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Hair Loss Profile Image

Hair Loss

Hair loss is also known as alopecia or baldness. The severity of hair loss can vary from a small area to the entire body. 

Overview

Symptoms of hair loss include hair loss in patches usually in circular patterns, dandruff, skin lesions, and scarring.

People have between 100,000 and 150,000 hairs on their head. The number of strands normally lost in a day varies but on average is 100.

In order to maintain a normal volume, hair must be replaced at the same rate at which it is lost. The first signs of hair thinning that people will often notice are more hairs than usual left in the hairbrush after brushing or in the basin after shampooing.

In male-pattern hair loss, loss and thinning begin at the temples and the crown and hair either thins out or falls out. Female-pattern hair loss occurs at the frontal and parietal. 

Diagnosis

There are 2 types of identification tests for female pattern baldness: the Ludwig Scale and the Savin Scale. Both track the progress of diffused thinning, which typically begins on the crown of the head behind the hairline, and becomes gradually more pronounced.

For male pattern baldness, the Hamilton–Norwood scale tracks the progress of a receding hairline and/or a thinning crown, through to a horseshoe-shaped ring of hair around the head and on to total baldness.

  • The pull test helps to evaluate diffuse scalp hair loss. Gentle traction is exerted on a group of hairs (about 40–60) on three different areas of the scalp. The number of extracted hairs is counted and examined under a microscope. Normally, fewer than three hairs per area should come out with each pull. If more than ten hairs are obtained, the pull test is considered positive.

  • The pluck test is conducted by pulling hair out "by the roots". The root of the plucked hair is examined under a microscope to determine the phase of growth, and is used to diagnose a defect of telogen, anagen, or systemic disease. Telogen hairs have tiny bulbs without sheaths at their roots. Telogen effluvium shows an increased percentage of hairs upon examination. Anagen hairs have sheaths attached to their roots. Anagen effluvium shows a decrease in telogen-phase hairs and an increased number of broken hairs.

  • Scalp biopsy is used when the diagnosis is unsure; a biopsy allows for differing between scarring and nonscarring forms. Hair samples are taken from areas of inflammation, usually around the border of the bald patch.
  • Daily hair counts are normally done when the pull test is negative. It is done by counting the number of hairs lost. The hair from the first morning combing or during washing should be counted. The hair is collected in a clear plastic bag for 14 days. The strands are recorded. If the hair count is >100/day, it is considered abnormal except after shampooing, where hair counts will be up to 250 and be normal.
  • Trichoscopy is a noninvasive method of examining hair and scalp. The test may be performed with the use of a handheld dermoscope or a video dermoscope. It allows differential diagnosis of hair loss in most cases.

In almost all cases of thinning, and especially in cases of severe hair loss, it is recommended to seek advice from a doctor or dermatologist. Many types of thinning have an underlying genetic or health-related cause, which a qualified professional will be able to diagnose.

Read this post for more information on treating hair loss in Singapore.

How Hair Loss Is Treated With Micrografts: A Doctor Discusses

How Hair Loss Is Treated With Micrografts: A Doctor Discusses

Hair loss may not affect a person’s day-to-day physical functioning, but it can have an effect on self-esteem, especially for people who have public-facing jobs. From hair tonics to transplants and now micrografts, hair treatments available in Singapore do not just stop at topical treatments but also extend beneath the skin. 

Regenera Activa is a micrograft-based hair loss treatment available in Singapore that is available for both men and women. It is an option for patients for whom hair transplants are unsuitable. 

Dr Justin Boey responded to DoctorxDentist readers’ questions about how hair loss is diagnosed by doctorshair loss in women with a receding hairline, as well as medically proven solutions available. Here are some key facts to note. 

284 views 9 May 2019
Hi, A wide centre hair parting is generally an indication of diffuse hair thinning. The common causes are common balding (androgenetic alopecia), telogen effluvium (hair loss due to more hairs being pushed into the sleeping phase of the hair growth cycle; caused by recent illness...
1 May 2019
To answer your question: essential oils do have mild hair growth stimulating effects, but they are very concentrated and thick, and may cause scalp oiliness and other side effects in the process. Once you stop the oils, the effects are also gone too. Minoxidil does not always h...
26 Jan 2018
Thank you for the question. A common cause of progressive thin ning of the hair includes female pattern hairloss. Scalp dermatitis can cause the scalp to be itchy and painful. You can see your doctor or dermatologist for assessment and treatment of your hair problem. It is di...
14 Apr 2018
There are various types of hair loss that will require different treatment approaches. You should consult a dermatologist, plastic surgeon or aesthetic doctor with special interest in hair to help you with your concern. They should provide you with a detailed consultation, examination, necessary t...
4 May 2018
Hi, 1. The Donor Area Depending on the individual, a typical donor area contains 30-40 thousand hair follicles. An FUE technique hair transplant procedure can harvest 2500-3000 follicular grafts (note: there is a difference between follicles and follicular grafts, per sessio...
8 Jan 2019
The Problem: What you are describing sounds like typical male pattern hair loss. There are at least 27 identified genes that contribute to this kind of hair loss, also known as androgenetic alopecia. It is well known that patterned hair loss is ' polygenic ' i.e. if you inh...
6 Sep 2018
I agree that there may be 2 separate problems here. Genetic hairloss (androgenetic alopecia) is a gradual thinning of the hair over the frontal and vertex area. The scalp in androgenetic is not usually red. If there is redness of the scalp, this may be due to seborrheic eczema ...
26 Jan 2018
Thank you for your question and please bear with my lengthy reply. PART 1: The likely diagnosis What you are describing does sound like female pattern hair loss. This condition can typically start as early as puberty and is progressive in nature i.e. gets worse over time, ...
15 Sep 2018
Hi Dianne Rose, Based on your story, I can immediately pinpoint possible causes of your hair loss. They are: 1. Scalp Dermatitis (inflammation of scalp) 2. Tinea Capitis (fungal infection of scalp) 3. Nutritional Deficiencies 4. Female Pattern Hair Loss(multi facto...
26 Jan 2018
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