Senior Member azza786 Posted October 22, 2008 Senior Member Share Posted October 22, 2008 hi guys, i been researching DUPA for the last few weeks and noted one thing that may sound awkward but i thought it would be best to ask for knowledge. i have noted that in images that show the process of DUPA i.e. on doc bersteins website and other images, how come they always show the right side of the head i.e. the sides and back. is this where DUPA starts from and then spreads or is this a co incidence? i know my query may come as a surprise but i thought i just ask anyhow. thanks az! 3608 grafts with dr h.rahal, june 2007 1623 grafts- dr h. rahal, november 2008 total- 5231 grafts My Hair Loss Website Link to comment Share on other sites More sharing options...
Senior Member azza786 Posted October 22, 2008 Author Senior Member Share Posted October 22, 2008 hi guys, i been researching DUPA for the last few weeks and noted one thing that may sound awkward but i thought it would be best to ask for knowledge. i have noted that in images that show the process of DUPA i.e. on doc bersteins website and other images, how come they always show the right side of the head i.e. the sides and back. is this where DUPA starts from and then spreads or is this a co incidence? i know my query may come as a surprise but i thought i just ask anyhow. thanks az! 3608 grafts with dr h.rahal, june 2007 1623 grafts- dr h. rahal, november 2008 total- 5231 grafts My Hair Loss Website Link to comment Share on other sites More sharing options...
Senior Member Dr. Michael Beehner Posted October 22, 2008 Senior Member Share Posted October 22, 2008 DUPA, which stands for "Diffuse Unpatterned Alopecia", affects all of the potential donor hair on the back wall and on both side walls. By definition, it is the presence diffusely through these hairs of MINIATURIZED HAIRS, which are hairs with a limited number of life cycles left before they disappear. Sometimes this can be picked up early with an in-office magnification device by an expert in hair loss diagnosis. Oftentimes it is obvious to the patient and his family by simply looking at these areas, in which you can "see through" to the bare scalp when it is moderately advanced. As to why you only get those two views, my guess is that he feels the right and the left views would be identical and he's giving you a representative view. Some clinics only take a side view of one side and don't photograph both unless there is a difference. We used to only take a left view when we used film, to help save on photographic costs, but now do both sides with the less expensive digital modality. Mike Beehner, M.D. Dr. Mike Beehner is a highly esteemed member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member azza786 Posted October 26, 2008 Author Senior Member Share Posted October 26, 2008 thanks for that dr beehner, useful reply. so therefore am i right to assume that when DUPA occurs, it affects the whole head at the same time or there are possibilities that it can start from one side and move on to the other side later on or is the latter assumption not possible? 3608 grafts with dr h.rahal, june 2007 1623 grafts- dr h. rahal, november 2008 total- 5231 grafts My Hair Loss Website Link to comment Share on other sites More sharing options...
Regular Member CyberneticNuker Posted November 4, 2008 Regular Member Share Posted November 4, 2008 In 50% of the patients with DUPA, hyper/hypothyroidism or latent iron deficiency is the cause. And majority of the rest respond to finasteride. Go get some blood tests. DUPA is a relatively stable process though! You can still look great with 2-3mm clipped hair. Link to comment Share on other sites More sharing options...
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