DO i have DUPA?

[mothernature]

:sobbing:



I have recently discovered that the hair behind my ears and nape area looks very thin, especially in bright sunlight. Can someone PLEASE help me..

Do i have DUPA I feel very depressed.. i can handle losing on top but I want to get hair transplant's to fix it.. please look at the pics and tell if im doomed :sobbing:

Taken in mostly bright sunlight :sobbing:

:sobbing:


[attachment=5:1nq6feh5]IMG00247-20110821-1450.jpg[/attachment:1nq6feh5]
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[attachment=2:1nq6feh5]IMG00250-20110821-1451.jpg[/attachment:1nq6feh5]
[attachment=1:1nq6feh5]IMG00253-20110821-1451.jpg[/attachment:1nq6feh5]
[attachment=0:1nq6feh5]IMG00251-20110821-1451.jpg[/attachment:1nq6feh5]

 

[gh05]

Looks normal to me?

 

[sergiotahini]

Looks like possible retrograde alopecia. Is the the hair above the nape and below the crown (as in the middle of the back of your head) still thick? Is the thinning limited to an inch or so area from above your ears that runs along the nape of your neck? Is the hair high up on the sides of your head still thick? If so, then it may not be DUPA but rather retrograde alopecia.

http://www.baldingblog.com/2011/06/08/r ... -alopecia/

http://www.regrowshair.com/hair-transpla ... hair-loss/

Retrograde alopecia is pretty common. You'll notice a lot of older bald men with thinner hair above their sideburns/ears and along the nape of their necks. It thins diffusely but usually does not get completely bald. It sucks like any other sort of hair loss, but is not nearly as bad as DUPA.

Just monitor it and try not to sweat it too much. Very unlikely that area will get much thinner anytime soon.

 

[mothernature]

sergio thank you very much for your post.

There is no visibile crown thinning and as far as i can tell my donor area i though was ok as well.. u can see the pictures above..
i have a NW3 receeded hairline at the front. I just dont understand how i can lose hair at the back?

Does this look like retrograde or DUPA? I heard NW7s lose hair in the nape/around ears so why have i? Can i still get hair transplant?

im already on finasteride/nizoral is there any way to treat this?? why do u say that area is unlikely to get any more thinner i thought alopecia is usually progressive?

 

[sergiotahini]

If the donor zone (essentially the middle of the back of your head, directly below the crown) is ok and the loss is isolated to around the ears, nape, and temple points then it is probably just retrograde alopecia and not DUPA. Your photos look like retrograde alopecia to me.

I can't tell you why those areas are thinning now at NW3 as opposed to NW7. From my own experience I don't think that the thinning in those areas is really related that much to the rate of hair loss occurring at the top of your head. For instance, I shed from that zone after starting finasteride but didn't seem to shed much at all from the top of my head. That was when I first noticed thinning in that zone and found out about retrograde alopecia. From looking at pre-finasteride photos of myself I can tell that I had been thinning at the nape for a while but just never really realized it, and I don't seem to be much worse now than I was a year before starting finasteride (my nape is thinner than yours and I am NW2-2.5). From my own experience I don't think retrograde alopecia responds to finasteride.

The reason I say you probably don't have to worry about those areas becoming slick bald is because 99% of old NW4-5+ guys I see in their 50s and 60s with retrograde alopecia still have diffuse hair in those zones. That hair transplant patient in the link I sent you is probably the worst I've seen ever since noticing that type of loss a year ago.

Hope this has eased your mind a bit. It sucks and it doesn't look good (and there really isn't much you can do about it), but it is way better than DUPA.

 

[mothernature]

thanks again sergio for the post. I'm not overly concerned about the hair loss here, only that if its DUPA then it means im ****ed. I spoke to my hair transplant surgeon he says it looks fine dont worry. Its not that notciable in reality to be honest, but i am concerned still do you think this will limit my donor availability?

Yeah it looked a bit bad on the link u posted but I would rather lose it there than at the front. Losing hair there diffusely wont really make much of a difference to ones appearance i guess? :dunno: