Hair is terribly personal, a tangle of mysterious prejudices.

Shana Alexander

Hair diseases treating

The healthy condition of the hair depends, to a very large extent, on the intake of sufficient amounts of essential nutrients in the daily diet. Hair is made of keratin, a protein, which also makes up the nails and the outer layer of our skin.

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 important cause of falling hair is stress, such as worry, anxiety and sudden shock. Stress leads to a severe tension in the skin of the scalp. This adversely affects the supply of essential nutrition required for the healthy growth of hair.

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.

Silicon bags are inserted beneath an area of hairy scalp and gradually inflated with saline water over a six-week period. This causes the hair-bearing skin to stretch, thus increasing the amount of hair-bearing scalp. After removing the bags, expanded hair bearing skin is lifted and moved to an adjacent bald area where a similar sized patch of scalp has been excised.

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.

Minoxidil (Rogaine). This over-the-counter medication is approved for the treatment of androgenetic alopecia and alopecia areata. Minoxidil is a liquid that you rub into your scalp twice daily to regrow hair and to prevent further loss. Some people experience some hair regrowth or a slower rate of hair loss or both. Minoxidil is available in a 2 percent solution and in a 5 percent solution.

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.

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.

Hair transplantation is not only for men

Hair transplantation has come a long way from the days of "hair plugs" and a pleasing, natural result is now routine. It is an excellent option for treatment of hereditary hair loss in many men and women.

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.

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.

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.

The site from where the hair is taken is usually a fine scar line which is hidden by the permanent hair in that area. After the procedure there are tiny marks where the grafts have been placed. Initially there is some crusting over these areas (5-14 days) but after this, these areas are usually not detectable.

Almost worse than hair loss in some cases is hair miniaturization-the fine-caliber, wispy hair that grows out a follicle when the follicle is no longer able to produce hair of normal size. Miniaturized hair is hard to style and difficult to conceal. It begins to appear in the course of female pattern hair loss, the female form of the most common type of hair loss in men.

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 care advises

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.

Causes of 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.

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.

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.

How does hair grow?

There are two kinds, eumelanin which creates brown or black hair, and pheomelanin which makes hair appear red. Blonde hair is a result of very low amounts of melanin, the shade of the blonde again depends upon which type of melanin you have. Gray hair is a result of a lack of melanin which is often caused by age but can also be caused by stress and illness.

Whether you have straight or curly hair depends on the shape of the cortex. If the cross section of the cortex is round you will have straight hair, if the cortex is oval shaped you will have curly or wavy 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.

Definition interpreting

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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