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Various stages of hair loss occurring with male pattern baldness. Each stage is
marked by progressively more loss of hair in the frontal hairline and crown. The
length of time for each stage to develop varies from one individual to another.
Variations
of these developing stages were first mapped out by Hamilton and Norwood.

Various stages of female pattern baldness as defined by the Ludwig Scale are
marked by a wider dispersal of hair loss over the entire scalp. Unlike with
males there often isn't a distinct pattern making diagnosis difficult in the
early stages. Also with males the miniaturization
effect (decrease in diameter of hair shafts) of the hair follicles is more
localized as compared to women allowing for more obvious diagnosis.

In the right hand portion of the the above picture there is a localized and
distinct pattern of hair loss most often seen with male pattern baldness. As the
follicles decrease in diameter the hair becomes thinner and the scalp more
visible. The left side of the picture depicts what is seen more often with
female pattern baldness. Because there is a lesser degree of localization the
miniaturization is less obvious and hidden by the unaffected hair. Because of
this pattern of loss the genetic predisposition is less obvious among females in
family trees.
In regards to the balding areas many males utilize the often criticized
"comb over" to lessen the appearance of thinning hair as the pattern
progresses. This is a natural occurrence because most men and hair stylists have
always utilized combing and brushing techniques to maintain the style and
appearance of a well groomed man. Also since the pattern of hair loss,
whether it be with a man or woman, never occurs on a timed schedule or all at
once. In fact pattern baldness is different with every individual and may
occur on different portions of the scalp at various points in time. In many
cases the dreaded "M" hairline (widow's peak) may only appear on one side of
the scalp or the part line years before it progresses to the opposite
side. With women since the hair loss occurs over a broader spectrum of the scalp various
hair coloring techniques and shorter hair styles can prove quite
beneficial.
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