This question comes from a member of our [tag]Hair Loss[/tag] Social Community and Discussion Forum:

While researching [tag]hair transplant surgery[/tag] I’ve noticed that some physicians utilize [tag]nape hair[/tag] during transplant procedures. I’m curious, is nape hair resistant to future hair loss like follicles harvested from the [tag]universal donor region[/tag], or are these hairs susceptible to progressive [tag]male pattern baldness[/tag]?

Nape hair, in my opinion, is a bit of a grey area. With normal [tag]androgenic alopecia[/tag] (male pattern baldness) certain, generalized areas are affected by hair loss and create the familiar [tag]balding[/tag] patterns associated with charts like the [tag]Norwood balding scale[/tag].

However, at the root of the hair loss is a hormone, [tag]dihydrotestosterone[/tag] ([tag]DHT[/tag]), that attacks susceptible follicles (those outside the universal safe zone) and creates the balding patterns.

Although the nape hair area (back of the neck/lower region of the scalp) may not constitute a region that fits a Norwood balding pattern, the hairs are still susceptible to DHT and therefore can be affected (to some extent) by male pattern baldness.

Normally, individuals who experience nape loss are advanced [tag]hair loss sufferers[/tag] (Norwood VI and VII), but technically any individual experiencing androgenic alopecia could see some level of nape hair recession.
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Blake Bloxham – formerly “Future_HT_Doc”

Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

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Bill - Seemiller

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