Hair Loss

Hair loss occurs in many individuals around the world and can be caused by a variety of conditions. Most people have between 100,000-150,000 hairs on their head and lose less than 100. Once the hair loss exceeds that, it can become noticeable and distressing.

The stress of hair loss can lead to depression, anxiety an even further hair loss. Hair loss is distressing and can cause stress, anxiety and low self esteem. It is very important to have your hair loss evaluated by a dermatologist who can examine your hair, ask the right questions, and create a personalized treatment plan. With the right diagnosis and treatment plan, hair loss can be stabilized and improved.

Types of hair loss

There are many types of hair loss and it is important to make the right diagnosis! A board certified dermatologist can evaluate your hair and review your medical history to determine what kind of hair loss you have. The most common hair loss types are:

• Telogen effluvium. Telogen effluvium causes diffuse shedding of the hair.

• Male pattern hair loss. Male pattern hair loss usually appears as thinning at the forehead and central scalp.

• Female pattern hair loss. Female pattern hair loss also occurs at the forehead and central scalp and can also cause widening of the partline.

Other less common types of hair loss are:

• Alopecia areata. This is an autoimmune hair loss that causes round patches of hair loss throughout the scalp and sometimes on the bodyy.

• Frontal fibrosing alopecia. This is also an autoimmune hair loss that causing red, painful patches of hair loss along the forehead.

• Lichen planopilaris. This is similar to frontal fibrosing alopecia and can cause red, painful patches of hair loss throughout the scalp.

• Central centrifugal cicatricial alopecia. often associated with tight hairstyles or product use, this hair loss occurs on the crown of the scalp and can be painful and irritated.

What causes hair loss?

Hair loss comes from genetics, skin inflammation, lifestyle factors, and nutrition. Male and female pattern hair loss usually occurs in families; either parent’s genetics (mom or dad) can contribute to hair loss in men and women. Skin inflammation causes autoimmune hair loss like alopecia areata and lichen planopilaris. Telogen effluvium can be caused by nutritional or hormonal imbalances or by stressful life events. There are many causes of hair loss and a dermatologist can review your medical history and figure out the best treatment plan.

Who is at risk for hair loss?

Hair loss often occurs in adult males as male pattern hair loss. Female pattern hair loss usually begins after menopause but can occur in women as early as their 20s. Autoimmune hair loss can occur at any age and can be seen more commonly in women. Anyone who has gone through stressful life events, surgeries, car accidents or other traumas can also develop hair loss. Hair loss is also common after pregnancy or with other hormonal changes. Finally, hair loss can be caused by various medications, such as chemotherapy or certain blood pressure medications.

How do dermatologists treat hair loss?

Dermatologists have a variety of tools to treat hair loss. A hair loss evaluation begins with a detailed medical history, hair loss timeline, and review of any products used in the past or currently. Then, the hair is examined, looking at the scalp itself and the quality of the hair. Other areas of the body, such as the nails, face, arms and legs, may also be examined. All of this information helps to make a correct diagnosis and treatment plan. A small skin biopsy may also be performed.

Once the diagnosis is made, hair loss can be treated that may include:

• Supplements. There are several excellent supplements such as Nutrafol or pumpkin seed oil can help support hair growth and decrease inflammation.

• Minoxidil. Minoxidil (Rogaine) helps to stimulate hair growth and can be taken as a foam, liquid, or even in pill form, in the right clinical setting.

• Oral medications. Oral medications such as spironolactone and finasteride can help to promote hair growth by balancing the effect of certain hormones.

• Lifestyle. Decreased stress, adequate protein intake, and use of anti-inflammatory supplements can support healthy hair growth.