Introduction
A 26 year old male presented to the clinic with early stage hair loss to his forehead and crown. His hair loss had been slowly progressing over the last 3 years. Classification: Norwood 2.

He reported no excessive hair loss (shedding), but was aware he had lost a lot of his hair at the forehead and crown. He consulted Ashley and Martin to see if he could grow his hair back.

Patient Background
This client reported good health with no ongoing health concerns.
He was on no current medications, either long or short term.

Family History
He reported a family history of hair loss in his father and brothers.

Examination
On examination hair density was reasonable at the forehead and crown. Assessment indicated good potential results. Surgery was not an option as there was a strong possibility of reversible hair loss in affected areas. (When you have an area of hair loss where no hair growth is apparent you will not know for approximately 8 months if any hair will grow back in this area. You cannot tell if the follicles are in telogen phase (sleep phase) or the follicle has died (no possibility of hair growth again)). This man had good hair growth, an indicator that he would obtain excellent results.

Occipital and parietal sections of the scalp showed no signs of hair loss.

On examination hair density was reduced at the forehead and crown.

You have approximately 100,000 hairs on your scalp. In Male Androgenic Alopecia the hair loss only occurs at the crown and forehead. In time the hair follicles in these areas of your scalp die. When this occurs you will not get hair regrowth.

Given the moderate extent of this mans’ hair loss it was probable that he would obtain good results.

Diagnosis
Male Androgenic Alopecia – Norwood 2

Other Medical Issues
On review by doctor, no other complicating factors identified.
He was concerned about diabetes mellitus as he has a family history of this condition.
Several studies have shown an increased potential of male androgenic alopecia where blood sugar problems have been identified, however this usually occurs in older men.

Treatment Options and Rational
• Prescription Based Medicinal Program
• Lasercap
• Doctor recommended our Prescription Based Medicinal Program as the key treatment option given his young age and limited hair loss.

Prescription
• Prescription Based Medicinal Program

Discussion
You have approximately 100,000 hairs on your scalp. As previously stated with Male Androgenic Alopecia the hair loss only occurs at the crown and forehead. A hair system and/or surgery are the only options available to you as effective treatment when this occurs.

Androgenic alopecia results in the death of hair follicles if not treated early. Although death of the hair follicle may occur before treatment begins, the result you could obtain can still be dramatic due to the growth and thickening of the hair around the areas of follicle death. In this mans’ case the growth potential was good given his age and limited hair loss to date.

Outcome
He gained good results over the first 5 months of treatment. Although 80% of growth potential usually occurs up to 8 months of treatment, this man got positive results after only 5 months of treatment. This indicates his longer term potential to be very good.

Conclusion
This client was extremely happy with the results, especially given that he had only been using the program for 5 months.
Results confirm the diagnosis of Male Androgenic Alopecia.

This client should expect continued hair growth over the next 1- 2 years, with hair stabilisation from that point.