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Brittle hair

CATEGORIES SCIENTIFIC AREA

Scientific collaboration between Professor Marco Toscani and Dr. Pasquale Fino, Chair of Plastic, Reconstructive and Aesthetic Surgery, Umberto I Health Center – “Sapienza” University of Rome.

Brittle hair is hair that appears opaque and without shininess. It is characterized by glaringly visible damage and deterioration of the shaft.
The causes that lead to the problem of brittle hair may be of endogenous and exogenous origin.

An improper diet, psychological stress, genetic differences and hormonal imbalances are among the endogenous causes. Excessive exposure to the sun, atmospheric pollution and aggressive and frequent cosmetic hair treatments are instead among the exogenous causes of the condition.
Usually fine, thin hair becomes brittle more quickly and easily compared to thick and resistant hair, as its keratin structure is less compact and resistant.

As it is less hydrated due to the absence or reduction of sebum, dry and thin hair suffers damage from external agents more easily and as a result appears brittle. We can also include split ends in the category of brittle hair, i.e. when the shaft shows a breakage at the end.
To understand the hair deterioration and breakage process, it is important to understand its structure.

A cross section of the hair shows three concentric layers called the medulla, cortex and cuticle. The cuticle, which forms the outermost layer, is composed of keratin shingles (65-95%) overlapping on top of each other.
They form a hard, tough shield which has the function of protecting the hair from external chemical and environmental agents.
Under a microscope, brittle hair shows the absence of a cuticle. Without a cuticle, the hair will thin, becoming increasingly weak and fragile.
This leads to the deterioration of the structure of the keratin (compact microfilaments) which makes up the hair cortex. Hair found in these conditions and subject to a trichological or aggressive cosmetic treatment ends up deteriorating and ruining the cohesion and compactness of the cortex, resulting in the hair becoming brittle, easily breakable and more likely to fall out.

In the presence of brittle hair, it is necessary to avoid subjecting hair to vigorous brushing, chemical treatments, hair dyes, styling, bleaching, excessive exposure to the sunrays and other aggressive treatments. These methods cause massive damage to hair, as they destroy the keratin structure and impoverish the hair shaft of the sulphur-containing amino-acids necessary for making hair stronger and more resistant. These precautions are necessary to avoid further hair breakage, but are not a cure for hair that is already ruined. If hair is already ruined, it is important to act by identifying and overcoming the causes.

Excluding situations that require medical expertise, in the majority of cases the care and prevention of brittle hair can be managed by modelling a hair treatment on the specific and personal characteristics of the brittle hair in question, using customized trichological products and paying attention to avoid behavior that endanger the health of the hair.

Cuneiform hair or dwarf hair

This is very short hair, between 1 cm and a maximum of 2 cm in length, which usually has insufficient pigmentation. This hair has a base structure that is quite large, almost like normal hair. It then tends to get smaller towards the end, thus taking on the form of a very pointed cone.
This hair has a strong tendency to fall out.

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Hair loss from trichotillomania

Trichotillomania is a type of hair loss due to voluntary pulling by the patient which often ends up breaking the hair shaft. In general, the patient twists the hair around a finger.
The gesture is occasional when going to sleep or concentrating on a task, but may become repetitive or obsessive.

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Androgenetic alopecia (pattern hair loss) or baldness

Androgenetic alopecia is the most common type of hair loss and affects the majority of white men, with varying degrees of seriousness. It is less frequent in other ethnic groups. Often it can be associated with a family history of baldness, but the absence of other affected family members does not exclude the diagnosis. The condition is characterized by progressive hair loss in the crown area, the front hairline and the temporal area.

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Hair loss (telogen effluvium)

The term Telogen Effluvium was introduced for the first time by Kligman (*) in 1961 to introduce an acute hair loss of benign origin that follows an intense and short period of stress of different types. Subsequently, Rebora (**) introduced the concept of chronic Telogen Effluvium.

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Hair follicles and bulbs

A hair follicle is a formation of epidermal origin, anchored in the dermis and consisting of a hair and its sheath.
The formation of hair follicles occurs early. They begin to appear as early as the second month of gestation. These follicles will continue to form for the entire duration of the pregnancy. At birth, the baby will indeed have the entire supply of follicles with which it was genetically equipped and from this moment on, no others will form.

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Dry hair

Both men and women of any age may have dry hair. This situation is endured not only as an aesthetic problem, but in time may represent a problem concerning hair health. Dry hair often appears weak, fragile and tends to become brittle and to break.
Dry hair often has split ends and other forms of damage to the shaft.

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