Understand the early signs of hair loss, such as thinning or receding, and learn about the key genetic and lifestyle risk factors for baldness.
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Hair loss is often dismissed as a simple cosmetic nuisance, a sign of aging, or “bad genes.” But medically, it is a complex condition driven by hormones, genetics, and environmental factors. Before we can design a new hairline, we must understand why the old one is receding.
At Liv Hospital, we approach hair transplantation not as a product to be sold, but as a medical treatment for a specific diagnosis. We do not simply count grafts; we evaluate the biology of your scalp. Is your hair loss stable? Is it caused by stress or a thyroid issue? Is your donor area strong enough to support a transplant for life? Our Causes and Evaluation protocol ensures that every patient we operate on is a suitable candidate for a lifelong result.
Androgenetic alopecia, commonly known as pattern baldness, is the most frequent cause of hair loss in both men and women. It is a genetic condition in which hair follicles are sensitive to dihydrotestosterone (DHT). This hormone causes the follicles to shrink over time, a process called miniaturization.
As the follicles shrink, the hair they produce becomes thinner, shorter, and more brittle. Eventually, the follicle stops producing hair altogether. In men, this typically follows a receding hairline and thinning at the crown.
The genetics of this condition can be inherited from either the mother’s or the father’s side of the family. It is a polygenic trait, meaning multiple genes are involved. Understanding this genetic predisposition is the first step in evaluation.
To understand hair loss, you must understand the hair growth cycle. Every hair on your head operates on its own clock, cycling through three phases:
Normal Shedding vs. Hair Loss It is normal to lose 50–100 hairs a day. This is just the “Telogen” phase in action. Hair Loss (Alopecia) occurs when the new hair that replaces the old one is thinner, weaker, or doesn’t grow back at all.
In 95% of men and many women, hair loss is caused by Androgenetic Alopecia (Male/Female Pattern Baldness). This is a genetic sensitivity to a hormone called DHT (Dihydrotestosterone).
DHT is a byproduct of testosterone. In susceptible individuals (determined by genetics), DHT binds to receptors in the hair follicles—specifically on the top and front of the scalp.
Not all hair loss is genetic. Before recommending surgery, we must rule out reversible causes.
We use the Norwood-Hamilton Scale to classify the severity of hair loss in men. This helps us estimate the number of grafts needed.
Women rarely go completely bald. Instead, they experience Diffuse Thinning over the top of the scalp. The hairline usually remains intact.
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Many clinics ask for a few WhatsApp photos and give you a quote. At Liv Hospital, we dig deeper.
We use a digital dermatoscope to magnify the scalp 50x–200x.
We screen for “silent” health issues that kill hair grafts.
This is the most critical step. Your donor area is a finite resource. You typically have about 6,000–8,000 grafts available for lifetime extraction.
Public figures have played a significant role in destigmatizing hair restoration. The Elon Musk hair transplant story is frequently cited as a prime example of how successful restoration can change appearance and perception. Transformations of high-profile individuals demonstrate the potential of modern techniques.
This visibility encourages men to seek help earlier. It also sets a benchmark for what natural results should look like. However, patients need to understand that celebrity results often involve unlimited budgets and multiple procedures.
Evaluations now often include discussions about these public transformations. They serve as a reference point for setting realistic personal goals.
Honesty is our policy. We turn away about 15–20% of applicants because surgery would harm them. You might not be eligible if:
Accurate graft calculation is a mathematical and artistic exercise. The surgeon measures the recipient site’s surface area in square centimeters. They then determine the target density, typically expressed as follicular units per square centimeter.
A typical dense look requires 40 to 60 grafts per square centimeter. The donor area’s safe capacity limits the total number. Overharvesting can lead to a moth-eaten appearance at the back of the head.
Software tools can assist in this calculation, but clinical judgment is paramount. The goal is to maximize visual impact with the available resources.
The quality of the donor area dictates the potential result. The surgeon examines the hair’s caliber (shaft thickness), the color contrast between hair and skin, and whether the hair is curly or straight.
Thicker hair provides more coverage with fewer grafts. Curly hair also covers the scalp better than straight hair. Low contrast (e.g., blonde hair on fair skin) creates an illusion of fullness more easily than high contrast.
Densitometry is used to count follicular units and hairs per unit. A donor area with many 3- and 4-hair units is ideal for achieving high density.
Modern clinics use digital trichoscopy to analyze the scalp. This high magnification imaging reveals signs of inflammation, miniaturization, and empty follicles that are invisible to the naked eye.
It helps distinguish between androgenetic alopecia and other types of hair loss, such as telogen effluvium. It can also assess scalp vascularity, a crucial factor for graft survival.
This data is stored to track the patient’s progress over time. It provides an objective baseline for measuring the success of the surgery and medical therapies.
Yes, beard and chest hair can be used as donor sources if the scalp donor area is insufficient, though they have different textures and growth cycles.
No, the follicles are physically moved from the donor area to the recipient area; they do not regenerate in the donor zone, which is why prudent harvesting is essential.
Shock loss is a temporary shedding of native hair due to the trauma of surgery; it is a normal reaction, and the hair typically grows back within a few months.
Yes, grey hair can be transplanted successfully; the process is the same, though the surgeon may temporarily dye the hair to make the white follicles more visible under the microscope.
There is no strict upper age limit as long as the patient is healthy; however, very young patients are often advised to wait until their hair loss pattern becomes more defined.
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