HAIR LOSS/HAIR THINNING
Hair loss, or hair thinning, refers to the reduction or complete loss of hair from the scalp. It can arise due to genetic predisposition, hormonal imbalances, medical conditions, or the effect of medications.
Baldness, a severe form of hair loss, often stems from hereditary factors and manifests as significant thinning or complete loss of scalp hair.
What do you see?
- Gradual thinning on the scalp: The most common form, typically progressing with age and affecting both men and women.
- Circular or patchy bald spots: Commonly occur on the scalp or beard.
- Sudden hair loosening: Can result from physical or emotional shocks, leading to diffuse thinning.
- Full-body hair loss: Often linked to treatments like chemotherapy or medical conditions such as alopecia universalis.
- Scaling patches spreading over the scalp: May indicate fungal infections or other scalp disorders.
Causes
- Genetics: Conditions such as androgenic alopecia (male or female pattern baldness) are inherited.
- Hormonal Changes: Seen during pregnancy, menopause, or due to thyroid dysfunction.
- Medical Conditions: Examples include alopecia areata, scalp infections, or autoimmune diseases.
- Medications: Drugs used for cancer, arthritis, depression, heart problems, or high blood pressure can trigger hair loss.
Normal Shedding: Losing 50 to 100 hairs daily is part of the natural hair growth cycle. However, abnormal hair loss occurs when shedding exceeds regrowth or disrupts the growth phase.
Treatment
Aims to slow hair loss, promote regrowth, or cover bald areas. Depending on the cause, treatment options may also include managing underlying infections, addressing immune-related conditions like alopecia areata, or incorporating low-level laser therapy, peptides, oral supplements, and lifestyle changes—especially for telogen effluvium or alopecia areata.
Medications
- Minoxidil: A topical, over-the-counter treatment that stimulates hair regrowth.
- Finasteride: A prescription oral medication for male pattern baldness.
- Intralesional Steroid (ILS) Injections: Often used in cases of alopecia areata to reduce inflammation and stimulate hair regrowth at the site.
- Low-Level Laser Therapy: A non-invasive treatment that helps improve blood flow to hair follicles and boost growth.
- Peptides and Oral Supplements: Nutritional support and peptide-based therapies may help strengthen hair and reduce shedding.
- Lifestyle Modifications: Addressing stress, sleep, and diet can significantly impact conditions like telogen effluvium and alopecia areata.
Platelet-Rich Plasma (PRP) and Growth Factor Concentrate (GFC) Therapy:
- PRP contains growth factors that promote tissue repair and stimulate hair regrowth. These natural proteins support connective tissue and aid in the regeneration process.
- A similar treatment, Growth Factor Concentrate (GFC), offers a more concentrated version of these growth factors, enhancing results in some cases.
Surgical Interventions
Hair Transplantation:
- Hair Transplant: Follicular units—small groupings of hair from denser areas—are carefully implanted into balding areas.
- Pre- and post-surgery medications help improve results.
- Also effective for hair loss due to hormonal changes, trauma, or stabilized medical conditions.
Fungal and Scalp Disorder Treatment:
- Topical or oral antifungal medications to manage scalp infections effectively.
- Medicated shampoos and scalp care routines to reduce inflammation, flaking, and recurrence.