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.

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.

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.

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.

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.

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.

Most people require more than one session, each spaced at least six months apart each to complete the hair restoration in an area. The timing and number of transplants depends on the amount of hair you have when you start, how much is anticipated that you will continue to lose without transplanting and how much hair density you desire.

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.

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.

Did you notice that when you shampoo your hair the amount of lather often varies? Usually, the more lather you have, the less buildup you have on your hair. It's also important to fully rinse out the shampoo to eliminate any residual detergents--they can damage the hair shaft and scalp.

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.

Definitions

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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