Male Pattern Baldness and Scalp Micropigmentation

What do we mean by baldness?

Baldness is slow, painless hair loss that follows a distinctive pattern with increasing age. In most instances it is a natural process and in men it tends to run in the family. It is called androgenetic alopecia. Normally about 100 hairs on the scalp are shed every day and the hair is replaced about every 4 years. Approximately 60% of men have significant hair loss by 50 years of age.

What is the “normal” Male Pattern Baldness

The normal pattern is for the front hairline to recede first in the temple and frontal areas while the hair thins over the crown (back
top of head). This situation may remain for the rest of a man’s life but in many these frontal and top areas eventually meet and
continue while the whole scalp is affected. Some people experience short periods of considerable hair loss followed by a stable period of no loss. The earlier the hair loss begins, the greater the loss in the long run.

What is the Cause of Male Pattern Baldness?

Baldness is invariably a normal process that may follow a family tendency, indicating that genetic factors are important. Aging is also a factor and hair thinning is inevitable in most people with advancing years. Hormones play an important part – men who are castrated when young don’t go bald. Rarely baldness is caused by a severe sudden illness in which hairs stop growing and then fall out in about 3 months. However,
they will usually grow back. Certain illnesses such as thyroid disorders and iron-deficiency anaemia can cause diffuse hair loss.
Some fungal scalp infections can result in bald patches. Certain treatments – cytotoxic drugs (used to slow down cancer cell growth), can cause loss of hair. It usually regrows when the drugs are stopped.

Some people are affected by a specifi c hair loss disorder called alopecia, which causes premature hair loss. It may occur as round bald patches (alopecia areata) but may spread to involve the whole scalp (alopecia totalis).

How common is baldness?

It is very common and each year 1 person in 300 consults a doctor about baldness, especially if it is unusual. Many others accept it and don’t seek professional help.

What Can Be Done About Male Pattern Baldness?

It is basically an incurable condition. Although it can be embarrassing and upsetting, most men are able to accept natural balding as part of the aging process. Doctors generally encourage people to accept it. If not acceptable, some options include wearing a toupee, a wig or
other hair substitute or having a hair transplant operation. However, with hair transplantation the new hair is often just as likely to fall out
as the original hair.

What About Male Pattern Baldness Medications?

Medicated shampoos and ointments should not be used as they do not help. Do not get caught up with quick remedies. Neither vigorous brushing nor washing of the hair usually helps. There are two drug treatments that can help, namely minoxidil lotion or gel which is applied directly to the scalp, and finasteride taken as tablets. However, it must be emphasized that these treatments are expensive, have variable results (good to no difference) and need to be taken for the rest of one’s life if a response occurs. Hair loss usually resumes when treatment is stopped.  You can discuss the use of medications with your doctor.

Scalp Micropigmentation for Male Pattern Baldness?

Scalp Micropigmentation, also known as Hair Replication, Scalp Tattoo, SMP or Scalp Pigmentation can be a great alternative solution to all the “magic” lotions and potions in the market today.  Scalp Micropigmentation uses a mix of permanent makeup and classic tattoo applications to place tiny micro dots in the deep epidermis layer of the scalp.  The result is the appearance of a freshly shaved head of hair or a buzzcut.  Although permanent makeup and classic tattoo techniques are used, this process requires specialized training in the field of Scalp Micropigmentation.  The pigments used are much different then that of permanent makeup or inks used in classic tattoo application.  The needles are much smaller in diameter to closely match the size and shape of an actual hair follicle.  Scalp Micropigmentation is a semi permanent option and the pigment can be removed by a laser if the client chooses to change style or does not like the results of the treatment or how the pigmented follicle fades over time.  Alternatively, if the pigment does fade to a grayish composition, the client can always choose to get a touch up to sharpen the pigment.  Technicians using iron oxide run into trouble in the near future as those inks usually fade to a blue color.  Newer, more experienced technicians are now using pigments that do not contain any lead or iron oxide, so the pigment will not turn blue, and will fade to a grey in 2-10 years.

Scalp Micropigmentation or SMP is a great alternative to hair transplants, that often fail and leave scars; hair systems, that do not look natural; and lotions and potions such as Rogaine, that eventually become too expensive and only hold on to the hairs the client has remaining.

Scalp Micropigmentation Hair Density Treatment for Male Pattern Baldness or Hair Transplant Clients?

Scalp Micropigmentation also has the distinct option of adding volume or density to your natural hair or after having a hair transplant.  Hair density can be added by shading the scalp with pigment that closely matches the clients hair color so the scalp becomes unseen by the eye, and therefore appears to have more density.  This is a great option for men and women with thinning hair, bald spots or client that have had a recent hair transplant and are looking to have more hair density added.

Visit for more information about Scalp Micropigmentation hair option treatments for men and women.

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Article Source:
Murtagh, J. – Patient Education (4th Edition)


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