Scarring in Advanced MPB
Advanced Balding Associated with Scarring
Advanced late stage male balding (AGA, MPB) is sometimes associated with the presence of scar tissue beneath the scalp. This can sometimes cause an uneven and asymmetrical appearance of hair loss and even cause the physician to consider other diagnoses.
Chronic sun damage (which is shown here in the photo with areas of hyperpigmentation, hypopigmentation and dilated blood vessels) accelerates the development of this type of scar tissue in many men with male balding. Therefore advanced androgenetic alopecia can be thought of as a type of "scarring alopecia."
This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.