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.
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.
Genetic origin and structure of Thin hair
Genetic factors influence and determine the size of the diameter in hair.
Its volume varies from person to person. This is why some individuals are born with thin hair, while others are born with thick hair.
In hair, the diameter is a very important element. In addition to characterizing its look, it also gives us information about its health. Thin hair is less beautiful, less vital looking, less robust and more vulnerable than thick hair, and therefore also more susceptible to external and internal agents.
Hair is composed of three layers called (proceeding outwards from the innermost layer) the medulla, cortex and cuticle. The thickness and shape of hair depend on the cortex. In the cortex, keratin accumulates in greater quantities. In thin hair the cortex is thin and smaller than normal. A thin cortex makes the hair less compact and weaker, thus it tends to get damaged and to break more easily.
Hair may become thin not only due to genetic reasons but also because of many other factors and due to various problems for which specific treatments exist.
Aggressive aesthetic hair treatments (coloring, perms, ironing, bleaching, brushing too intensely, aggressively or for too long, aggressive and scorching hot irons, hair dryers that are too hot and close) act at the level of the cuticle (the external layer of the hair), until they wear it thin or consume it entirely, and may even cause hair loss.
Chemotherapy blocks the activity and function of the dermal papilla and the cellular proliferation process, therefore the hair that doesn’t fall out decreases in volume, wears thin and weakens.
Taking drugs for autoimmune diseases reduces the cellular proliferation that gives texture and body to the hair, but may also impede the proper toxin elimination process from the skin. In both cases, hair ends up growing thin.
External atmospheric elements damage the hydrolipid equilibrium of the skin and the hair cuticle, making hair thin and dry (excess exposure to the sun, smog and pollution, exposure to sea salt water, exposure to chlorinated pool water).
Stress or psychological/physical tension may lead both to excess sebum production (which leads to greasy hair) and to a production of toxins that block or weaken the hair formation process.
Moreover, thin hair is sensitive to static electricity that makes it tangled, messy and difficult to brush.
People with thin hair develop brittle hair and split ends more easily than those with thick hair. When hair grows thin not due to genetic reasons, but because of health problems pertaining to the hair cuticle or the pilosebaceous apparatus, hair loss may be a consequence and a signal of other problems. Even if it doesn’t fall out, thin hair appears to be visibly fewer in number and thinning.
Infrared rays, laser treatments and biostimulation treatments are used to restore the volume of thin hair. These methods have the goal of disinfecting and vascularizing the scalp. Their action aids and facilitates blood circulation necessary for the nourishing of hair. Using high quality, keratin-based restructuring products helps to thicken and reinforce thin hair.
A shedding of hair is considered physiologically normal when hair loss is limited to around one hundred hairs per day. During an individual’s life hair grows, falls out and regrows around twenty times. Each cycle, especially for females, may last up to six years and if hair loss is found within this time frame, it is considered absolutely physiological.
With the term Telogen Defluvium we mean a modest, not excessive, loss of hair in the telogen phase, but which tends to often be irreversible, with the precise characteristics of hair in decay or involution. The hair that falls out is usually short and fine, with bulbs that are undeveloped and reduced in size.
The hair on our bodies has a particular structure and is divided into thin and thick hair. Thin hair, also called lanugo or vellus, is located on all skin surfaces except for the palms of the hands and the soles of the feet. Thick hair, also called terminal hair, is dark and located only in some areas such as the scalp, the armpits, the pubic area, the beard area in the case of men, etc…
Recent studies have demonstrated that around one in five young men tend to lose their hair prematurely over time.
This problem does not affect only young men but also young women.
In the majority of cases, it is androgenetic alopecia (pattern hair loss) and therefore is hereditary/genetic. However, it is important to remember that often factors of psychological origin like performance anxiety, trauma and emotional stress take over, thereby becoming a source and cause of hair loss from stress.
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