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Review

Female pattern hair loss: Current treatment concepts

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Pages 189-199 | Published online: 19 Oct 2022

Figures & data

Figure 1 CitationLudwig scale (1977).

Grade I: Perceptible thinning of the hair on the crown, limited in the front by a line situated 1–3 cm behind the frontal hair line.

Grade II: Pronounced rarefaction of the hair on the crown within the area seen in Grade I.

Grade III: Full baldness (total denudation) within the area seen in Grades I and II.

Figure 1 CitationLudwig scale (1977).Grade I: Perceptible thinning of the hair on the crown, limited in the front by a line situated 1–3 cm behind the frontal hair line.Grade II: Pronounced rarefaction of the hair on the crown within the area seen in Grade I.Grade III: Full baldness (total denudation) within the area seen in Grades I and II.

Figure 2 Sinclair Scale (CitationCollins et al 2006; CitationYip and Sinclair 2006).

Grade 1: is normal. This pattern is found in all girls prior to puberty but in only forty-five percent of women aged eighty or over.

Grade 2: shows a widening of the central part.

Grade 3: shows a widening of the central part and thinning of the hair on either side of the central part.

Grade 4: reveals the emergence of a diffuse hair loss over the top of the scalp.

Grade 5: indicates advanced hair loss.

Figure 2 Sinclair Scale (CitationCollins et al 2006; CitationYip and Sinclair 2006).Grade 1: is normal. This pattern is found in all girls prior to puberty but in only forty-five percent of women aged eighty or over.Grade 2: shows a widening of the central part.Grade 3: shows a widening of the central part and thinning of the hair on either side of the central part.Grade 4: reveals the emergence of a diffuse hair loss over the top of the scalp.Grade 5: indicates advanced hair loss.

Figure 3 Savin Scale (CitationSavin 1994).

The Savin scale measures overall thinning of the crown scalp, and consists of 8 crown density images reflecting a range from no hair loss to severe hair loss (Stages I-1, I-2, I-3, I-4, II-1, II-2, III, advanced). The ninth and final image in the scale demonstrates frontal anterior recession.

Figure 3 Savin Scale (CitationSavin 1994).The Savin scale measures overall thinning of the crown scalp, and consists of 8 crown density images reflecting a range from no hair loss to severe hair loss (Stages I-1, I-2, I-3, I-4, II-1, II-2, III, advanced). The ninth and final image in the scale demonstrates frontal anterior recession.

Table 2 Causes of alopecia in the female (CitationSinclair and Dawber 2001)