Beauty draws us with a single hair.

Alexander Pope

One of the primary cause of hair loss is a high amount of the male hormone, dihydrotestosterone (DHT) within the hair follicle. DHT is produced from testosterone in the prostate, various adrenal glands, and the scalp. After a period of time, an over abundance of DHT causes the hair follicle to degrade and shortens the active phase of the hair.

Another factor that has been linked to hair loss is the amount of sebum in the scalp. Sebum contains a high amount of DHT, and clogs pores in the scalp, both of which cause the malnutrition of the hair root. The amount of sebum in balding hair is related to the amount of oil in the hair. Meanwhile most doctors agree that frequent shampooing is advised in hair loss cases with oily scalps.

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.

For men, hair loss is male pattern baldness. Yes, there are other types of hair loss, including rare conditions such as alopecia totalis and alopecia universalis, where the entire scalp and entire body, respectively, become completely bald due to a viral condition that is irreversible. There is also patch baldness, in which hair falls out in patches of the scalp. This is caused by stress or poor nutrition or adverse scalp conditions. But the hair will usually grow back once the cause has been rectified.

Male pattern baldness that is the condition responsible for over 98% of all hair loss in men. It gets its name from the pattern of hair loss, which ultimately results in a horseshoe of hair that resides on the sides and back of the head, while the top of the head is completely bald. Some men begin MPB by losing the hair in their hairline. Others start in the crown.

The chief difference in womens androgenic hair loss from mens (both are hormone related) is that women tend to experience thinning that occurs in no particular pattern or part of the scalp. Unlike men, the scalp may not actually be totally denuded of hair, just thin to the point where the scalp is visible. Like men, however, the resulting hair loss is generally irreversible.

The effectiveness of medications used to treat alopecia depends on the cause of hair loss, extent of the loss and individual response. Generally, treatment is less effective for more extensive cases of hair loss.

Finasteride is not approved for use by women. In fact, it poses significant danger to women of childbearing age. If you're a pregnant woman, don't even handle crushed or broken finasteride tablets because absorption of the drug may cause serious birth defects in male fetuses.

Corticosteroids. Injections of cortisone into the scalp can treat alopecia areata. Treatment is usually repeated monthly. Doctors sometimes prescribe corticosteroid pills for extensive hair loss due to alopecia areata. Ointments and creams can also be used, but they may be less effective than injections.

Anthralin (Drithocreme). Available as either a cream or an ointment, anthralin is a synthetic, tarry substance that you apply to your scalp and wash off daily. It's typically used to treat psoriasis, but doctors can prescribe it to treat other skin conditions. Anthralin may stimulate new hair growth for cases of alopecia areata.

Hair transplantation refers to the surgical movement of permanent hair with its roots to an area of bald or balding skin. Hair transplantation is an effective and permanent solution for hair loss.

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.

The hair is your own, and just like all of your hair it grows, can be washed, curled, cleaned, permed and styled as desired. Once the transplants are completed, no special maintenance is required.

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.

Hair transplantation can be done both on patients with advanced baldness and earlier thinning. Newer treatments for men like Propecia or for both men and women, like Rogaine should be considered as well especially in patients with earlier thinning as these medications often slow significantly the progression of hair loss. In general, hair transplantation is not considered for patients younger than their mid 20s because of difficulty in predicting ultimate extent of hair loss.

Hair transplantation is universally accepted as a treatment for hair loss. While it was developed and first offered as a hair-loss treatment for men, women have increasingly found hair transplantation a viable option to correct the cosmetic deficit of thinning hair. Advances in hair transplantation techniques and better understanding of the biology of female hair loss contributed to the evolution of hair transplantation got women.

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.

A woman who has a family history of hair loss in women may be especially aware of the possibility that she may also begin to lose hair as she matures. And, she would be correct; a family history of hair loss in women is an indication that a woman may be genetically predisposed to lose hair.

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.

It is good to shampoo your hair--we recommend at least three times a week. This helps to remove dirt and buildup on the hair that can deteriorate the condition of your scalp. When shampooing, it is very important that you pay attention to cleansing your hair, your scalp and your hair line.

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.

Blond hair may turn yellow, fade or become dull due to UV exposure. Even natural brunette hair tends to develop reddish hues from sun exposure due to oxidation of melanin pigments.

Hair requires the same overall nutrition that the body does: plenty of fresh fruits and vegetables, grains and protein including lean meat and fish. Dietitians recommend foods high in biotin, including brown rice, bulgar, brewer's yeast, soybeans, green peas, lentils, oats, sunflower, seeds and nutritious nuts.

The innermost layer of hair is called the medulla and reflects light giving hair the various color tones it has. That's why hair color looks a lot different in sunlight than it does in the shade.

Hair that is dark and very visible is known as Terminal hair. Terminal hair is the hair that we refer to when talk about hair. Whether a hair is a fine vellus hair or a thick dark hair depends entirely on the follicle that is producing the hair. In balding men thick terminal hair is often replaced by fine vellus hair. This is a result of the hair producing equipment, the follicle, suffering physical damage and being unable to produce terminal hair.

The average Caucasian person has 5 million hairs of which 100,000 - 150,000 are on the head. Blondes not only have more fun, they also have more hair, about 140,000 more than average, Brunettes have slightly higher than average hair about 105,000 hairs, and redheads have a little less than average about 90,000 hairs.

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.

Alopecia Areata - In this type of hair loss, hair usually falls out, resulting in totally smooth, round patches about the size of a coin or larger. It can, rarely, result in complete loss of scalp and body hair. This disease may affect children or adults of any age. The cause of alopecia areata is unknown. Apart from the hair loss, affected persons are generally in excellent health. In most cases, the hair regrows by itself. Dermatologists can treat many people with this condition. Treatments include topical medications, a special kind of light treatment, or in some cases pills.

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.

Medications - Some prescription drugs may cause temporary hair shedding. Examples include some of the medicines used for the following: gout, arthritis, depression, heart problems, high blood pressure, or blood thinner. High doses of vitamin A may also cause hair shedding.

Cancer Treatments - Some cancer treatments will cause hair cells to stop dividing. Hairs become thin and break off as they exit the scalp. This occurs one to three weeks after the treatment. Patients can lose up to 90 percent of their scalp hair. The hair will regrow after treatment ends. Patients may want to get wigs before treatment.

Birth Control Pills - Women who lose hair while taking birth control pills usually have an inherited tendency for hair thinning. If hair thinning occurs, a woman can consult her gynecologist about switching to another birth control pill. When a women stops using oral contraceptives, she may notice that her hair begins shedding two or three months later. This may continue for six months when it usually stops. This is similar to hair loss after the birth of a child. See products which may help hair loss.

Major Surgery/Chronic Illness - Anyone who has a major operation may notice increased hair shedding within one to three months afterwards. The condition reverses itself within a few months but people who have a severe chronic illness may shed hair indefinitely.

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 used 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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