The healthy condition of the hair depends, to a very large extent, on the intake of sufficient amounts of essential nutrients in the daily diet. Hair is made of keratin, a protein, which also makes up the nails and the outer layer of our skin. Scalp reduction is performed on patients with well-defined bald spots in the crown area of the scalp. It is sometimes done in conjunction with hair transplantaion to reduce the size of the bald scalp, especially in patients who do not have enough donor hair to cover the bald areas. Male pattern baldness that is the condition responsible for over 98% of all hair loss in men. It gets its name from the pattern of hair loss, which ultimately results in a horseshoe of hair that resides on the sides and back of the head, while the top of the head is completely bald. Some men begin MPB by losing the hair in their hairline. Others start in the crown. The most familiar hair loss pattern is where the hair begins to recede in the hairline and the crown at roughly the same time. The hair in the mid-scalp or anterior scalp is often the last to go. But go it will, eventually leaving a man with the horseshoe of hair that is the telltale sign of typical male pattern baldness. The effectiveness of medications used to treat alopecia depends on the cause of hair loss, extent of the loss and individual response. Generally, treatment is less effective for more extensive cases of hair loss. New hair resulting from minoxidil use may be thinner and shorter than previous hair. But there can be enough regrowth for some people to hide their bald spots and have it blend with existing hair. New hair stops growing soon after you discontinue the use of minoxidil. If you experience minimal results within six months, your doctor may recommend discontinuing use. Side effects can include irritation of the scalp. Finasteride (Propecia). This prescription medication to treat male-pattern baldness is taken daily in pill form. Many people taking finasteride experience a slowing of hair loss, and some may show some new hair growth. Positive results may take several months. Finasteride works by inhibiting the conversion of testosterone into dihydrotestosterone (DHT), a hormone that shrinks hair follicles and is an important factor in male hair loss. Rare side effects of finasteride include diminished sex drive and sexual function. As with minoxidil, the benefits of finasteride stop if you stop using it. Corticosteroids. Injections of cortisone into the scalp can treat alopecia areata. Treatment is usually repeated monthly. Doctors sometimes prescribe corticosteroid pills for extensive hair loss due to alopecia areata. Ointments and creams can also be used, but they may be less effective than injections. Anthralin (Drithocreme). Available as either a cream or an ointment, anthralin is a synthetic, tarry substance that you apply to your scalp and wash off daily. It's typically used to treat psoriasis, but doctors can prescribe it to treat other skin conditions. Anthralin may stimulate new hair growth for cases of alopecia areata.
It is good to shampoo your hair--we recommend at least three times a week. This helps to remove dirt and buildup on the hair that can deteriorate the condition of your scalp. When shampooing, it is very important that you pay attention to cleansing your hair, your scalp and your hair line. Frequently shampooing can dry out your hair and, therefore, must be followed by the use of a moisturizing conditioner. It is very important to work the conditioner through all of your hair and leave it in for three to five minutes. Again, many people misapply and misuse conditioner by not working it through to the ends of the hair and not leaving it on long enough. Excessive exposure to the sun can damage your hair by inducing oxidation of the sulfur molecules within the hair shaft, leaving the hair weak, brittle, dry and faded. People who bleach or lighten their natural hair color may also notice slight color changes in their hair when it is exposed to sun. Hair requires the same overall nutrition that the body does: plenty of fresh fruits and vegetables, grains and protein including lean meat and fish. Dietitians recommend foods high in biotin, including brown rice, bulgar, brewer's yeast, soybeans, green peas, lentils, oats, sunflower, seeds and nutritious nuts.
The outer layer is called the cuticle and is thin and colorless, its job is to protect the thicker cortex which contains the melanin. Melanin is responsible for the color of your hair and the actual color depends on what kind of melanin you have . Whether you have straight or curly hair depends on the shape of the cortex. If the cross section of the cortex is round you will have straight hair, if the cortex is oval shaped you will have curly or wavy hair. The average Caucasian person has 5 million hairs of which 100,000 - 150,000 are on the head. Blondes not only have more fun, they also have more hair, about 140,000 more than average, Brunettes have slightly higher than average hair about 105,000 hairs, and redheads have a little less than average about 90,000 hairs.
Do you feel that you are the only one losing hair? You're not! The most common form of hair loss, Androgentic Alopecia, or pattern baldness, is experiences by 50-80% of Caucasian men. The number of Chinese males affected are half of the Caucasian counterparts while African Americans have a lower incidence of the condition as well. For women androgenetic alopecia occurs between 20-40% of the general female population. In summary, it is safe to say that pattern baldness is experienced by the norm of the population, you're not alone, but actually in the majority. Thyroid Disease - Both an over-active thyroid and an under-active thyroid can cause hair loss. Your physician can diagnosis thyroid disease with laboratory tests. Hair loss associated with thyroid disease can be reversed with proper treatment. Medications - Some prescription drugs may cause temporary hair shedding. Examples include some of the medicines used for the following: gout, arthritis, depression, heart problems, high blood pressure, or blood thinner. High doses of vitamin A may also cause hair shedding. Birth Control Pills - Women who lose hair while taking birth control pills usually have an inherited tendency for hair thinning. If hair thinning occurs, a woman can consult her gynecologist about switching to another birth control pill. When a women stops using oral contraceptives, she may notice that her hair begins shedding two or three months later. This may continue for six months when it usually stops. This is similar to hair loss after the birth of a child. See products which may help hair loss. Fungus Infection (Ringworm) of the Scalp - Caused by a fungus infection, ringworm (which has nothing to do with worms) begins with small patches of scaling that can spread and result in broken hair, redness, swelling, and even oozing. This contagious disease is most common in children and oral medication will cure it. Hair Pulling (Trichotillomania) - Children and sometimes adults will twist or pull their hair, brows or lashes until they come out. In children especially, this is often just a bad habit that gets better when the harmful effects of that habit are explained. Sometimes hair pulling can be a coping response to unpleasant stresses and occasionally is a sign of a serious problem needing the help of a mental health professional.
Hair transplantation has come a long way from the days of "hair plugs" and a pleasing, natural result is now routine. It is an excellent option for treatment of hereditary hair loss in many men and women. The removed hair follicles are then divided into individual grafts of varying sizes. The smallest grafts contain 1-2 hairs and are often referred to as "follicular units" or "micrografts". Larger minigrafts may contain up to 6 hairs and can provide more density per graft. Choice of number and type of graft is made taking into account the patient's hair type, quality, color and the area to be transplanted. Once prepared the grafts (hair and its roots) are then inserted into the thin area. In the hands of well-trained and experienced physicians, and using newer techniques with smaller grafts, the hair grows in the proper direction with a feathered hairline, and a highly aesthetic result. Hair transplantation is a cost-competitive solution for hair loss. Other hair replacement alternatives require additional maintenance over the years. The cost depends on the amount of bald area that will need to be transplanted, and the desired thickness. More grafts are necessary to cover more bald or thin area and to maximize hair density. Because the procedure is individual, costs are usually determined individually. Hair transplantation can be done both on patients with advanced baldness and earlier thinning. Newer treatments for men like Propecia or for both men and women, like Rogaine should be considered as well especially in patients with earlier thinning as these medications often slow significantly the progression of hair loss. In general, hair transplantation is not considered for patients younger than their mid 20s because of difficulty in predicting ultimate extent of hair loss. Hair loss is not "an inevitable sign of getting older". It has been reported in studies that about 80% of women experience some degree of hair loss before menopause. Much of this hair loss has a hereditary basis-female pattern hair loss. A woman who has a family history of hair loss in women may be especially aware of the possibility that she may also begin to lose hair as she matures. And, she would be correct; a family history of hair loss in women is an indication that a woman may be genetically predisposed to lose hair.

Definitions and termsAlopecia Areata
- Alopecia areata is a hair loss condition which usually affects the scalp. It can, however, sometimes affect other areas of the body.
Hair loss
- A progressive, diffuse loss of scalp hair in men that begins in the twenties or early thirties, depends on the presence of the androgenic hormone testosterone, and is caused by a combination of genetic and hormonal factors. Also called androgenetic alopecia.
Hair transplantation
- Hair transplantation is a surgical procedure used to treat baldness or hair loss (alopecia). Typically, tiny patches of scalp are removed from the back and sides of the head and implanted in the bald spots in the front and top of the head.
Protein
- Important building blocks of the body, composed of amino acids, involved in the formation of body structures and controlling the basic functions of the human body.
- Complex organic molecules made up of amino acids. Proteins are basic components of all living cells and are therefore among the principal substances that make up the body.
Ringworm
- The term "ringworm" refers to fungal infections that are on the surface of the skin. The early belief was that the infection was due to a worm, which it is not, although the name has stuck. Some of these fungi produce round spots, but many do not.
Thyroid
- A gland in the throat that produces hormones that regulate growth and metabolism.
- A large gland in the neck that functions in the endocrine system. The thyroid secretes hormones that regulate growth and metabolism.
Alopecia
- A hair loss, baldness, and epilation.
- Alopecia, also called hair loss, baldness, and epilation, is a common side effect of chemotherapy and radiation therapy.
Baldness
- A progressive, diffuse loss of scalp hair in men that begins in the twenties or early thirties, depends on the presence of the androgenic hormone testosterone, and is caused by a combination of genetic and hormonal factors. Also called androgenetic alopecia.
Biotin
Follicles
- A follicle (from the Latin folliculus) is a term to describe a small spherical group of cells containing a cavity.
Grafts
- To transplant or implant surgically into a bodily part to replace a damaged part or compensate for a defect.
Hormone
- A substance, usually a peptide or steroid, produced by one tissue and conveyed by the bloodstream to another to effect physiological activity, such as growth or metabolism.
Scalp
- The skin covering the top of the human head with its attached hair.
Stress
- Importance, significance, or emphasis placed on something.
- The relative force with which a sound or syllable is spoken.
- Accent or a mark representing such emphasis or force.
- An applied force or system of forces that tends to strain or deform a body.
- A mentally or emotionally disruptive or upsetting condition occurring in response to adverse external influences and capable of affecting physical health, usually characterized by increased heart rate, a rise in blood pressure, muscular tension, irritability, and depression.
- A state of extreme difficulty, pressure, or strain.
- A physical and psychological response that results from being exposed to a demand or pressure.
Testosterone
- A white crystalline steroid hormone, C19H28O2, produced primarily in the testes and responsible for the development and maintenance of male secondary sex characteristics. It is also produced synthetically for use in medical treatment.
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