A lot of young people attending my clinic arrive with a common complaint of bald patches appearing on the scalp and other hair bearing areas known as Alopecia areata. There is always a bigger fear in their minds especially about losing their entire hair than anything else. Hence I chose to answer some common questions surrounding this condition.
Alopecia areata is a chronic inflammatory disease which affects the hair follicles and sometimes the nails. The onset may be at any age and there is no known race or sex preponderance. Alopecia areata usually presents as patches of hair loss on the scalp but any hair-bearing skin can be involved like moustaches or beard.
The affected skin may be slightly reddened but otherwise appears normal. Short broken hairs (exclamation mark hairs) are frequently seen around the margins of expanding patches of alopecia areata. The nails are involved in about 10% of patients.
Only 14–25% of patients progress to severe forms like total loss of scalp hair (alopecia totalis, AT) or loss of the entire scalp and body hair (alopecia universalis) from which full recovery is unusual (< 10%). Research has indicated that spontaneous remission can occur within one year in 80% of patients especially those with a small number of circumscribed patches of hair loss.
The prognosis is less favourable when onset occurs during childhood and in ophiasis (alopecia areata of the scalp margin). The concurrence of atopic disease has been reported to be associated with a poor prognosis. About 20% of people with alopecia areata have a family history of the disease, indicating a genetic predisposition. If there is a long gap between the onset of the disease and treatment, this may affect the outcome.
A lot of treatment options are available which are effective and safe. Topical and intralesional steroids help in faster regrowth of hair in these patches. Contact immunontherapy is tried in many patients who donot respond to topical and intralesional steroids. Patients with more extensive involvement of the scalp may be given oral immunosuppressants. Please discuss with your Dermatologist for the best options.
Hair is the most beautiful accessory bestowed by nature. Every morning , the very first thing that we notice is our hair. A good hair day certainly brings freshness not only to our face but mood as well. They bring a dramatic difference to one’s personal appearance and confidence. In present times when we all are busy striving for a work –life balance, Hair get under deserved attention. It is also very difficult to make the right choice for hair cosmetics as little is known about them, unlike skin products.
It requires nothing more than to run your fingers through your tresses to know your hair type. If you can slide your fingers through them, easily detangle them and they feel soft to touch, you are lucky to have healthy hair. While frizz, split ends,tangled and rough looking hair qualify as dry and damaged hair. A shiny, bouncy and bright look indicates good hair health and vice versa.
Let us understand the hair structure in a little detail. Hair is made up of three layers- cuticle , medulla and cortex ,the most important of which is cuticle. It has a structure resembling tiles overlapping on a roof and is very vulnerable to damage.It is chiefly responsible for the look and appearance of our hair and is made up of protein layer enveloped on the outside by lipids . Damage to the protein causes weakened hair while the lipid layer when ripped off causes dull looking hair, frizz and split ends. The intercellular cement between the different layers is most vulnerable to damage during procedures like hair straightening, colouring , rough handling and shampooing. The cortex or the innermost layer is damaged during straightening and procedures involving heat.
What causes hair damage? It is mostly the faulty hair grooming practices that cause dry, damaged hair. Repeated rough washing, unprotected drying, friction actions, sunlight and alkaline chemical treatments cause hair damage. Hairs which have undergone procedures require special care with special emphasis on the correct post procedure styling products and methods. Exposure to sunlight and other forms of direct heat like dryers and iron rods can weaken the hair fibres significantly. Combing practices also play a major role in hair breakage and damaged hair.
Avoid shampoos and other hair products containing sulphates and alcohol.
A happy hair day is just a few steps away. Dry and damaged hair are easy to take care , provided one adopts the right steps to hair care. Last but not the least, staying happy and stress free go a long way in maintaining hair health. Have a happy hair day always!!!
The Dermaroller has a rolling head with multiple fine needles, mounted on a rotating drum moves freely on the skin making micro channels in the skin.
The Dermaroller is a microneedle device that has a rolling head with multiple fine needles, mounted on a rotating drum moves freely on the skin making micro channels in the skin of the scalp.This increases the scalp microcirculation and also increases the growth factors which aid in hair growth.
The Dermaroller is an innovative, relatively painless and inexpensive treatment method with many applications in skin and hair care. This device which has a rolling head with multiple fine needles, mounted on a rotating drum moves freely on the skin making micro channels in the skin.
The Dermaroller is a microneedle device that has a rolling head with multiple fine needles, mounted on a rotating drum moves freely on the skin making micro channels in the skin. This increases the blood flow to the scalp, bringing fresh nutrition to the hair roots, and flushes away the toxins. Also any medications that are applied immediately after the roller are able to penetrate easily into the roots of the hair and are more effective that with regular application.
After thorough cleansing of the area, the dermaroller is gently moved at a particular angle over the scalp.it is moved in different directions and all over the scalp.Immediately after the procedure, the medicines are applied in order to deliever them deeper near the hair roots.
The hair loss treatment with dermaroller uses a roller with needles measuring around 0.5 mm to 1 mm. This makes the treatment uncomfortable, but not unbearable. The treatment can be compared to a sharp comb running through the hair.
Dermaroller treatments can be performed once a week to fortnightly intervals depending upon the patient’s condition. Please consult your Dermatologist for a customised regimen.
The dermaroller treatments enhance the absorption of the medicines that you may be using, making the hair grow faster and healthier. Please consult your dermatologist to customise a hair care regimen to give better results and hair regrowth.