You Need To Know All About Hair Loss Explained By Dermatologists – Part 2

Where are the treatments for hair loss targeted? Will there still be effective treatments? Here is the discussion on causes and treatments. 

You Need To Know All About Hair Loss Explained By Dermatologists – Part 2

The Second Part 

Here we bring some more causes and treatments for hair loss. 

Lichen planopilaris (LPP)

Resulting in patchy spots of hair loss as well as redness, itching, burning, or pain in the scalp is Lichen Planopilaris, a form of alopecia found more commonly among Caucasian women. Research is still begin carried out to figure out the exact cause even though LPP is thought to be autoimmune-related. As Dr. Lenzy says, individuals with this form of hair loss after the research are found to have decreased activity of the very essential enzyme called PPAR-gamma. This enzyme PPAR-gamma comes to be responsible for how the scalp then metabolise lipids on the scalp whereas individuals don’t have that active, developing LPP.

It is observed increasingly common in those women postmenopausal according to Dr. Goh as it is one particular form of LPP called frontal fibrosing alopecia. She further explains, in FFA the hairline is found to be receding gradually from the front and sides and sometimes the back of the scalp and it also comes with the loss of eyebrows and eyelashes along with other body hair.  

Lupus

Another form of scarring alopecia that is autoimmune is lupus of the scalp which is common especially in the women of colour showing as red, scaly thick lesions that don’t usually hurt or itch. 

Here We Explain Why Hair Loss Is Different From Hair Breakage

The official name for hair breakage is trichorrhexis nodosa, taking place mid-shaft with hair loss at the scalp, and if you see little hairs on the floor of different lengths, for instance, that comes to be a sign of breakage according to Dr. Lenzy. Whereas the hair is coming out from the root with shedding so you will see long strands the entire length of your hair. making hair more likely to break is hair colour, excessive heat during styling, and chemical straighteners that can all dry out hair strands making them more likely to break. You are sure to see breakage throughout your hair if the hair care practices are the culprit. A sign of Alopecia Areata or CCCA is the isolated breakage in one spot. 

The Effective Hair Loss Treatments

Pointing you toward the right treatment is the cause of the particular form of hair loss where for stress-related telogen effluvium, the best solution is time as hair should grow back in a period of six to nine months mostly after the excessive shedding had occurred. Your hair ought to grow back after you address the underlying problem if the telogen effluvium is caused by an underlying health issue such as thyroid problems or low iron levels. 

How Does Rogaine Work?

The only FDA approved treatment for hair loss in women according to Dr. Goh is topical minoxidil called Rogaine. Used for many types of hair loss and available over the counter it is technically approved for androgenetic alopecia. The reason many don’t use minoxidil is that they have heard it would have to be used forever. The fact is that minoxidil works only while you use it and it is also true of all treatments for hair loss as long as the underlying hair loss is chronic. It is possible to become a routine like brushing your teeth. For male pattern androgenetic alopecia, the FDA approved is Finasteride that is quite effective especially when combined with minoxidil and Dr. Goh notes that often prescribed off-label for women they can cause birth defects as it is usually used in women after childbearing age. Often used for women with female pattern hair loss is Spironolactone another medication and women are advised to use proper contraception while taking it. 

As Dr. Lenzy says, they often use antibiotics to decrease inflammation around the hair follicle, in case you have one of the forms of the scarring alopecia coming to be inflammatory such as CCCA with topical or injection cortisones helpful in reducing inflammation in CCCA as well as alopecia areata. She further explains that with a lot of new treatments on the horizon, it is currently beginning studies in clinical trials for extensive forms of alopecia areata. They currently use off-label even though they are not yet approved, where some of the treatments are coming down the pike. Many of the treatments or hair loss, in general, are experimental because they are just not a lot of FDA approved treatments whereas those who specialise in hair loss still have a lot of effective therapies that they use. 

The Last Part Continued

There are even more tips and we continue onwards to the next post. So what is the end result that we expect?

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