Hair loss types

General debility, caused by severe or long standing illnesses like typhoid, syphilis, chronic cold, influenza and anaemia, also gives rise to hair disorders. It makes the roots of the hair weak, resulting in falling of hair. An unclean condition of the scalp can also cause loss of hair. This weakens the hair roots by blocking the pores with the collected dirt. Heredity is another predisposing factor which may cause hair to fall.

There are many surgical procedures which will help to restore the hair from falling. Surgical restoration is the only permanent solution to baldness. It involves a series of operations that extract plugs of scalp from the sides and back of your head, where hair grows densely, and implant them on top and in front, where you are going bald.

Scalp reduction is performed on patients with well-defined bald spots in the crown area of the scalp. It is sometimes done in conjunction with hair transplantaion to reduce the size of the bald scalp, especially in patients who do not have enough donor hair to cover the bald areas.

The most familiar hair loss pattern is where the hair begins to recede in the hairline and the crown at roughly the same time. The hair in the mid-scalp or anterior scalp is often the last to go. But go it will, eventually leaving a man with the horseshoe of hair that is the telltale sign of typical male pattern baldness.

For women, hair loss is different. There is no set pattern for womens androgenic hair loss, which like MPB, occurs in the overwhelming majority of cases. Women can suffer from alopecia totalis and alopecia universalis just like men. Women can experience patch baldness for the same reasons as men (stress, poor nutrition, etc.), as well as due to hormonal changes from pregnancy and certain eating disorders. However, like men, the hair will generally grow back.

New hair resulting from minoxidil use may be thinner and shorter than previous hair. But there can be enough regrowth for some people to hide their bald spots and have it blend with existing hair. New hair stops growing soon after you discontinue the use of minoxidil. If you experience minimal results within six months, your doctor may recommend discontinuing use. Side effects can include irritation of the scalp.

Finasteride (Propecia). This prescription medication to treat male-pattern baldness is taken daily in pill form. Many people taking finasteride experience a slowing of hair loss, and some may show some new hair growth. Positive results may take several months. Finasteride works by inhibiting the conversion of testosterone into dihydrotestosterone (DHT), a hormone that shrinks hair follicles and is an important factor in male hair loss. Rare side effects of finasteride include diminished sex drive and sexual function. As with minoxidil, the benefits of finasteride stop if you stop using it.

Women hair loss

Hair transplantation is a surgical modality used for the correction of androgenic alopecia, scarring alopecia, and other causes of permanent alopecia.

The removed hair follicles are then divided into individual grafts of varying sizes. The smallest grafts contain 1-2 hairs and are often referred to as "follicular units" or "micrografts". Larger minigrafts may contain up to 6 hairs and can provide more density per graft. Choice of number and type of graft is made taking into account the patient's hair type, quality, color and the area to be transplanted. Once prepared the grafts (hair and its roots) are then inserted into the thin area.

Most people require more than one session, each spaced at least six months apart each to complete the hair restoration in an area. The timing and number of transplants depends on the amount of hair you have when you start, how much is anticipated that you will continue to lose without transplanting and how much hair density you desire.

In the hands of well-trained and experienced physicians, and using newer techniques with smaller grafts, the hair grows in the proper direction with a feathered hairline, and a highly aesthetic result.

Women with localized thinning on the top of their heads or thinning around the temples often make good candidates for hair transplantation. Prior to evaluation for hair transplantation, it is important for women to discuss your thinning hair with a dermatologist and/or endocrinologist to make sure there is no other treatable reason for the hair loss.

Hair transplantation is a cost-competitive solution for hair loss. Other hair replacement alternatives require additional maintenance over the years. The cost depends on the amount of bald area that will need to be transplanted, and the desired thickness. More grafts are necessary to cover more bald or thin area and to maximize hair density. Because the procedure is individual, costs are usually determined individually.

Many women today are proactive about seeking hair transplantation. They are unwilling to accept hair loss as an unavoidable fact of life. Scalp hair is a major component of the image women project to the world and they do not wish to have hair loss detract from that image.

Hair loss is not "an inevitable sign of getting older". It has been reported in studies that about 80% of women experience some degree of hair loss before menopause. Much of this hair loss has a hereditary basis-female pattern hair loss.

Whether hair transplantation is a viable option for a woman with mild to moderate hair loss is a question to be answered by close consultation between the woman and the physician hair restoration specialist. Into that determination will go the patient's medical history, hair loss history, family medical and hair loss history, physical examination, scalp examination and laboratory tests as indicated by other examination results.

Hair basics

Hair is composed of Keratin, a special protein that also produces our fingernails and toenails the nails and forms the protective outer layer of our skin. Each strand of hair consists of three concentric layers, the cuticle, the cortex and the medulla.

The outer layer is called the cuticle and is thin and colorless, its job is to protect the thicker cortex which contains the melanin. Melanin is responsible for the color of your hair and the actual color depends on what kind of melanin you have .

The physical thickness and length of hair depends on what type of hair it is. Vellus hair is the fine fuzz type of hair that's often called peach fuzz. Its very fine and colorless and often almost invisible to the naked eye.

About 90 percent of the hair on a person's scalp is growing at any one time. The growth phase lasts between two and six years. Ten percent of the hair is in a resting phase that lasts two to three months. At the end of its resting stage, the hair is shed. When a hair is shed, a new hair from the same follicle replaces it and the grow-ing cycle starts again.

Hair care advises

Frequently shampooing can dry out your hair and, therefore, must be followed by the use of a moisturizing conditioner. It is very important to work the conditioner through all of your hair and leave it in for three to five minutes. Again, many people misapply and misuse conditioner by not working it through to the ends of the hair and not leaving it on long enough.

Correct use of conditioners containing light proteins, such as hydrolyzed human hair keratin proteins, can help strengthen your hair. A good conditioner with these proteins can easily penetrate the hair shaft to replenish nutrients. These proteins can also repair split ends. Split ends develop after the protective cuticle has been stripped away from the end of hair fibers as a result of harsh chemicals or even vigorous brushing.

Excessive exposure to the sun can damage your hair by inducing oxidation of the sulfur molecules within the hair shaft, leaving the hair weak, brittle, dry and faded. People who bleach or lighten their natural hair color may also notice slight color changes in their hair when it is exposed to sun.

Nutritionists advise healthy hair seekers to eat well-balanced diets that incorporate healthy proteins along with foods high in vitamins B, C, E, A and K. Hair instantly responds to the addition of protein-rich foods such as meats, eggs, cheese, seeds and nuts. Fish packs a double punch of protein combined with health building essential fatty acids and natural oils. We recommend you discuss your diet with a medical professional.

Conditions that can cause hair loss

Do you feel that you are the only one losing hair? You're not! The most common form of hair loss, Androgentic Alopecia, or pattern baldness, is experiences by 50-80% of Caucasian men. The number of Chinese males affected are half of the Caucasian counterparts while African Americans have a lower incidence of the condition as well. For women androgenetic alopecia occurs between 20-40% of the general female population. In summary, it is safe to say that pattern baldness is experienced by the norm of the population, you're not alone, but actually in the majority.

Androgenic alopecia develops when the hair follicle (the place under the skin where hair grows from) experiences a reduction in size, as well as a time reduction in the active growth phase. this translates into a simple fact: more and more of the hair follicles will spend time in the resting state where hair is shed once the state is completed. Fortunately, androgenic alopecia does not develop in all hair follicles at the same time. This is why some part of the scalp seems to be losing more hair than the other.

High Fever, Severe Infection, Severe Flu - Illnesses may cause hairs to enter the resting phase. Four weeks to three months after a high fever, severe illness or infection, a person may be shocked to see a lot of hair falling out. This shedding usually corrects itself.

Inadequate Protein in Diet - Some people who go on crash diets that are low in protein, or have severely abnormal eating habits, may develop protein malnutrition. The body will save protein by shifting growing hairs into the resting phase. Massive hair shedding can occur two to three months later. Hair can then be pulled out by the roots fairly easily. This condition can be reversed and prevented by eating the proper amount of protein and, when dieting, maintaining adequate protein intake.

Low Serum Iron - Iron deficiency occasionally produces hair loss. Some people don't have enough iron in their diets or may not fully absorb iron. Women who have heavy menstrual periods may develop iron deficiency. Low iron can be detected by laboratory tests and can be corrected by taking iron pills.

Hair Pulling (Trichotillomania) - Children and sometimes adults will twist or pull their hair, brows or lashes until they come out. In children especially, this is often just a bad habit that gets better when the harmful effects of that habit are explained. Sometimes hair pulling can be a coping response to unpleasant stresses and occasionally is a sign of a serious problem needing the help of a mental health professional.

Definitions and terms on this page

Alopecia Areata

• Alopecia areata is a hair loss condition which usually affects the scalp. It can, however, sometimes affect other areas of the body.

Hair loss

• A progressive, diffuse loss of scalp hair in men that begins in the twenties or early thirties, depends on the presence of the androgenic hormone testosterone, and is caused by a combination of genetic and hormonal factors. Also called androgenetic alopecia.

Hair transplantation

• Hair transplantation is a surgical procedure used to treat baldness or hair loss (alopecia). Typically, tiny patches of scalp are removed from the back and sides of the head and implanted in the bald spots in the front and top of the head.

Protein

• Important building blocks of the body, composed of amino acids, involved in the formation of body structures and controlling the basic functions of the human body.


• Complex organic molecules made up of amino acids. Proteins are basic components of all living cells and are therefore among the principal substances that make up the body.

Ringworm

• The term "ringworm" refers to fungal infections that are on the surface of the skin. The early belief was that the infection was due to a worm, which it is not, although the name has stuck. Some of these fungi produce round spots, but many do not.

Thyroid

• A gland in the throat that produces hormones that regulate growth and metabolism.


• A large gland in the neck that functions in the endocrine system. The thyroid secretes hormones that regulate growth and metabolism.

Alopecia

• A hair loss, baldness, and epilation.


• Alopecia, also called hair loss, baldness, and epilation, is a common side effect of chemotherapy and radiation therapy.

Baldness

• A progressive, diffuse loss of scalp hair in men that begins in the twenties or early thirties, depends on the presence of the androgenic hormone testosterone, and is caused by a combination of genetic and hormonal factors. Also called androgenetic alopecia.

Biotin

• Also know as Vitamin H.

Follicles

• A follicle (from the Latin folliculus) is a term to describe a small spherical group of cells containing a cavity.

Grafts

• To transplant or implant surgically into a bodily part to replace a damaged part or compensate for a defect.

Hormone

• A substance, usually a peptide or steroid, produced by one tissue and conveyed by the bloodstream to another to effect physiological activity, such as growth or metabolism.

Scalp

• The skin covering the top of the human head with its attached hair.

Stress

• Importance, significance, or emphasis placed on something.


• The relative force with which a sound or syllable is spoken.


• Accent or a mark representing such emphasis or force.


• An applied force or system of forces that tends to strain or deform a body.


• A mentally or emotionally disruptive or upsetting condition occurring in response to adverse external influences and capable of affecting physical health, usually characterized by increased heart rate, a rise in blood pressure, muscular tension, irritability, and depression.


• A state of extreme difficulty, pressure, or strain.


• A physical and psychological response that results from being exposed to a demand or pressure.

Testosterone

• A white crystalline steroid hormone, C19H28O2, produced primarily in the testes and responsible for the development and maintenance of male secondary sex characteristics. It is also produced synthetically for use in medical treatment.

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