Collaborazione scientifica del prof. Marco Toscani e del dott. Pasquale Fino, Cattedra di Chirurgia Plastica, Ricostruttiva ed Estetica, Policlinico Umberto I – Università “Sapienza” di Roma.
Changes in the hair shaft lead to deterioration with the appearance of ruined or damaged hair.
In healthy hair, the cuticle is whole, with overlapping shingles. Hair with whole ends appears shiny, elastic and brushes easily.
In this case of brittle hair, the shingles of the cuticle are raised or in some cases absent. Hair appears coarse to the touch, dull, opaque, untameable, difficult to brush, with loss of color and a reduction of shininess.
In this type of damaged hair, the protein structure of keratin appears to be altered. The hair loses its amino acidic equilibrium, becoming gradually more delicate and less resistant to external aggressions. One of the possible causes is psycho-physical stress.
Use of an overly intense or hot hair dryer results in dryness and dehydration of the shaft. The hair becomes electrified. It ends up losing its hydro-equilibrium, with a subsequent reduction of diameter of the shaft.
Characterized by the presence of split ends. Hair appears dry with the presence of dry, discolored and damaged ends. In the case of some lengths, it may assume a particular “dovetail” form.
Trichoclasis, typical of fine, thin hair, causes very deep damage in the hair stem. The hair ends open up like a brush. The cause of trichoclasis is mineral deficiency.
Swelling of the cuticle and the cortex lead to a reduction and subsequent loss in elasticity and softness of the hair, making it untameable and difficult to brush. Off-the-shelf products with emollient and hydrating properties such as oil compresses, flaxseed and restructuring and regenerating masks are remedies and treatments used to cure brittle hair.
Hyperseborrhea or hypersecretion of sebum is simply a scalp problem due to an excessive production of sebum caused by hyperactivity of the sebaceous glands. Immediate symptoms of hyperseborrhea are scalp itchiness and pain. However, a later symptom is hair loss.
Dry skin or asteatosis is a scalp condition deriving from a lipid deficiency.
It is often associated with a situation of exacerbated dehydration. We can identify both internal and external causes for this anomaly.
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.
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.
The phenomenon of split ends, also called trichoptilosis, is a hair problem that depends on an alteration of the hair shaft with concurrent modification and deterioration of the structure, form and physiology of the hair.
In the trichological field, with the passing of age hair whitening is seen to follow the greying process of the hair on the scalp (called grey hair). Hair becomes grey (white) following a natural biological aging process of the melanocytes, which are the cells tasked with coloring hair.
In the majority of people, the first grey hairs appear around 35/40 years of age in women and around 30/35 in men.
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