Hair fall


Hair fall - alopecia can occur anywhere in your body. Bldnes refers to excessive hair fall from scalp. Even normally many people shed around 50-100 hairs a day. 

CAUSES


The most common cause  is a heredity related - male-pattern baldness or female-pattern baldness.  DHT - A male sex hormone is the key cause behind such fall in genetically susceptible people,
Hormonal changes and imbalances that occur during pregnancy, childbirth, discontinuation of birth control pills or the onset of menopause can also cause hair loss.
Thyroid problems. The thyroid gland helps regulate hormone levels in your body. If the gland isn't working properly, hair loss may result.
Alopecia areata. Happens when the body's own immune system damages the hair follicles.
Scalp infections. e.g., ringworm.
Other skin disorders. Diseases like  lichen planus and some types of lupus, can result in permanent hair loss where the scars occur.

Medications - Drugs used to treat cancer, Arthritis,Depression,heart problems etc., can cause hair fall.

  1. A physical or emotional shock - Life stresses like pregnancy, surgery, or severe illness or trauma can lead to hair loss. 
  2. Hair-pulling disorder people with such disordera  have an  urge to pull out their hair,often leaving patchy bald spots on the head.
  3. Certain hairstyles. Traction hair loss can occur due to  hair being pulled too tightly.

Risk factors

Family history

Hair products and treatments like starightening

Poor nutrition e.g.
Deficiency of Iron and Vitamin D

 Diagnosis


  • A complete medical history, 
  • Family history 
  • Physical examination can help in a diagnosis. 
  • The pattern and rate of hair loss, the appearance of nearby hairs, and accompanying symptoms 

Lab tests

Your doctor may perform blood tests to determine  medical conditionS that causes hair loss, such as thyroid disease.

Biopsies and samples

 This helps determine the stage of the shedding process, infectionS causing hair loss etc.,

Treatment

For some types of hair loss, hair may resume growth without any treatment. In other situations, treatments may help promote hair growth or hide hair loss.
If your hair loss is caused by an underlying disease, treatment for that disease will be necessary. This may include drugs to  suppress immune system, such as prednisone.
Thyroid replacement for relevant hair loss
Supplements in case of vitamin or iron deficiency

   

Medications approved  treat testosterone- DHT realted hair loss include:
  Minoxidil . Some people experience some hair regrowth or a slower rate of hair loss or both. Results may take longer to appear.
  Finasteride. This prescription medication to treat male-pattern baldness is taken daily in pill form. 

Other newer forms of non- surgical include,

Platelet rich plasma therapy
Laser therapy 


Hair tranplantation



  This type of procedure removes tiny plugs of skin, each containing a few hairs, from the back or sides of your scalp. The plugs are then implanted into the bald sections of your scalp. Several transplant sessions may be needed.
FUT involves the removal of a strip of superficial layers of hair bearing scalp from the back and sides of the head (donor area). The strip is dissected into fine follicular units with the help of stereo microscopes and are transplanted on to the bald area (recipient area). 
The main advantage of this method is to cover wider areas as it gives scope for obtaining more no. of grafts in a single session. If the donor area permits, one can transplant even up to 5000 follicular units (>8000 follicles) in a single session.
FUE
Follicular Unit Extraction (FUE)  -  an instrument is used to make a small, circular incision in the skin around a follicular unit, The unit is then extracted (pulled) directly from the scalp, leaving a small open hole.
Cost - Rs 30- Rs .150 per follicular unit
Cost may range from Rs 25000 to Rs 100000.. approx. depending on the size of area affected.
usually >40 units per sq.cm is required for a natural look.

Hair transplant cost in Chennai is nearly Rs. 25,000 - Rs 1,00,000.

Wigs and hairpieces

 wigs are arranged by different methods like:
  • Hair weaving
  • Hair bonding
  • Hair clipping
  • Hair gumming


References:


http://www.bernsteinmedical.com/fue-hair-transplant/