Hair loss types

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.

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.

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.

Women require 60 grams, men 80 to 90 grams, adolescent boys and girls 80 to 100 grams of protein. It is supplied by milk, buttermilk, yogurt, soyabean, eggs, cheese, meat and fish. A deficiency of some of the B vitamins, of iron, copper and iodine may cause hair disorders like falling of hair and premature greying of hair.

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.

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.

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.

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 (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.

Steps to healthier hair

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.

Many people (wrongly) will drop a handful of shampoo on their head and then rinse it off. Shampoo must be worked through all of your hair, as well as the scalp and hairline.

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.

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.

Hair transplantation vs. hair loss

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.

Hair transplantation is done under local anesthesia as an outpatient procedure. Hair and follicles are removed from the "donor area" of permanent hair along the back and sides of the head. This area is immediately camouflaged by the surrounding hair.

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.

In most cases, immediately after the hair transplant the hairs fall out of the grafts, and do not regrow for 1-3 months. After this they begin to grow as normal hair. With each session there is more hair, and the resulting appearance is thicker hair.

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 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.

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.

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.

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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