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This is a pattern of hair thinning in men which results in a receding hairline and a thinning crown, leaving a horse shoe shaped ring at the back and sides of the head. This is caused by a hormone called dihydtotestosterone (DHT) which affects hair growth and prostate as well. keranique reviews DHT acts on genetically vulnerable follicles, causing them to shorten, miniaturize and eventually disappear hence thinning in the specific areas of the scalp until the hair completely stops growing. However the hair at the back of the head is less susceptible to DHT and more permanent. During hair transplantation, the permanent hair is transplanted to the balding area, and since the follicles retain their DHT effects resistivity characteristics, they continue to grow normally.