Devastated About Your Hair Loss? Tips to Help You Cope.

Hair loss can be devastating. At Happy Head, we always have tips ready to help our customers cope with the loss of their hair. You can also get treatment while you work through the effects. Don't worry, Happy Head is here to help.

“It seems to me that being “not okay” is a perfectly acceptable response to this unwanted, unannounced situation.  There’s nothing wrong with feeling “not okay” on some days or in some situations.  We are grieving the loss of our hair, the loss of our identity, the loss of our sense of self, and the loss of our confidence.”

– Sarah, Member of Alopecia Areata, Find a Cure (01)

In January of 2020, Massachusetts Representative Ayanna Pressley made an announcement with a video that she has alopecia.  Much like Jada Pinkett Smith, Pressley is in the public eye and tried to hide her condition as long as she could.  Pressley decided that she was done hiding.  She took off her wig and shared her story.  The video helped Pressley make peace with her condition.  Coming forward helped Pinkett Smith in a similar way. “Me and this alopecia are going to be friends,” said Pinkett Smith.  

Alopecia may not be life-threatening, but it’s upsetting no matter what type you have.  Whether you have androgenic alopecia, alopecia areata, telogen effluvium, or any other kind of alopecia, men and women go through a similar grieving process when losing their hair. (02)   

Society’s expectations of what’s attractive don’t make it easy to accept your hair loss. Somehow we can talk about sex, curse, and even be openly rude to each other, but revealing that you’re balding or completely bald is shocking and newsworthy.    

So how do you get to the point when you’re “okay” when it feels like you never will be? We asked Rachel, one of our staff writers with lichen planopilaris, an autoimmune alopecia, how she got there. 

Q. How did you find out that you had alopecia?

Rachel: When my son was about one and a half, I noticed a lot of hair in the shower and sink. My hairline also started to recede on one side.  I had just had two babies back-to-back, and I figured that my hair was falling out from the hormonal changes.  I thought it would grow back.

Then, during a routine visit to the dermatologist, I had my doctor take a look.  He took a biopsy, which I thought was overkill for a slight hormonal imbalance, and I didn’t think about it again until I got a phone call.  The call wasn’t from a nurse or an assistant.  The dermatologist called me himself.  I knew right away that the news wasn’t going to be good. 

Q. How did you react when you found out that you have alopecia?

Rachel: I remember being really upset and desperately hoping that my dermatologist was wrong.  I was a ballet dancer all of my life and always had my hair back in a ponytail or a bun.  There wasn’t a way to hide the recession, and I wasn’t sure how to make my hair look presentable. 

Q. How did your alopecia diagnosis affect you emotionally?

Rachel: It was a tough time.  I hated the way my hair looked, and I kept imagining what I would look like as the rest of it fell out. On top of that, I felt guilty about being so vain.  People get all kinds of horrific diseases as they age, yet I was lucky enough only to get something cosmetic.  I didn’t think I had the right to be so upset about my hair.  Looking back, I wish I could tell my younger self that it’s okay to be upset.  It’s a natural part of the healing process.    

Q. How did you treat your alopecia? Did it help?

Rachel: Shortly after I was diagnosed, I found a top dermatologist in my area who specializes in hair loss. Initially, I was treated with steroid injections (yes, they hurt), topical Clobetesol, five percent Minoxidil, and Tacrolimus. The goal was to prevent further hair loss and strengthen the surrounding hair.  

My alopecia went into remission for over ten years, but recently flared up again. My treatment this time around is a bit different.   It’s amazing how much research has been conducted and how much has been learned since I first started on this journey. My dermatologist added Finasteride to my treatment plan.  Much to my surprise, I’m seeing small areas where hair is growing back.  I didn’t expect that to happen.

Q.  What did you do to get to a better place emotionally when you were feeling down about your hair loss?

Rachel: I set a time limit to allow myself to be upset. I gave myself a week and decided that after the week was over, I would let my sadness go and focus on other things. The time limit gave me power over my emotions and the situation when I didn’t have any control.   

When the lichen planopilaris flared up after being in remission for so long, I regressed a bit. I wasn’t as upset as I was the first time because I had some experience, but I definitely got emotional. I had to go through the same process of limiting my grief.  I think emotions tend to ebb and flow with alopecia. Everyone has to find what works for them when managing those strong emotions.

Q. A lot of people with alopecia are at a loss about how to style their hair.  What did you do?

Rachel: I visited my hair salon and got a sassy, short haircut.  I wasn’t sure that I would like short hair, but it’s since become my style.  If my alopecia gets so bad at some point that I have to cut it shorter, I will.  

Ironically, this process has given me confidence and taught me to own my look, whatever that is at the time.  Although it’s not a choice that everyone would make, I found that cutting my hair was liberating. I followed the protocol that my doctor prescribed for me, but I stopped fretting about every hair that I saw in the sink.

Q. What advice do you have for other men and women who are experiencing hair loss?

Rachel: Most importantly, find a board-certified dermatologist who you like and respect. You’re going to need a supportive partner. If you don’t think you have the right professional on your side, get second opinions until you find the right person.   

Secondly, I’m in a few Facebook groups for people with alopecia and read about how many are apprehensive about testing.  If your dermatologist recommends getting blood work or a biopsy, do it. The blood test isn’t a big deal, and the biopsy area is small.  Your dermatologist will numb the area. You won’t feel anything, and the site heals quickly. The small bit of aggravation is worth knowing if you have a form of alopecia. You can then move quickly into treatment.  

Lastly, be kind to yourself. It takes time to come to terms with your hair loss. If you visit online or in-person support groups, you’ll see that you’re not the only one experiencing alopecia. Millions of other people are in your boat. It’s common for people with alopecia to suffer from anxiety or depression. (03) If this is the case for you, don’t hesitate to seek help from a professional therapist or psychologist.  

Healing from the sting of learning that you have a form of alopecia isn’t easy. Now that we’ve heard Rachel’s story, we would love to hear yours. What tricks have you used to make yourself feel better emotionally when dealing with alopecia? And if you’d like to get your FREE consultation with a Happy Head dermatologist and get prescribed a custom hair loss treatment all online, take the questionnaire here. 

 

Resources:

(01) Name has been changed for confidentiality

(02, 03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1261195/#ref11

What Is Topical Finasteride?

If you’re searching for hair loss treatments, finasteride is a name you’ll need to familiarize yourself with. Why? Only two hair loss products have received the FDA’s seal of approval — minoxidil is one of them. The other product is finasteride. 

What is finasteride?

Although there are many different types of hair loss, the most common type is androgenetic or androgenic alopecia, also known as male pattern baldness or MPB. As part of a class of medications called 5-alpha reductase inhibitors, finasteride treats male pattern baldness by blocking testosterone’s ability to develop into dihydrotestosterone (DHT). DHT is a hormone that causes hair loss in adults, especially men. By blocking the production of DHT, finasteride reduces the amount of DHT within the scalp. (01)

Isn’t finasteride used for prostate issues?

Yes, finasteride is also prescribed for symptoms of benign prostatic hypertrophy (BPH) — an enlargement of the prostate gland. When used for BPH, finasteride reduces urinary frequency and urinary retention. However, the doses used in the treatment of BPH are much higher than the doses used to treat hair loss. As a treatment for BPH, finasteride is sold under the name Proscar.

What is finasteride’s history?

During finasteride’s use as an FDA-approved treatment for BPH under the name Proscar, researchers noticed its effectiveness against hair loss. Several years afterward, lower-dose finasteride was approved for hair loss under the name Propecia.

How does finasteride work against hair loss?

Finasteride works by inhibiting the action of the 5 alpha-reductase enzymes. Concentrated in the oil glands of hair follicles, 5 alpha-reductase, which helps convert testosterone into DHT, another hormone. For people who have the genes for hair loss, DHT binds to hair follicle receptors and diminishes the follicle’s size. If the follicle becomes too small, gradual hair loss occurs. 

Finasteride inhibits 5 alpha-reductase, thus reducing serum DHT (the DHT in the blood). Without DHT to constrict hair follicles, hair loss slows and — for many people — hair regrows. With less DHT in the blood, some people see their hair loss stop completely. In short, finasteride protects hair follicles from DHT damage and stops hair loss.

Which Types of Hair Loss Does Finasteride Treat?

The average person loses 100 hairs each day, even with no hair loss issues. Hair falls away as part of each strand’s natural growth cycle, and the loss is negligible. Each strand of hair grows until its fullest length, then rests and eventually falls away. Afterwards, another strand grows to take its place. (02)

Excessive hair loss is more than a normal part of a hair’s growth cycle. Hair loss can become a problem when more than the average amount of hair is lost over time or if hair fails to regrow. For many people — about an estimated 80 million US adults — a balding scalp or thinning hair is the result of hereditary factors. (02)

If a person’s hair loss stems from DHT’s damage to hair follicles, then finasteride can help.

Is oral finasteride better than topical finasteride?

Finasteride requires a physician’s prescription. A physician can determine the cause of hair loss and prescribe the most appropriate treatment. Getting to the root of the problem determines what works and what doesn’t — like oral finasteride versus topical finasteride. 

Oral finasteride, though effective, comes with a myriad of side effects. Many of the side effects of oral finasteride are life-altering, for example:

  • Decreased sex drive 
  • Pain or tenderness in the testicles 
  • Numbness in the testicles
  • A reduction in sperm count
  • Difficulty obtaining or maintaining an erection (erectile dysfunction)
  • Reduced ejaculatory volume
  • Severe mood changes
  • Breast enlargement 

In rare cases, oral finasteride may cause permanent side effects. 

Fortunately, taking finasteride topically reduces many of the more problematic side effects caused by taking finasteride orally. However, topical finasteride isn’t without precautions and still necessitates professional oversight to monitor and prevent side effects. Though not as severe as oral finasteride, some topical finasteride side-effects include:

  • Decreased sex drive 
  • Inability to urinate 
  • Swelling of hands and feet
  • Increased liver enzymes
  • Headaches
  • Testicular tenderness
  • Scalp irritation
  • Contact dermatitis 
  • Depression or anxiety
  • Dizziness or weakness

Can you buy finasteride over the counter?

Because finasteride works best for people with an inherited tendency for hair loss, it’s safest to have a physician determine its use. Therefore, finasteride is not a product that anyone can purchase at a pharmacy without a prescription. Finasteride is not an over-the-counter medication and requires a physician’s approval.

Is topical finasteride effective for hair loss?

Topical finasteride works excellently against hair loss. What’s more, topical finasteride avoids many of the adverse side effects that may deter others from completing treatment. The following are studies highlighting the effectiveness of oral finasteride.

  • A 2016 article published in the journal Dermatology Clinics and Research of 107 people found that:
    • Both topical and oral finasteride are equally effective.
    • However, participants on topical finasteride were more likely to complete treatment because there were less side effects. (03)
  • A 2019 literature review published in the Journal of Drugs and Dermatology found that topical finasteride delivered: (04)
    • A significant decrease in the rate of hair loss.
    • An increase in hair counts.
    • A reduction in DHT levels within the scalp and plasma.
  • A 2021 study published in the Journal of European Academy of Dermatology and Venereology utilized 458 study participants found: (05)
    • No serious adverse side effects in participants.
    • Fewer complaints of sexual side effects when using topical finasteride.
    • Topical finasteride improves overall hair count while producing fewer adverse side effects. 

To summarize, the topical application of finasteride is as effective as taking the drug orally. However, adverse side effects are less common with the topical application of finasteride when compared to oral treatment. 

When taken orally, finasteride goes through the digestive system and into the bloodstream. Applied as a topical, it bypasses the digestive tract and goes straight to its target with little to no side effects. This aspect makes topical use much more desirable, making users more likely to stick with the treatment! 

How do you balance the effectiveness of finasteride versus the side effects?

Getting the most benefits from finasteride with minimal side effects is achieved through:

  • Combining both finasteride and minoxidil, the two only FDA-approved medications for hair loss.
  • Customizing hair loss treatment to the needs of each individual, making every formula unique to each person’s needs.

Because each person is different, it’s essential to make every finasteride treatment as specific to the person as possible. By catering the therapy to each person, adverse side effects are less likely to occur. And because side effects like the loss of libido and a reduction in sperm count can lead to non-adherence with treatment, catering each treatment to the patient makes it more likely that customers finish their treatment and see successful results.

Making That First Step Towards Finasteride Hair Treatments

Happy Head requires a physician assessment to begin treatment. Happy Head, in collaboration with the physician and the customer, determines the most effective hair loss treatment with the least amount of side effects. The involvement of a licensed professional helps to improve safety, provides valuable feedback, and determines the most successful path toward stopping hair loss. 
With the help of board-certified dermatologists, you can find the right balance of finasteride treatments to suit your hair loss needs. Happy Head understands that hair loss can hurt. Losing your hair can be a traumatic event, even if it occurs slowly over time. Add the fact that hair loss treatments often come with side effects, and it can make anyone feel overwhelmed when searching for treatments. With Happy Head, help is just around the corner!

Resources:

(01) https://medlineplus.gov/druginfo/meds/a698016.html

(02) https://www.aad.org/media/stats-numbers

(03) https://www.scitcentral.com/article.php?journal=19&article=60&article_title=Randomized%20Comparative%20Research%20Study%20of%20Topical%20and%20Oral%20Finasteride%20with%20Minoxidil%20for%20Male%20Pattern%20Androgenetic%20Alopecia%20in%20Indian%20Patients

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609098/(05) https://pubmed.ncbi.nlm.nih.gov/34634163/

Pump Up the Volume: 5 Tricks Men Can Use to Get Thicker Looking Hair

Is the comb-over really a good look?  Sure, Donald Trump made it part of his signature, but how many other guys do you know who can or want to make that style work?  If your hair is thinning due to male pattern baldness, also known as androgenic alopecia, or other reasons don’t stress. Whether you’re 25 or 75, there are ways to increase your hair’s volume, so your hair seems thicker and more attractive.

More Volume Equals Less Scalp

What does it mean to increase your hair’s volume?  Simply put, volume is the amount of hair that covers your  scalp.  Your hair’s thickness is determined by the number of follicles that grow per square inch and the density of those follicles.  If you can’t see your scalp through your hair, you’re in good shape.  If you can, your hair’s volume may be thinning due to genetic or lifestyle factors. 

Men Get Their Hair from their Moms

Not surprising, the main reason why most men start to lose volume is due to male pattern baldness.  Androgenic alopecia is so common it affects 30 to 50 percent of all men by the time they’re 50 years old. (01)  You can blame your Mom.  Male pattern baldness is a genetically inherited condition that stems from the X chromosome. 

Men’s Hair Typically Loses Volume Gradually

With male pattern baldness, you may not notice a loss in volume right away.  Instead, the condition tends to develop slowly starting with a slightly receding hairline or a very small bald spot on the crown of your head.  The progression is gradual because your hair follicles shrink over time, leaving shorter and finer hair.  Eventually, the miniaturization of the follicles prevents new hair from growing.  Fortunately, the follicles remain alive, suggesting that new hair growth is possible.

Your Hair’s Thickness is Also Affected by Your Lifestyle

Are you under a lot of pressure at work?  Are you trying to drop a few pounds, or have you recently started a new medication?  If so, remember that stress, changes in your diet, illnesses, and some medicines can affect your hair’s growth cycle.  If your hair is feeling thin or lacking body, changes in your lifestyle may be the culprit.  The good news is that thinning hair due to these factors can easily be reversed with minimal treatment.  Many cases will resolve on their own without any intervention. 

It’s Easier to Make Your Hair Look Thicker Than Most Men Realize

If dealing with your hair doesn’t top your list of ways you want to spend your time, don’t worry.  Improving your hair’s appearance and quality doesn’t have to take a lot of effort.  Here are five tricks that Dr. Ben Behnam, a leading dermatologist, hair specialist, and co-owner of Dermatology & Skin Restoration Specialists located in Los Angeles, California, recommends to his male patients:

Use the Right Hair Products, the Right Way

Strengthen with Collagen and Keratin Enriched Shampoo 

“When it comes to building volume, not just any shampoo will do,” said Dr. Behnam.  “Choose one that contains both collagen and keratin.”  Collagen, the most abundant protein in your body, helps make up your tendons, ligaments, and skin.  Collagen also contains amino acids that your body uses to make keratin, the protein that makes up your hair. 

Keratin goes deep into the hair follicle, making the hair follicle firmer to smooth frizzy hair and make dull hair shinier.  According to Behnam, “a combination of collagen and keratin will make your hair stronger and healthier to give it a more lustrous appearance.”  

Moisturize with Conditioner 

“If you’re like most men and don’t use a conditioner, it’s time to change your ways,” says Behnam.   He recommends that his male patients use high-quality conditioners to moisturize their hair and provide a protective coating to the outer layers of the hair shaft.  Conditioner gives your hair a nice sheen and a thicker appearance.  For the best result, select a conditioner that doesn’t contain sulfates.  Sulfates inhibit the conditioner’s ability to moisturize by stripping away essential oils that allow the conditioner to work.  Apply conditioner after each time you shampoo.  Remember only to use conditioner on the ends of your hair, and not your scalp.  Too much moisture at the root will weigh your hair down and leave it limp.  

Use Hair Gel Sparingly

Do you use gel or creams to style your hair?  If so, be careful not to overdo it.  Too much gel clumps your hair, making it easier to see your scalp and inadvertently making your hair look more sparse.  In the case of gel, lighter and less give you more.

Consider Using Hair Growth Treatments

Minoxidil 

Minoxodil, sold under the trade name Rogaine, was the first hair regrowth treatment to receive FDA  approval.  The medication is available over-the-counter for men in a five percent foam or liquid.  Prescription Minoxidil is available in higher concentrations as a pill or topical formula.

Minoxidil works by enlarging the size of your hair follicles and extending your hair’s growth cycle.  Numerous research studies have proven that Minoxodil increases growth among men with male pattern baldness. (02)   

Minoxidil is an easy way to add volume if your hair is thinning.  Rogaine is sold at many retail locations and is simple to use.  However, you’ll need to be patient because it takes about three or four months to see signs of growth.  Once you start using Minoxidil, you’ll need to keep using it.  If you stop using the product, you’ll lose any new growth. (03)

Finasteride

Finasteride, the other FDA approved medication for male pattern baldness, is a 5-alpha reductase inhibitor medication that is often used to treat an enlarged prostate.  Because Finasteride decreases production of dihydrotestosterone (DHT), it has been proven to stop hair loss and promote new growth.  

Men typically do not experience severe adverse effects from FInasteride, but some do have side effects from the oral medication.  If side effects are a concern, topical Finasteride is available and is a good substitute.  Many men actually prefer the topical solution since it works similarly to the pill without systemic effects.  

All-in-one Treatments for Men

New products that combine Minoxidil and Finasteride and other active ingredients into one formula have been proven to be more effective than Minoxidil alone. (04)  Many men prefer the simplicity, convenience, and potency of all-in-one formulas.

If you’re testing a treatment that includes both Minoxidil and Finasteride, make sure that the formula contains retonic acid.  Retonic acid, a compound derived from Vitamin A, significantly improved hair growth among 43 percent of people who did not respond to Minoxidil alone. (05)  It is believed that retinoids work synergistically with Minoxidil to prolong the hair cycle’s anagen phase, increasing the growth rate. (06)

Combination formulas including more than five percent of Minoxidil and Finasteride are often customized and are only available by prescription.  Be sure to work with a board-certified dermatologist to get the compounded formula that best meets your needs. (07)

Avoid Anything that Pulls on Your Hair

“Wearing a tight ponytail, or anything else that pulls on your hair, is a recipe for disaster,” says Dr. Behnam.  Tight hairstyles can cause traction alopecia which is often seen around the temple area.  Early on, traction alopecia will reverse itself if you stop pulling on your hair.  However, longer term pulling can bring scarring and bigger problems.  If you want to avoid traction alopecia, stay away from buns, hats, cornrows, dreadlocks, and braids.

Feed Your Hair

Dr. Behnam often reminds his patients that strong, healthy-looking hair requires a well-balanced diet that includes plenty of protein.  After all, your hair is made up of a fibrous protein called keratin.  The protein-rich foods we eat feed our hair.  

Good sources of protein include:

  • Nuts
  • Avocado
  • Organic, grass-fed chicken
  • Fatty fish (salmon, tuna)
  • Eggs

Adding collagen to your diet is also a good idea.  Collagen, the protein known for your skin’s elasticity, also plays a crucial role in growing strong, healthy hair.  Your body produces collagen, but over time, your production capability diminishes.  So, when your collagen levels begin to drop, your hair may get thinner.  Bone broth, gelatin, and chicken are all good sources of collagen that can help prevent a decrease in volume.

Get the Right Cut

Men with thinning hair often grow their hair long, thinking that the extra length will cover sparse areas.  Quite the opposite is true.  When your hair is shorter, it looks thicker. With short hair, layers camouflage the sparse areas.  Not having the dead ends weighing your hair down makes it look healthier too.

Find a barber or hairstylist who knows how to properly proportion your cut.  According to Parker Plotkin, Master Stylist and Artistic Director at Lotus Hair Studio located in Palm Beach, Florida, and season two Shear Genius stylist, the trick is to balance out thinning areas. “Many stylists tend to give round cuts that are short on top and longer on the sides,” said Plotkin.  “The problem is that the round cut makes the reduced volume on top more prominent.  Most men will look better with a square haircut with close cut sides.”

Consult with a Board-Certified Dermatologist and Hair Specialist

A trip to the dermatologist doesn’t top most guys’ lists of favorite things to do, but if you’re concerned about your thinning hair, you should consult with a professional.  A number of men who are concerned about their loss of volume are self-treating to avoid the embarrassment of a doctor’s visit. (08)  If that’s you, you may want to reconsider.  Board-certified dermatologists and hair specialists are highly experienced with treatments designed to prevent further hair loss and stimulate growth.  The sooner you begin treatment, the faster and better results you’ll get. 

Resources:

(01) https://www.ncbi.nlm.nih.gov/books/NBK278957/
(02) https://pubmed.ncbi.nlm.nih.gov/3900155/
(03) https://pubmed.ncbi.nlm.nih.gov/9777765/
(04) https://pubmed.ncbi.nlm.nih.gov/23193746/
(05) https://pubmed.ncbi.nlm.nih.gov/30974011/
(06) https://pubmed.ncbi.nlm.nih.gov/3063367/
(07) https://pubmed.ncbi.nlm.nih.gov/32166351/
(08) https://pubmed.ncbi.nlm.nih.gov/19514838/

How to Make Hair Grow Faster: 2 Essential Facts You Should Know

 

How fast does your hair grow? If you’re anxious about your hair, your answer might be, “Not fast enough!” Although you can’t grow long hair overnight, there are some steps you can take to make your hair grow faster. Knowing the basic facts about hair growth can help you make better choices regarding your hair.

Fact No. 1: Growth Starts at the Scalp

When it comes to the health of their hair, most people concentrate on the hair itself and overlook the skin on their scalp. The scalp is more than something your hair adheres to, however. It’s like soil for your hair. Just like you can’t grow plants in poor soil, you can’t grow healthy hair on an unhealthy scalp! 

According to the American Academy of Dermatology Association, humans have an average of 100,000 hair follicles with each follicle containing one strand of hair. Blood flow throughout the scalp feeds hair follicles, and without proper blood flow, the appropriate balance of microorganisms, and stable oil production the hair follicles fail to produce healthy hair. Hair grows from the root, not from the tips. The follicle contains a hair bulb that actively grows the strand of hair. (01, 02)

A scalp without healthy blood flow or nutrients is like infertile soil, and can result in weak hair or a loss of hair. Furthermore, each follicle produces sebum to moisturize and strengthen the scalp, creating the right pH balance to keep harmful microorganisms in check. So, follicles need a good balance of sebum and the right nutrients to do their job. Alopecia areata, for example, is an immune disorder that targets hair follicles, compromising their ability to function and causing patchy hair loss as a result. (03, 04)

What You Can Do:

To keep your hair growing as quickly as possible, take care of your scalp. And to keep your scalp in good condition the following is recommended: 

  • Avoid hair products with drying agents like alcohol, sulfates, alcohols, or fragrances as these can strip away natural oils and irritate the scalp. 
  • Practice sun protection for your scalp by using a water-resistant, broad spectrum sunscreen with an SPF of 30 or higher on any visible portions of your skin and scalp. 
  • Stay clear of harsh chemicals like dye and bleach, as these can cause scalp injuries. 
  • Gently massage the scalp while shampooing to increase circulation. 
  • Eat a nutritious diet. Nourishing your scalp by consuming foods rich in hair-friendly vitamins and minerals may help boost hair growth. The following are examples of foods that encourage hair growth: 
    • High-quality protein-rich foods
    • Food high in biotin like eggs, almonds, and avocado.
    • Fresh fruits and vegetables high in vitamin C, zinc, and B vitamins. 
    • Cysteine contains foods like garlic, poultry, brussel sprouts, and yogurt.

Fact No. 2: Hair Has a Growth Cycle

Skin cells form through continuous division, with new cells eventually pushing old cells up and out. Similar to skin cells, hair grows through division on a cyclical growth pattern. Individual strands of hair go through a rapid phase of growth and slower phases, then eventually fall out. Each hair will not stay on your head forever and will naturally fall away from the hair follicle at some point, where another hair will typically grow in its place. These are the three primary growth phases of your hair.

Anagen Phase

During the anagen phase, also known as the “Growth Phase,” the hair emerges from the follicle. Consisting of proteins and keratin, hair grows and sebaceous glands condition the hair during this time. Hair grows at an average rate of about 6 inches every year. About 80% of hair is in the anagen phase, which can last about 2 to 8 years. (02) Conditions like androgenic alopecia occur during the anagen phase, shortening the growth cycle of hair and impairing healthy hair growth. (05)

Catagen Phase

In contrast to the anagen phase, the catagen phase is a brief period that lasts only about 10 days, although sometimes can remain up to 4 to 6 weeks. During the catagen phase, which accounts for 1 to 2 percent of hair, growth stops and the hair follicle shrinks. The part of the follicle that nourishes the hair shuts down to rest. (02) 

It’s during the catagen phase that club hair forms. Club hairs are the final state of an attached hair and is a natural part of a hair’s growth cycle. A keratin ball forms at the end of a strand of hair (club hair), keeping it in place until the strand is shed and a new growth cycle begins. If enough club hairs fall out at the same time, hair may appear less full. 

Health conditions like hypothyroidism, hormonal changes, and nutritional deficiencies can cause more club hairs to form than usual, which then fall out around the same time and creates thinner hair. During this phase and the next –the telogen phase – hairs are vulnerable to tugging and pulling and may easily fall out, like in a condition called traction alopecia. (02)

Telogen Phase

The telogen phase is the resting phase, when hair falls out of the follicle. Lasting about 2 to 3 months, the dermal papilla rests during the telogen phase. As the dermal papilla rests, no nutrients are supplied to the hair — causing the hair to fall out and preventing further growth. The tail end of the telogen phase is called the “exogen phase,” where hair falls out of the follicle. Roughly 15 percent of hair is in the telogen phase at any given time, with the scalp shedding an average of 100 hairs a day. (02) 

If a disruption occurs in hair growth at any point in the cycle, the change can affect more hairs than is usual — placing more hairs into the catagen or telogen phase at the same time. Therefore, more than the typical amount of hair sheds all at once. Telogen effluvium is one such example of a hair loss condition that occurs because of stressors like illness or trauma during the telogen phase. 

What to Do:

  • Accept some loss of hair. Knowing that shedding roughly 100 hairs a day is part of the normal growth cycle can keep you from worrying unnecessarily about hair loss. 
  • Because hair grows from the root, trimming your hair will not speed up hair growth. However, trimming your hair every 2 months can keep your hair strong by preventing split ends and breakage.
  • Avoid tight fitting headgear if at all possible. 
  • Be aware of how you handle your hair, especially when you’re anxious. Anxiety-related conditions like trichotillomania (an irresistible urge to pull or tug at hair) can result in bald patchy areas and disrupt the growth stages of hair. Prevent yourself from picking or rubbing at your scalp and hair. 
  • A cold or lukewarm shower keeps hair follicles tight and therefore more likely to hold on to hair, especially during the telogen phase. Hot water, on the other hand, can encourage follicles to shed their hair and should be avoided. 

Know When to Get Assistance

There’s no magic wand that will suddenly grow hair, but following the recommendations above and establishing healthy hair care habits can help you keep as much of the hair that you have. If you’re doing all you can to care for your scalp and you’re still experiencing slow hair growth, consult with your physician. The solution might just be a prescription away!

Resources:

(01) https://www.aad.org/public/parents-kids/healthy-habits/parents/kids/hair-grows

(02) https://www.ncbi.nlm.nih.gov/books/NBK499948/

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369642/

(04) https://www.aad.org/public/diseases/hair-loss/types/alopecia(05) https://medlineplus.gov/genetics/condition/androgenetic-alopecia/#causes

Hair Loss Reversal 101: What You Need to Know

Older man looking at his thinning hair in the mirror. Happy Head dermatologists can help you get your hair back with a custom topical treatment made with the strongest hair growth medicine available online.

If you’re experiencing hair loss, you’re not alone. According to the American Hair Loss Association, at least two-thirds of all American men will have noticeable hair loss by the time they turn thirty-five. Women account for forty percent of all Americans experiencing hair loss. (01) Those numbers are much higher than you thought, right?

Sure, most people expect to get some gray hair, wrinkles, and a few extra pounds as they age, but hair loss? That’s not usually part of the plan. We can color our hair, use Botox for our wrinkles, and spend some extra time at the gym. But what can be done about a receding hairline? More than you think.

There are Different Types of Hair Loss

The first step is to understand the different types of hair loss. All hair loss is not the same, so not all hair loss will respond to the same treatment. We’re here to give you a crash course.

The Term Alopecia Encompasses More Conditions Than Most People Realize

When people think of alopecia, they usually think of alopecia areata, the type that Massachusetts Representative Ayanna Pressley and actress Jada Pinkett Smith have. However, if you use Dr. Google, you’ll see that WebMD defines alopecia areata as an “autoimmune disorder that causes your hair to come out, often in clumps the size and shape of a quarter.” The definition is accurate, but not all hair loss is alopecia areata. Alopecia is an umbrella term for many different hair loss conditions.

There’s a Difference Between Non-Scarring and Scarring Alopecia

Alopecia falls under two broad categories:  non-scarring and scarring alopecia. There’s a big difference between the two types.

When people have non-scarring hair loss, their hair just falls out. No redness, scaling, flaking, itching, or burning occurs. The alopecia can come on fast and furiously, leaving people holding clumps of hair in their hands, or gradually over a long period of time.

Scarring alopecia is a different story. Also known as cicatricial alopecia, scarring alopecia is an inflammatory condition that occurs in otherwise healthy people. The hair follicle is destroyed and replaced with scar tissue. The hair loss can happen over time and go unnoticed, or it can happen quickly, causing symptoms such as severe itching and burning. (02) Speed is essential when it comes to treating scarring alopecias. The goal is to slow or stop further hair loss and promote hair regrowth in unaffected areas.

What Type of Alopecia Do You Have?

Many different types of hair loss fall under the categories of non-scarring and scarring alopecia.  Once you know what type you have, your dermatologist will work with you to develop a treatment plan.

Examples of Non-scarring Alopecia

Telogen Effluvium

Telogen Effluvium is a form of temporary hair loss caused by stress, severe chronic illness, high fever, childbirth, thyroid disorders, major surgery, dieting, certain medications, etc.  Telogen Effluvium usually resolves itself over time.

Androgenic Alopecia

Also known as male and female pattern baldness, androgenic alopecia is a genetic condition experienced by up to 50 percent of men and women. (03) Experts believe that pattern baldness is due to an excessive androgen dihydrotestosterone (DHT) response which causes hair follicles to miniaturize. When the hair follicles shrink, hair loss occurs. Androgenic alopecia typically causes frontal hair loss in men and diffuse hair loss at the crown and top of women’s heads.

Alopecia Areata

If your hair falls out in clumps around the size and shape of a quarter, you may have alopecia areata. This condition is an autoimmune disorder that occurs when your body attacks its own hair follicles. With alopecia areata, hair loss is unpredictable and can happen anywhere on your body. Sometimes the condition resolves itself. However, it can also reoccur without notice. Many research studies are currently underway to understand the cause and effective treatment. (04)

Traction Alopecia  

Constant pulling on hair due to tight ponytails, buns, braids, cornrows or dreadlocks, hair extensions, weaves, and more can cause traction alopecia. This condition, that’s common among actresses and models, can cause small bumps that resemble pimples. Fortunately, traction alopecia can be reversed if you stop pulling your hair back.

Examples of Scarring Alopecia

Lichen Planopilaris

Lichen Planopilaris is the most common type of scarring alopecia. Although it can affect both genders, lichen planopilaris is more likely to affect women aged 40 to 60 than men. (05)  Redness, itching, burning, and tenderness can accompany frontal or other pattern hair loss.

Central Centrifugal Cicatrical Alopecia (CCCA)

CCCA is found almost exclusively among black women aged 30 to 55 year-old. The cause is still unknown and is being researched. Women who experience CCCA experience inflammation and associated hair loss in the crown area. (06)

Effective Hair Loss Treatment Complements Your Diagnosis

After your dermatologist determines the cause of your hair loss, he or she will discuss treatment options with you.  Keep in mind that hair reversal treatments are not one-size-fits-all.  In some cases, “cocktails” which combine specific medications and protocols may be needed. Just to give you an idea of what’s out there, here are some of the most frequently used medications and treatments:

Minoxidil (Rogaine)

Minoxidil, also known as Rogaine, is available over-the-counter as a topical foam and liquid and by prescription as an oral pill.  Minoxidil is a vasodilator reduces miniaturization of the hair follicles and elongates the growth phase.

Minoxidil has proven to promote growth among men and women with male and female pattern hair loss. Minoxidil is also often recommended to patients with scarring alopecia to promote growth in unaffected areas.

Once you start using Minoxidil, you need to continue. When you stop using the medication, any new hair that grows will most likely be shed.

Finasteride (Propecia, Proscar)

Finasteride is a 5 alpha-reductase inhibitor originally designed to treat enlarged prostates. The medication, available both as a pill and a topical solution, blocks the conversion of Testosterone to dihydrotestosterone (DHT), a hormone that inhibits hair growth.

Clinical studies have found Finasteride to be highly effective in reversing hair loss in both men and women with scarring and non-scarring alopecias. (07, 08) Topical Finasteride is often used to treat androgenic alopecia, while oral is typically recommended for scarring alopecias.

Finasteride is only available by prescription and is not recommended for women of childbearing age. Check with a board-certified dermatologist to see if you are a good candidate for the topical or oral treatment. Don’t have time to make an appointment? Don’t worry, you can get custom topical treatments and oral medications prescribed by a Happy Head board-certified dermatologist, have a consultation and get it all shipped to your door each month. Just fill out our quick questionnaire, send us a few photos, and get started on growth here.

Corticosteroids

Topical or injected steroids are often used to treat hair loss that is induced by autoimmune diseases such as alopecia areata and lichen planopilaris. The corticosteroids allow hair to grow by inhibiting the autoimmune disease.

Steroid treatments are only available by prescription and should be surprised by a qualified dermatologist.

Platelet-rich Plasma (PRP) Injections

PRP injections have become a popular treatment for healing wounds and regrowing tissue such as tendons, ligaments, and muscles.

PRP has regenerative properties and has been primarily tested on patients with androgenetic alopecia. (09) When injected into the scalp, PRP is believed to stimulate hair growth by increasing blood flow to the hair follicles and increasing the size of the hair shaft.

As the name suggests, PRP injections are made from platelets derived from your blood. Blood is first drawn, and then spun at super high speeds to separate the blood components. The resulting plasma is highly concentrated.

PRP use is still in its early stages and can be expensive. Research also indicates that PRP is most effective when used with Minoxidil, Finasteride, and other hair growth treatments.

Biotin

Biotin, also known as Vitamin B7 or Vitamin H, has become a familiar hair growth supplement. Sold in supplements or as an ingredient in hair care products, Biotin is promoted as a way to make your hair grow longer and healthier.

Does it work? Well, the jury is out. Not enough research has been conducted to say yeah or nay. (10) It won’t hurt you to try a new shampoo that contains Biotin, but there’s no evidence to indicate that it will help. Biotin deficiency is rare. (11) Most people get adequate amounts through their regular diets.

Many Biotin supplements sold are not FDA approved, and high concentrations of Biotin can interfere with the results of some lab tests. (12) As with any oral supplement, check with your doctor before testing it out.

Hair Transplants

Hair transplant procedures and techniques continue to improve over time. Rather than using noticeable plugs, today’s surgeries move hair strips or carefully selected hairs from one area to another to promote growth that looks natural.

When determining whether a patient is an ideal candidate for a hair transplant, dermatologists consider several factors, including:

  • Type of hair loss
  • Degree and pattern of baldness
  • Patient age
  • Hair color
  • Donor hair density
  • Patient expectations

Although hair transplants are expensive and time-consuming, they are an effective, reliable, and safe way to get lasting results.

It’s Important to Set Realistic Expectations When Treating Alopecia

We’re fortunate to live during a time when hair loss research is prolific, and the list of hair replacement options is growing.  Whether you’re 25 or 55, you don’t have to live with bald spots, a receding hairline, or thinning hair, even if your genetics or immune system are working against you.

The first step is to find a board-certified dermatologist and hair specialist you trust and get diagnosed. He or she will help you select the right treatment option for your type of alopecia and lifestyle.  Remember to set realistic expectations for your hair regrowth. Treatments don’t work overnight, so be patient and track your progress over time. After all, small signs of stubble today can lead to a fuller head of hair tomorrow. To get in touch with a Happy Head dermatologist and do your consultation over the phone, get started here and you can do it all from home.

Resources:

(01) https://www.americanhairloss.org/

(02) https://rarediseases.org/rare-diseases/cicatricial-alopecia

(03) https://www.ncbi.nlm.nih.gov/books/NBK430924/

(04) https://www.aad.org/public/diseases/hair-loss/types/alopecia

(05) https://www.ncbi.nlm.nih.gov/books/NBK470325/

(06) https://jamanetwork.com/journals/jamadermatology/fullarticle/2768748

(07) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4809380/

(08) https://pubmed.ncbi.nlm.nih.gov/9951956/

(09) https://www.health.harvard.edu/blog/platelet-rich-plasma-does-the-cure-for-hair-loss-lie-within-our-blood-2020051119748

(10) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582478/

(11) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582478/

(12) https://www.fda.gov/medical-devices/in-vitro-diagnostics/biotin-interference-troponin-lab-tests-assays-subject-biotin-interference

The Surprising Connection Between Covid and Hair Loss

You’re in the shower, look down, and notice the drain is filled with hair.  Is that mine, or is it my partner’s?  Did the kids use my shower?  Where is all of that hair coming from?  Then, you notice something even worse.  The hair on the side of your head is so thin that it looks like you’re going bald.  What in the world is happening?  

As if dealing with constant fatigue, brain fog, and other Covid long-term effects isn’t enough, if you had Covid-19, you might be experiencing Covid related hair-loss.  Hair loss due to Covid can begin two to three months after having the virus and typically lasts about six months.  Although the CDC doesn’t talk about hair loss as an adverse effect, observational research conducted by leading dermatologists and hair specialists indicates that post-Covid hair loss is real. (01) Both men and women are affected.  

Covid-induced Hair Loss Can Be Significant

While thankful to be alive and regaining their health, many Covid long haulers are left trying to figure out why they’re shedding and how to stop it.  Dr. Ben Behnam, board-certified dermatologist, and owner of Dermatology and Hair Restoration located in Los Angeles, California, has seen many patients with Covid-induced hair loss in his office.  “I had a female patient in my office a few months ago who was 21 and lost 50 to 60 percent of her hair,” said Behnam.  “It was devastating for her.”  Some who have recovered from Covid report losses of as much as 70-80 percent of their hair. (02)

Covid’s Shocking Effects on Your Hair

According to the American Academy of Dermatology, the actual Covid virus doesn’t make your hair fall out.  The culprit is the fever that’s associated with the virus. (03)  A high fever can shock your system causing a condition called Telogen Effluvium.  Childbirth, major surgery, crash diets, and some medications also cause the condition.

Telogen Effluvium, the most common cause of diffuse hair loss, occurs when hair prematurely goes into a resting (telogen) phase.  Your hair sheds faster than normal when this happens, resulting in thinning hair or bald spots.  

Anything that puts stress on your body can cause Telogen Effluvium.  The condition is common after a significant health-related event.    

Losing your hair can be depressing, no matter what the reason.  There’s good news though.  Telogen Effluvium is temporary.  Typically, patients will find that their hair sheds for about six to nine months, then it stops.  While the wait may seem like forever, your hair will grow back.

How to Cope with Covid-induced Telogen Effluvium

It’s not unusual to feel powerless when you don’t have control over your hair loss and don’t feel like yourself. If you are experiencing Covid-related Telogen Effluvium, here are four tips to help you get your mojo back as you wait for your hair to grow:

1. Visit your dermatologist 

If you’re wondering whether you have Telogen Effluvium from Covid or another hair condition, a visit to your dermatologist will give you peace of mind.  Patients who get Telogen Effluvium as a result of Covid don’t typically experience itching, redness, scaling, or other side effects like patients who have other forms of alopecia (04) such as alopecia areata and lichen planopilaris.  If you have any of these symptoms, your dermatologist can give you a firm diagnosis to help you get on the right track and continue to recover.

2.  Try your best to relax

Getting Covid is scary.  Recovering from Covid is tough.  Losing your hair is upsetting and stressful.  You have been through a lot.  Although it’s not easy, do whatever you can to decompress, whether that’s yoga, meditation, listening to the Calm app, or even taking a brisk walk.  

Stress relief is crucial because stress triggers hair loss.  “When your scalp muscles tense, you constrict your blood vessels so that the blood doesn’t flow to your scalp,” said Benham.  So if you’re experiencing Telogen Effluvium from Covid and anxiety simultaneously, hair growth is going to be inhibited even more with both conditions.

3.  Eat for Nutritional Value

“The cleaner you eat, the better, shinier… just more gorgeous hair you will have,” Benham explains.  In addition to minimizing processed foods, he recommends increasing the amount of protein in your diet since your hair is made up of protein.  Cashews, nuts, avocado, and organic, grass-fed chicken are all good choices.  He also recommends pure whey protein concentrate.  

You should always ensure that your vitamin levels are where they should be, but doing so is especially important after recovering from Covid.  Iron and vitamin D deficiencies are common contributors to hair loss.  

4.  Experiment with new hairstyles and make-up

Members of Facebook’s Covid-19 Long Hauler Group report feeling more confident after a make-over.  Some have shaved their heads, but others are sporting cute bobs and pixie cuts.  Perhaps it’s time to do some experimenting.  You may even fall in love with your new look.

If you had Covid and are currently experiencing hair loss, don’t despair.  Many Covid long haulers report that their hair grew back thicker and healthier than before (05).  Growth will be gradual, so don’t expect miracles right away.  You may not even realize that your hair is starting to grow.  Meanwhile, stay calm, make sure that you’re living the healthiest lifestyle you can, and do whatever it takes to make yourself feel confident.  Better hair days are right around the corner. 

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/34467470/

(02)  Facebook:  Covid-19 The Long Haulers Support Group – https://www.facebook.com/groups/373920943948661/

(03) https://www.aad.org/public/diseases/hair-loss/causes/covid-19

(04) https://consultqd.clevelandclinic.org/covid-19-related-hair-loss/

(05) Facebook:  Covid-19 The Long Haulers Support Group – https://www.facebook.com/groups/373920943948661/

 

Stop Hair Loss: Prevent Hair on Pillow & Shower Drain – Effective Solutions

Image of a pillow and all the hair you may find after you've slept. This could be a sign of hair loss.

It starts with a few hairs on your pillow. Then, while you’re in the shower, you notice a few more hairs than usual flowing into the drain. Once these incidents occur more often, you start to ask yourself the difficult question, “Am I going bald?” 

It’s a tough question to come to terms with, but one that many people eventually find themselves wondering. 

You may be going bald. Or you might not. Whatever the case, it’s better to face the question and find the answer now than to wait it out. Because if you are going bald, you need immediate attention to slow—or stop—the process. 

Four Signs of Hair Loss

About 25% of men have experienced hair loss by the age of 21. By age 50, about 50% of all the men have had some level of hair loss. Women are not immune to losing their hair, either, with about 40% of women experiencing hair loss within their lifetime. So, when it comes to going bald, you’re not alone. (01, 02)

Hair loss happens to many people and there are steps you can take to address the issue. But before you seek out treatments for possible balding, however, you should evaluate whether or not you’re losing hair. 

Here are four signs that may be going bald:

1. Gradual Loss of Hair

Sometimes, hair loss occurs suddenly. In rare instances, a physical or emotional trigger can loosen hair and cause large chunks of hair to fall out. Called telogen effluvium, this type of hair loss develops when scalp hair follicles lose their hair due to a shock (stress, illness, medication, or environmental factor). Hair follicles are most susceptible to this type of hair loss while in a resting state called telogen. 

Although the condition can still cause feelings of panic about losing hair, most instances of telogen effluvium are temporary. Gradual hair loss, however, is something to be concerned about as it can be a sign of going bald. According to the Mayo Clinic, hereditary hair loss is the most common cause of baldness, and it happens slowly over time. Unlike telogen effluvium, hereditary hair loss is permanent.  (03)

2. Developing a Receding Hairline

One of the most common types of hereditary hair loss is male pattern baldness, and the hallmark sign of male pattern baldness is a receding hairline. (04) Because a receding hairline occurs incrementally, it’s a sign that’s easy to ignore or overlook. The following are the most common signs of a receding hairline: 

  • You notice your forehead looks larger than usual. 
  • Your hairline begins to make an “M” shape. 
  • The temple area of your hairline appears thinner than before. 

A receding hairline can happen due to headwear. Tight-fitting headwear like baseball caps and headbands may encourage loss of hair at the hairline by restricting blood flow and through repeated motions (taking the hat on and off). In some cases, men with male pattern baldness may attribute a receding hairline to their hats rather than a hair condition. So, if you notice your hairline is receding, you may be experiencing hair loss. 

3. The Appearance of Random Bald Spots

Have you noticed bald spots or sparse areas that weren’t there before? Patchy, thinning hair and random bald spots may indicate the start of male pattern baldness or a condition called alopecia areata (03). With alopecia areata, an autoimmune disorder, hair falls out in round patchy areas or a band-like pattern around the head. Alopecia areata may also affect facial hair – creating small bald patches in the beard area or eyebrows. 

Another condition that begins with bald spots is hereditary baldness. Although hereditary baldness usually starts with a receding hairline, the condition can also begin with an expanding crown. Furthermore, women who experience female pattern baldness typically see different signs than men with male pattern baldness. (05)

A few of these signs are:

  • Thinning at the crown or hairline. 
  • Widening of the center part in a Christmas-tree pattern. 
  • Front hairline typically remains unaltered. 

Compared with male pattern baldness, hair loss associated with female pattern baldness doesn’t usually progress to full hair loss. Women typically keep most of their hair. Despite this, any hair loss can still be very distressing for women and may require treatment. 

4. Your Hair Isn’t Growing

According to the Academy of Dermatology, hair at the top of your head grows at an average rate of about six inches every year. This means that you can expect about a half-inch of growth every month. 

Your grows in three stages: (06)

  • Anagen Phase: Active growth lasting about 2 to 8 years. 
  • Catagen Phase: Hair halts its growth, lasting about 4 to 6 weeks. 
  • Telogen Phase: Resting phase, then hair falls out of the follicle, lasts about 2 to 3 months. 

Only about 5-10 percent of your hair is in the telogen phase at any given time. In contrast, most of your hair is in its growth phase. Your hair’s rate of growth depends on your age, health, genetics, and environmental factors. 

If your hair is thinning and you notice your hair’s growth is slowing, however, it may be because you have less hair than before. As you lose hair, you have less hair in the growth phase. The reduction in hair may make it appear as though your hair is growing more slowly. 

How Likely are You to Go Bald?

People who are experiencing hair loss often want to know when and if they’ll go bald. Unfortunately, there’s no way to predict exactly if and when you will lose all your hair. Genetics plays a significant role in determining how much hair you’ll lose over time. Other factors, like stress, nutrition, and your health also affect whether or not you might lose your hair. 

There’s no way to predict when you’ll go bald. You can, however, look at your family history. Genes are the primary factor that causes female and male pattern baldness. Also, women are much less likely to lose all of their hair when compared to men. 

While researchers still have much to learn when it comes to hereditary baldness, its cause is thought to be polygenic – involving two or more genes. A few genes for male pattern baldness are thought to exist in the “X” chromosome (07), the chromosome inherited through a male’s mother. A 2017 literature review, however, also found 63 genes for male pattern baldness that exists in the “Y” chromosome inherited from a father (08). 

These studies indicate that  interplay between genes may be what leads to inherited hair loss. If you’re wondering if you’ll go bald, look at your family. 

What You Should Do if You Think You’re Going Bald

There’s no timeline for how long it takes to lose all your hair. But if you really are going bald, it won’t happen overnight. Losing all your hair is a gradual process that  takes years or decades. In spite of this, you should intervene as soon as you suspect you’re losing your hair. Why? Because the sooner you start managing your hair loss the better the results will be. 
Think you’re going bald? Taking steps as quickly as possible to protect your hair and scalp can lead to improved hair retention. Whether managing hair loss means changing your lifestyle habits or taking a prescription-grade treatment for hair loss like Happy Head, quick intervention means keeping more of your hair.

Resources:

(01) https://health.clevelandclinic.org/why-do-men-go-bald-and-is-there-anything-you-can-really-do-about-it/

(02) https://www.medicalnewstoday.com/articles/292492

(03) https://www.mayoclinic.org/diseases-conditions/hair-loss/symptoms-causes/syc-20372926

(04) https://medlineplus.gov/ency/article/001177.htm

(05) https://www.mountsinai.org/health-library/diseases-conditions/female-pattern-baldness

(06) https://www.aad.org/public/kids/hair/how-hair-grows

(07) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308812/(08) https://pubmed.ncbi.nlm.nih.gov/28272467/

 

Why using Sunscreen on your Scalp is Crucial for Thinning Hair

Everyone knows sunscreen is an essential part of a healthy skincare regimen. You’re probably diligent about applying sunscreen on your arms and face, probably even the tops of your ears! As awesome as you are at applying sunscreen, you might be missing one crucial area – your scalp.

Sun Protection for Your Scalp

There are three ways you can shield your scalp from the sun. 

  1. Have thick hair. 
  2. Wear a hat. 
  3. Use sunscreen. 

An article published in the journal Photochemistry and Photobiology found that your hair acts like natural sun protection, called hair ultraviolet protection factor (HUPF). (01) HUPF works as a sun barrier and helps to prevent skin cancers caused by ultraviolet (UV) radiation. 

So, if you have lots of hair or intend to wear a fedora whenever you’re in the sun, then you’ve got it all covered. If your hair is thinning, cut very short, or if you’re without any hair, however, then your scalp is vulnerable. Unlike the skin on your face, your scalp lacks the same barrier strength, which makes your scalp sensitive to UV radiation and environmental toxins. Because your scalp’s skin barrier is thinner than the barrier on your body, safeguarding your scalp should be an important part of your skincare routine. (01)

Do people with hair loss conditions need sunscreen?

Hair loss affects a larger portion of the population than most people realize. According to the Cleveland Clinic, about 25% of men experience their first signs of hair loss by the age of 21. And roughly 50% of all the men undergo some level of hair loss by age 50. 

However, it’s not just men who are affected by hair loss. About 30 million women have a condition called female pattern hair loss (FPHL). It could happen to anyone. In many cases, people may have hair loss only in very specific areas on their scalp, while other parts remain flush with hair. Hair loss varies from person to person, and it’s the exposed scalp areas that need sun protection the most. (02, 03) 

Sunscreen for the scalp is a relevant consideration for all people, but especially for people with hair loss conditions. The following are few examples of hair conditions that may benefit from sunscreen use.

  • Androgenetic alopecia
  • Alopecia areata
  • Cicatricial alopecia
  • Folliculitis Decalvans
  • Frontal fibrosing alopecia 
  • Central centrifugal cicatricial alopecia
  • Discoid Lupus erythematosus
  • Male pattern baldness 
  • Loose anagen syndrome
  • Hypotrichosis
  • Lichen planopilaris
  • Anagen effluvium
  • Telogen effluvium

Even people who don’t have a hair loss condition may need to use sunscreen on their scalp. Most people are unaware that they have sections of their scalp showing. For example, people have a whorl of hair at the crown, often showing a bit of exposed scalp. Spend enough time outdoors without sun protection, and this small patch of unshielded scalp can become sunburnt. 

Can your scalp get a sunburn?

Just like the rest of the skin on your body, your scalp can burn from too much sunlight. For this reason, protecting your scalp from the sun is crucial to reducing skin damage, lowering your risk of developing skin cancer, and preventing painful sunburns.

Sunburns and Your Hair Follicles

In general, if you’re already dealing with hair loss, injury from the sun can create more challenges. Third and fourth-degree sunburns, for instance, may damage and physically stress hair follicles, causing a temporary condition of hair loss called telogen effluvium. Maintaining your scalp health means potentially keeping more of your hair, which makes sun protection paramount. (03)

Sunburns and Skin Cancer

Sun damage may cause further hair loss, but it can also lead to something life threatening — skin cancer. The American Academy of Dermatology Association (AADA) reports that about one in five people will develop some form of skin cancer in their lifetime. (04) Out of that population, about 2% to 18% affect the scalp. (05) Furthermore, cases of skin cancer continue to rise each year. Keeping this information in mind, your scalp should receive the same – if not more – sun protection as the rest of the skin on your body. 

What is a Sunburn?

Environmental pollutants and UV radiation accelerate the signs of aging, injure cells, and damage DNA within the skin barrier and deeper tissues. Sunburns are an inflammatory response to excessive UV radiation, which destroys the upper layers of skin. (06) Melanin, which darkens skin with exposure to sunlight, helps to protect your skin cells from the sun’s damage. Contrary to popular belief, a glowing tan doesn’t indicate healthy skin. A tan means that your skin cells have reacted to the sun’s radiation!

How your skin reacts to UV radiation is primarily based on your genetic makeup. Some people undergo gradual skin darkening, while others immediately experience a sunburn. While both are signs of skin damage, people with sunburns experience more pain and visible skin cell injury. Repeated sunburns or exposure to UV radiation can place individuals at a higher risk of skin cancers like squamous cell carcinoma, basal cell carcinoma, and melanomas. (07)

What does a scalp sunburn feel like?

Whether or not a person feels pain with a scalp sunburn depends on the severity of the burn. Most sunburns are first or second-degree burns, but they can still cause some discomfort. With a first or second-degree sunburn, you might experience signs and symptoms like: 

  • Redness
  • Swelling
  • Irritation
  • Flaking
  • Itching
  • Burning 

Pain from a sunburn is typically at its worst 6 to 48 hours after exposure to the sun. (07) Severe cases of scalp sunburn may result in significant pain and blistering, which may take longer to heal. Fortunately, most sunburn symptoms are temporary and go away after three days to a week. The damage to cells and DNA, however, can remain for decades.

Treating a Scalp Sunburn

Caring for sunburn on the scalp takes a little TLC. To encourage healing, moisturize the area while the scalp is damp. Keeping the scalp moisturized cuts down on unsightly peeling and flaking. If you’re searching for sunburn medication, products that contain aloe vera may help to reduce inflammation and soothe irritation. 

  • Avoid oil or petroleum-based products because their ingredients can aggravate the scalp and cause more pain. 
  • Use shampoos that are sulfate-free and gentle on the scalp. 
  • Instead of hot water, run cool water over your scalp to cleanse the area. 
  • Stay hydrated and well-nourished to prevent further water loss and promote wound healing. 

Choosing the Right Sun Protection for Your Scalp

Fortunately, you have a variety of options when it comes to shielding your scalp from the sun. It may take some trial and error to find what suits your needs and lifestyle the best, but the effort is worthwhile.

Hats and Hair Loss

If you’re using headwear to protect your scalp, then you’ve got an array of style choices. From beanies to cowboy hats, your options are endless. However, wearing hats do come with a few drawbacks. 

Here are a few things to consider before you start your hat collection.

  • Remember that hats with openings in them, like snapback and trucker caps, allow sunlight to penetrate through parts of the hat.
  • Hats retain heat, and your head is one of the primary ways your body regulates its temperature. Wearing a hat in the sun may make you feel excessively warm. 
  • Hats that are hot or are too tight may reduce blood to hair follicles, depriving them of nutrients and causing stress — which can encourage further hair loss! (08)
  • Be wary of developing traction alopecia when choosing a hat. Constant pulling or tension of hair can lead to traction alopecia hair loss, so choose a loose-fitting hat. (08)

Don’t like hats? Don’t want to risk any more hair loss? Then you’ll need sunscreen. 

Helpful Hints for Choosing a Sunscreen for Your Scalp

Keep in mind that finding the right sunscreen for your scalp can be tricky. If you have thinning hair, you’ll want a formula that’s thick enough to protect your delicate scalp but won’t cake into your strands of hair. Finding the right sunscreen for your scalp is a bit like Goldilocks looking for the happy medium – you want something “just right.” 

Here are a few factors to think about when you’re on the lookout for a good scalp sunscreen: (09)

  • Sunscreens for the skin on the body tend to be oily. You may not want an oily sheen covering your scalp and hair. 
  • Stick sunscreen is excellent for small areas (like your crown or part) but not ideal for use over large areas with thinning hair. 
  • Powder sunscreen options for the hair are convenient and can make hair appear thicker. However, powder sunscreen can be twice the price of other types of sunscreen. 
  • Sunscreen sprays or mist are practical and are reasonably priced, though they can sometimes weigh hair down. 
  • Chemical sunscreens absorb the sun’s rays and prevent radiation from reaching your scalp and skin. These kinds of sunscreen don’t typically leave that white cast on the skin that sunscreen is known for.  

A few ingredients found in chemical sunscreens are: 

  • Avobenzone
  • Octisalate
  • Oxybenzone
  • Octocrylene
  • Octinoxate
  • Homosalate
  • Mineral sunscreen physically blocks or shields UV radiation. This sunscreen blocks the rays of the sun and deflects them back out. People with sensitive scalps or chemical sensitivities may find mineral sunscreen less irritating. 

A few ingredients found in mineral sunscreens are: 

  • Titanium dioxide
  • Zinc oxide

What is the best sunscreen?

According to the AADA, the sunscreen that’s best for you is the one you will use consistently. Whatever sunscreen you choose, make sure it meets the following criteria: (09)

  • Broad-spectrum for both UVA and UVB rays
  • Consists of an SPF of 30 or higher
  • Water-resistant

In short, if you have thinning hair, you need sun protection for your scalp. Whether you’re looking for some fun in the summer sun or you’re working outdoors, remember that you – quite literally – have skin in the game. Protect it! 

Resources: 

(01) https://pubmed.ncbi.nlm.nih.gov/25682789/

(02) https://pubmed.ncbi.nlm.nih.gov/25682789/

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320655/

(04) https://www.aad.org/media/stats-skin-cancer

(05) https://onlinelibrary.wiley.com/doi/full/10.1111/ddg.13546

(06) http://skincancer.org/risk-factors/uv-radiation/

(07) https://jamanetwork.com/journals/jama/fullarticle/2383280

(08) https://health.clevelandclinic.org/can-wearing-a-hat-make-you-go-bald/

(09) https://www.aad.org/public/everyday-care/sun-protection/sunscreen-patients/sunscreen-faqs