Board-certified Dermatologists Archives

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5 Reasons Why You Want a Dermatologist to Treat Your Hair Loss

You used to have a ton of hair, but now you can see your scalp. You’ve noticed. Your partner is politely pretending not to notice. Your barber is running out of ways to conceal the bald spots and make the thinning areas look thicker. Arg. What to do? First, stop Googling and wasting money on one-size-fits-all hair loss remedies that don’t work. Then, it’s time to consult with a board-certified dermatologist. Dermatologists not only treat skin conditions, but they are also trained to address your hair and nails. Here are five reasons why you want a dermatologist to treat your hair loss.

1. Dermatologists are Hair Loss Experts

News flash. Dermatologists don’t just deal with acne, warts, and eczema. After four years of earning a bachelor’s degree, they continue with four years of med school, one year interning, and at least three years as a resident. They learn a few things about skin, hair, and nails during that time. When they’ve completed their education and training, they are eligible to become board-certified by the American Board of Dermatology. Like any other medical specialty, some dermatologists are more interested in particular study areas than others. So, some dermatologists have more experience dealing with hair issues than others. These are the docs you want by your side.

2. They Are Skilled at Diagnosing Types of Alopecia

It would be nice if there was only one type of alopecia, and it was a snap to diagnose it. That’s not exactly how it works, though. Sure, the most common type of hair loss is androgenetic alopecia, male and female pattern baldness. It’s an inherited form of hair loss that occurs when a person’s testosterone converts to dihydrotestosterone (DHT) and attaches to the hair follicles. Once that happens, mayhem ensues. The hair follicles shrink, hair thins, and hair begins to shed. If the condition isn’t reversed, the hair follicles can eventually close off, preventing new growth altogether. Dermatologists are trained to diagnose male and female pattern hair loss with a visual exam. As the name suggests, when people experience male or female pattern hair loss, the balding or thinning occurs in predictable patterns.

Diagnosing other types of alopecia may require further testing, While each kind of alopecia has recognizable traits, a closer look with a dermatoscope or a pathologist’s report is more conclusive. Blood tests may also be needed to determine if a thyroid imbalance or other medical condition is causing the hair loss.

3. You Need Timely, Accurate Information

If your hair is balding or thinning, it’s not a good idea to take a wait-and-see approach. Unless you have telogen effluvium, it’s not likely that your hair will magically grow back without intervention. Treatment for androgenetic and other alopecia types, is designed to stop shedding and stimulate regrowth. The process is time sensitive because the hair follicles must remain open for growth. Once the hair follicles close, the window of opportunity for regrowth also closes. Having a dermatologist prescribe the proper medications from the start will give you the best chance of achieving your desired result.

4. They Can Give You Access to Effective Prescription Hair Loss Medications

If you’ve checked out drugstore shelves or scanned the internet, you know the market is flooded with over-the-counter hair growth remedies. Here’s what you need to know about them. Over-the-counter (OTC) shampoos and conditioning treatments will improve the appearance of your existing hair, but they won’t regrow your hair if you have male or female pattern baldness. Supplements will compensate for any vitamin deficiencies and create a healthy environment for new hair. However, it takes stronger, prescription-grade medication to regrow hair. Those prescriptions are only available through a dermatologist. Some are FDA-approved, and others are prescribed off-label. Here’s an idea of what Happy Head dermatologists often prescribe:

Minoxidil

Minoxidil is clinically proven to revive hair follicles and thicken hair over time. It’s available in both pill and topical solutions. The medication works by increasing blood flow to the hair follicles. The scalp gets more oxygen and nutrients. It also kickstarts the hair growth cycle. It moves hair from the resting phase into a growth phase and extends the stage.

Minoxidil is sold OTC as Rogaine and private store brands. The difference between what you can get with a prescription is the dosage. Stores sell two and five percent. Happy Head and pharmacies sell eight percent topical solutions and 2.25 milligrams oral Minoxidil, which are higher than what’s available OTC.

Research indicates that pairing Minoxidil with DHT blockers such as Finasteride (01), Dutasteride, and Spironolactone (02) improves efficacy. That’s why Happy Head offers combination formulas.

Finasteride

Finasteride is a first-line DHT blocker that has been FDA-approved for men with androgenetic alopecia since 1997. It’s prescribed to women off-label. Research indicates that Finasteride reduces serum DHT levels by 70 percent. Increasing the dose doesn’t result in greater serum reduction. (03) The medication is ideal for people with early recession or thinning.

Dutasteride

Dutasteride is a step-up from Finasteride. It’s also a DHT blocker, but inhibits more enzymes than Finasteride. Finasteride inhibits the Type II 5-alpha reductase enzyme, while Dutasteride inhibits both Type 1 and Type II. Experts estimate that Dutasteride reduces serum DHT levels by approximately 95 percent. (04) Because Dutasteride is a stronger medication than Finasteride, side effects may be more likely when taken orally. Topical formulas have been proven to be equally as effective with lower changes of undesirable side effects. (05)

Spironolactone

Spironolactone is an aldosterone receptor antagonist often prescribed to women under 50. It works like a DHT blocker. The oral medication is typically reserved for women since it can cause feminization side effects such as enlarged breasts in men. Both women and men can use the topical formula.

Latanoprost

Latanoprost is one of the newest prescription hair-loss medications on the market. It was originally marketed as a glaucoma treatment. When doctors discovered the medication caused longer, thicker, darker eyelashes, dermatologists tested and marketed the product for scalp growth.

5. Dermatologists Can Adjust Your Treatment Plan if Necessary

Not every medication works for every person. What works for your brother, cousin, or friend may be different for you. Body chemistry differs from person to person, and no test exists to indicate which medication is best for each individual. Sometimes finding the right medication or mix of medications means starting with a first-line prescription and stepping up dosages or to more powerful formulas as needed. Other times, patients need customized formulas. Dermatologists have the experience necessary to determine when changes need to be made in your treatment plan.

If you’ve noticed that your hair is thinning, now is the time to make an appointment with a board-certified dermatologist and hair specialist. Minoxidil, Finasteride, and Spironolactone are just a few of the treatment options available, and you don’t want to lose valuable time that you could use to regrow your hair. The right doctor will not only help restore your hair; they will help restore your confidence.

Need a referral? Visit Happy Head, your one-stop hair loss shop, without waiting for an appointment. The company is founded and operated by renowned dermatologists Dr. Ben and Dr. Sean Behnam. When you contact us, your health history will be reviewed by a screened and licensed dermatologist. Your dermatologist will work with you to select the right medication based on your condition. We even customize prescriptions. Your order will be shipped to your front door in a discrete package. Need a change? Not a problem. We’re also here to answer any questions you have. Take the questionnaire to get started. It only take a few minutes and there’s no wait, all done online.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/32166351/

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010138/#:~:text=Three%20studies%20compared%20the%20combination,with%20only%20one%20emerging%20hair%2C

(03) https://www.ncbi.nlm.nih.gov/books/NBK513329/#:~:text=Research%20has%20shown%20that%20finasteride,reduction%20in%20serum%20DHT%20levels.

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684818/

(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706484/

Debunking the Myths About Hair Loss

Legend has it that Samson, the biblical hero, needed his hair to give him his strength. After his hair loss, Samson was said to have lost his superhuman power. Although this tale has no basis in reality (no, your hair does not give you power), the Samson story may have added to the myth that long, thick hair was proof of virility and fertility. While most people know that the hair on your head is not directly related to your strength and power, there are other hair myths that remain. In this article, we’ll focus on debunking the myths of hair loss and affirm some facts along the way.

What Are the Facts & the Myths About Hair Loss?

Losing your hair can be caused by a myriad of factors, so preventing hair loss takes a multi-pronged approach. One example is a person’s diet. While specific vitamins and minerals are necessary for healthy hair, a poor diet won’t make you bald. It can, however, cause your hair to start thinning. Using the right hair products, consuming hair-friendly nutrients, and taking a proactive approach to hair growth, to prevent hair loss, can even help regrow your hair. Let’s explore seven common myths about hair loss.

1. Your mother is the reason for your hair loss.

The myth that you inherit baldness from your mother is false, at least half the time. While it’s true that genetics play a major role in male pattern baldness and female pattern baldness, you can inherit the condition from either of your parents. Androgenic alopecia, for example, is a hair loss condition with strong genetic links. But where that genetic link comes from is not that easy to explain.

For example, men get their X chromosome from their mother and the Y chromosome from their father. And although the gene most associated with baldness – the AR gene – is found on the X chromosome, there are 63 other genes responsible for hair loss. You may be surprised that only six of those genes are on the X chromosome. So, you might blame your mother for a lot of things during therapy, but hair loss shouldn’t be one of them! (01)

2. Baldness only happens with age.

Middle-aged adults do not have a monopoly on hair loss. Studies show that about 16% of young adult males ages 18 to 29 have moderate to severe hair loss, so losing hair can happen at any age. Some men can start losing hair in adolescence.

People who have a genetic predisposition to hair loss start losing hair as early as their teens or twenties, decades before most people expect the loss to occur. The signs are there decades before they may notice. So, if you suspect you might be losing your hair, it’s always advisable to consult a professional as soon as possible.

3. Hair suffocates under a hat.

Some people will tell you that wearing a hat leads to hair loss because headwear can “suffocate” your hair. First of all, your follicles and hair strands do not breathe. Therefore, you can’t suffocate the hair off your head.

You can, however, experience traction alopecia if your hat or hairstyle constantly pulls at your hair. Over time, repeated pressure or friction may lead to hair follicle damage or hair loss. In addition, a tight fit can restrict blood flow if worn daily, which may prevent vital nutrients from getting into hair follicles. While wearing a hat is fine, make sure to wear one that’s not constricting or abrasive to your scalp.

4. Only men experience severe hair loss.

Hair loss, even balding, is not a condition isolated to men. According to the American Academy of Dermatology, women also struggle with hair loss. Because, for all genders, the cause is typically genetic. Also, both men and women see thinning hair with age. The difference is how the person loses their hair. (02)

Men tend to lose hair in a very specific area, like at the hairline or the top of the head. On the other hand, women lose hair evenly and diffusely throughout the scalp. And, unlike men, women have historically had more options to disguise their hair loss in the form of wigs, weaves, and other cosmetic measures to cover baldness. In short, women also experience severe hair loss — albeit with significant differences.

4. Stress causes baldness.

Does stress cause baldness? This myth is a little tricky. While stress by itself doesn’t cause baldness, it does cause hair loss. Telogen effluvium, a common hair loss condition, occurs due to severe and persistent stress. Anything from job loss to illness can trigger a stress response, which may result in hair loss.

Telogen effluvium is also known as “club hair” due to the shape of hairs at the root. Hair loss happens throughout the head and does not typically cause complete baldness. The condition can impact any person at any age as long as they’ve experienced significant stress or sickness. Fortunately, in most cases, hair loss during telogen effluvium grows back after the stress has resolved. (03)

5. Men who go bald have too much testosterone.

Although it may provide some comfort to think you’re losing your hair because you’re too manly, the truth is not that simple. Elevated levels of testosterone do not lead to baldness. However, testosterone does play an indirect role when it comes to hereditary hair loss.

Dihydrotestosterone (DHT) is a sex hormone that’s converted from testosterone. Hair follicles are affected by DHT. And some people are genetically inclined to have follicles that are exceptionally sensitive to the hormone, causing hair follicles to shrink in size and unable to grow healthy hair. (04) To combat the conversion of Testosterone into DHT, you need a custom hair treatment that targets the hormone.

6. Certain hairstyles will cause you to go bald.

Your mousse and gel routine will not cause baldness, no matter how many bottles of product you go through. That said, some hairstyles may cause your hair too thin. For example, heated hair tools and tight braids can cause breakage, causing thinner hair. Once stopped, however, hair typically grows back normally.

Coloring, bleaching, or perming your hair also does not cause you to go bald, though it may damage the hair and lead to thinning. In most cases, the hair grows back once the coloring or perming ends. Remember, any hair products that cause severe scalp injuries can result in permanent bald patches.

7. Brushing your hair will encourage hair growth.

The myth about brushing your hair 100 times before bed stems from a time when hair conditioner wasn’t available to the masses. In the past, women (and some men) spread hair oils throughout the scalp by brushing repeatedly. This activity kept hair from becoming dry and brittle.

These days, the right shampoo and conditioner do the job that brushing used to do. Maintaining clean hair and a healthy scalp prevents hair loss. Brushing your hair too much, on the other hand, causes breakage and hair loss. While it won’t make you go bald, it may thin out your hair. (05)

The Truth About Hair Loss

Throughout history, hair has always had a mystical quality. Whether it’s the lock of hair placed into a boiling cauldron or Samson’s powerful mane, humans have always assigned myths to hair. Now that we’re done debunking the myths of hair loss, you know your hair isn’t magical — hair growth comes down to science.

Happy Head takes the mystery out of hair loss. All of our doctors are board-certified dermatologists specializing in hair growth. Our proprietary hair growth formula and hair care products were developed by world-renowned hair loss pioneers: Dr. Ben Behnam and Dr. Sean Behnam. Looking to prevent hair loss or regrow your hair? Take the questionnaire and get started your customized hair loss program today.

Resources:

(01) https://www.healthline.com/health/baldness-gene
(02) https://www.aad.org/public/diseases/hair-loss/causes/18-causes
(03) https://www.ncbi.nlm.nih.gov/books/NBK430848/
(04) https://www.medicalnewstoday.com/articles/68082#Hair-growth-and-hair-loss
(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5419032/

Your Summer Hair Care Guide

Dealing with summer hair can be tough. Trying to get my frizzy strands under control when the humidity is at its peak is an exercise in futility, but there is always the not-so-sleek ponytail to fall back on. Now that I have alopecia, summer brings on a whole new set of hair dilemmas. Will chlorine make my hair fall out? Are UV light treatments good for hair loss? Is the sun okay to be out in? Will a hat protect my hair or harm it? Is summer shedding really a thing? So I asked a few Happy Head team members to get answers to a few summer hair care questions. There are so many old wives’ tales out there that it can be challenging to separate fact from fiction. Read on to learn how to care for your hair during summer with this hair care guide and get answers to some commonly asked questions.

Fact #1: Everyone Loses Some Hair Daily

The first thing you need to know is that no matter what time of the year it is, seeing strands of your hair in the sink shouldn’t be a cause for alarm. People typically lose anywhere between 50 to 100 strands of hair per day. (01) There’s a difference between normal hair shedding and excessive hair loss, though. If you start to notice your hair gradually thinning, bald spots developing, or hair loss on your body, something else may be happening. It’s a good time to talk with Happy Head dermatologist if you are noticing some change in your hair shedding over time. We offer free consultations with a board-certified dermatologists and prescriptions for custom hair growth medicine all online.

Fact #2: Hair Loss Peaks During the Summer

If you think you’re seeing more hair in the sink now then you saw a few months ago, it’s certainly possible. It’s proven that people lose more hair during the summer than any other time of the year. (02) When 823 women were tracked over a six-year period, researchers found that a maximum proportion of hair was in the telogen stage during summer. Telogen rates were the lowest during winter months. (03) The reason why still has yet to be determined.

One hypothesis is that people naturally keep their hair in the winter in response to cold weather. Like animals who grow a winter coat and shed it in summer, people may keep their hair to stay warm during the colder months. When the weather warms, the body reacts by shedding excess hair.

Figuring out whether the amount of hair you’re losing is typical can be challenging, especially during the summer. Ponytails, chlorine, salt water, and the sun can all contribute to damage and breakage, which you might think is hair loss. If you’re concerned, it’s always a good idea to consult with a board-certified dermatologist or hair specialist, especially if you notice thinning or bald patches.

Fact #3: Chlorine Does Not Cause Hair Loss

Although chlorine can damage your hair, it will not cause hair loss. In a study published by the Journal of Dermatology in 2000, researchers compared the hair of 67 professional swimmers to that of 54 non-swimmers. The study did not find evidence that the swimmers had more hair loss than the non-swimmers. The swimmers, however, did have hair discoloration and cuticle damage due to the chlorine. (04)

If you swim a lot in general or mostly on vacation, there are things you can do to prevent chlorine from damaging your hair. Here are some tips that will help:

Condition your hair before swimming (leave-in conditioner works)
Wear a swim cap
Shampoo your hair thoroughly after getting out of the pool
Replace lost moisture with a deep conditioner

Fact #4: Wearing a Hat Will Not Make You Bald

Hats that fit properly, and aren’t too tight, do not make your hair fall out. The reality is that it’s sweltering outside, and we’re seeing extreme temperatures all over the world. If you’re heading out to the pool or the beach, wear a hat to protect your hair and scalp. UVA (Ultraviolet A) and UVB (Ultraviolet B) rays damage your hair’s cuticles causing thinning, frizziness, discoloration, and dryness with prolonged exposure to the sun.

A hat is critical if you’re already using oral or topical medications such as Minoxodil, Finasteride (05), or Spironolactone. Medications can cause sun sensitivity in some people, resulting in sunburn or a rash. In some cases, UV light can cause a structural change to medications. As a result, some people produce antibodies that make them photosensitive. In other cases, the medication absorbs the UV light and releases the evolved drug into the skin. (06)

Fact #5: Hydrating Your Hair is the Best Way to Fight Humidity and the Elements

Hydration is your best bet if you’re worried about your hair being dry, brittle, dull, or frizzy. Here are some tricks that will help:

Use a sulfate-free hydrating shampoo
Deep condition regularly
Try heatless hair styling
Hydrate from the inside out by drinking plenty of water
Test out hydrating hair misting solutions made from natural ingredients

Fact #6: It’s Easy to Get Traction Alopecia During the Summer

Beware of pulling your hair back into tight buns and ponytails when your hair is wet. The pulling on your hair follicles can cause traction alopecia, which can be reversed early on but not after the hair follicles have been damaged. If you want to wear braids, keep them loose. Frequently changing up your hairstyle will also help prevent a particular hair loss pattern from forming.

Fact #7: Eating a Protein-rich Diet Will Help Your Hair Stay Healthy & Shiny Year-Round

Protein is the primary building block that makes up your hair. If you’re concerned about your hair staying healthy during the summer months, be sure to load up on healthy and lean proteins like avocados, nuts, grass-fed chicken, salmon, tuna, and seafood. Although the richest source of protein comes from animals, there are also plenty of plant-based protein sources for vegetarians. Egg whites, beans, and authentic Greek yogurt are all good sources. Protein supplements have also been proven effective in supporting healthy hair growth and are easy to pack for your vacation. (07) Although many people use whey protein isolate, whey protein concentrate is a better option, especially for people predisposed to androgenic alopecia.

Still Have Questions About Your Summer Hair Loss?

If you’re losing more hair than normal over the summer, it’s possible that you’re experiencing summer hair shedding or have telogen effluvium that resolves itself. However, if it turns out that you have a form of alopecia such as androgenic alopecia, the sooner you are treated, the faster you can stop the hair loss and start the regrowth process. Topical and oral hair regrowth options range from easy-to-apply over-the-counter topicals such as Minoxidil and Finasteride to oral medications such Spironolactone. Keep in mind that many hair loss medications are only available by prescription. If you have further questions, contact us for a complimentary consultation with a board-certified dermatologist and hair specialist.

Resources:
(01) https://www.aad.org/public/diseases/hair-loss/insider/shedding

(02) https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjd.16075

(03) https://pubmed.ncbi.nlm.nih.gov/19407435/

(04) https://pubmed.ncbi.nlm.nih.gov/11092265/

(05) https://onlinelibrary.wiley.com/doi/full/10.1002/jgf2.510

(06) https://www.webmd.com/skin-problems-and-treatments/sun-sensitizing-drugs

(07) https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.12400