeşehir Spec. MD. Vedat Ertunç Dermatology Spec. MD. Özlem İpek Liv Hospital Bahçeşehir Spec. MD. Özlem İpek Dermatology Op. MD. Emre Gunenc Liv Hospital Topkapı Op. MD. Emre Gunenc Plastic, Reconstructive and Aesthetic Surgery Spec. MD. Betül Kızılkan Liv Hospital Topkapı Spec. MD. Betül Kızılkan Dermatology Spec. MD. Gizem Gökçedağ Ünsal Liv Hospital Topkapı Spec. MD. Gizem Gökçedağ Ünsal Dermatology Asst. Prof. MD. Caner Demircan Liv Hospital Ankara Asst. Prof. MD. Caner Demircan Dermatology Spec. MD. Aylin Gözübüyükoğulları Liv Hospital Ankara Spec. MD. Aylin Gözübüyükoğulları Dermatology Spec. MD. Elçin Akdaş Liv Hospital Ankara Spec. MD. Elçin Akdaş Dermatology Spec. MD. Vahid Ahmadi Liv Hospital Ankara Spec. MD. Vahid Ahmadi Dermatology Op. MD. Coşkun Erçel Liv Hospital Gaziantep Op. MD. Coşkun Erçel Plastic, Reconstructive and Aesthetic Surgery Spec. MD. Hatice Kübra Çakı Liv Hospital Gaziantep Spec. MD. Hatice Kübra Çakı Dermatology Asst. Prof. MD. Gül Şekerlisoy Tatar Liv Hospital Samsun Asst. Prof. MD. Gül Şekerlisoy Tatar Dermatology Op. MD. Hande Demir Liv Hospital Samsun Op. MD. Hande Demir Plastic, Reconstructive and Aesthetic Surgery Spec. MD. Abdurrahman Akbaş Liv Hospital Samsun Spec. MD. Abdurrahman Akbaş Medical Aesthetics Spec. MD. Ayşe İdil Baş Liv Hospital Samsun Spec. MD. Ayşe İdil Baş Dermatology Spec. MD.  İRFAN QEHREMANOV Liv Bona Dea Hospital Bakü Spec. MD. İRFAN QEHREMANOV Dermatology Asst. Prof. MD. A. Deniz Akkaya Asst. Prof. MD. A. Deniz Akkaya Dermatology MD. Gül Şekerlisoy Tatar MD. Gül Şekerlisoy Tatar Dermatology Op. MD. Yankı Görkem Keskin Op. MD. Yankı Görkem Keskin Plastic, Reconstructive and Aesthetic Surgery

30 Years of
Excellence

Trusted Worldwide

With patients from across the globe, we bring over three decades of medical

Group 346 LIV Hospital

Reviews from 9,651

4,9

Was this article helpful?

Was this article helpful?

FREQUENTLY ASKED QUESTIONS

What causes a beard to grow in patches or not grow at all?

Genetics is the most common cause. Other factors include scars, autoimmune conditions such as alopecia areata, and reduced follicle response to growth hormones.

A suitable candidate has a healthy donor area with enough hair follicles. At Liv Hospital, this is confirmed through a detailed medical evaluation.

Yes. Beard transplantation can effectively restore hair growth in scarred areas by implanting healthy follicles into the affected skin.

In some cases, hormone testing may be recommended if a medical condition is suspected to be affecting hair growth.

No. The evaluation is non-invasive and involves visual examination and digital imaging. It is a comfortable and informative process.

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