Brief Answer:
Kindly send details & pictures of the area.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the hairfall and appearance of baldness over your scalp. In view to help you best I request you to kindly upload few good resolution pictures of the affected area. For that you have a feature on the right side of the page. or else you can send your pictures at

YYYY@YYYY

With attention " Dr. Sanjay XXXXXXX Kanodia "

Do let me know since exactly how many hair falls everyday, your present occupation, dietary status and daily routine. Also kindly elaborate if you are taking any medications other than for hairfall.

Hope to hear soon from your side.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY

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Brief Answer:
Got all the information provided but not the pictures.

Detailed Answer:
Dear Sir,

Thanks a lot for your follow up. I got all the information provided by yourself. But I am sorry to say that I am unable to find the pictures. I request you to kindly take assistance of the customer care once you upload the pictures or when you send these as attachments.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY

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Brief Answer:
Androgenic alopecia or "male pattern baldness": various suggestions

Detailed Answer:
Hello,

Welcome again and thanks for posting your details and taking pains in sending the pictures for analysis. I highly apologize for all the inconvenience.

After analyzing all the pictures and correlating with all the facts provided I can get that you have the condition known as "male pattern baldness" medically known as Androgenic alopecia.

Before I directly to you concern let me explain you some medical facts regarding your problem.

We have almost 1 lac hair on our scalp and amongst them around 5% of hair are in falling phase and then another 0.1% (around 100) of hair can fall everyday. In males this is super-added with hormonal influence of testosterone hormone ( the male hormone) which we call as "male pattern baldness". This also depends upon genetics- meaning type and pattern of hair your family pattern (from your father and mother's side).

This process of falling starts by 20 years and is highest in between the age of 20 to 30 years. In some persons it can be variably high or low at different ages as per their own genetic tendency. I can see you 43 years and at this age it is though unusual but not uncommon to find this male pattern baldness. So it is quite obvious that you can have this problem of hair fall just because of hormonal influence.

So, as I said earlier your problem is basically Androgenic alopecia or simply saying male pattern baldness. It affects mainly frontal and parietal region of the scalp as in your case too where I can see baldness over these region. The temporal and region is rarely affected and occipital region is never affected in this condition. So the most important thing is not to be worried about this normal physiological age related men's problem.

Now regarding the part of treatment:

There are innumerable products in the market claiming to be useful for hair growth. We dermatologists unanimously believe in application of Minoxidil lotion. It is one product which is commonly used by all dermatologists. It is to be started with 2% lotion applied over the scalp once or twice in day. It is to be applied when the scalp is dry. Only 1 ml is sufficient to be applied at the root of hair in frontal region. If for one month there is no burning and irritation then we increase the percentage to 5 % to 10% gradually. The same we do to taper off the medicine. That means we do not stop the medicine at once and gradually taper it off to 5% and then 2% and then alternate day or off and application of lotion before stopping it completely.

Finasteride is given along with this topical application to reduce the effect of male hormones. For the same you must have been guided by your prescribing dermatologist. So do not worry about temporary side effects which are not serious ones.

So getting by above information you can comprehend that you have been provided one of the best treatments. It takes minimum of 3 -6 months to see results and accordingly we increase the concentration of the Minoxidil lotion.

I would like to suggest you to have a good nourishing diet along with all the medicines because that is quite very helpful in retaining the hair and maintaining it better.

Hope above information will help you. If you have further queries I will be happy to help.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)

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