DUP (End Stage)

This is an interesting presentation for what I would call End Stage DUPA in a balding Norwood Class 6 or 7 pattern.  There is so much miniaturization and hair loss throughout the scalp, it is hard to pin down the pattern of hair loss. Here are two views from the same man.  If this man wanted a hair transplant, I would first biopsy his balding area to make sure of the diagnosis in case he has an unusual presentation for scarring alopecia.