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.
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.
Dandruff is a scalp condition that usually arises between the ages of 10 and 25. It may improve between the ages of 45 and 55 or may continue during old age.
Its cause is a result of an accelerated turnover of epidermal cells, which following an increase in migration speed, are unable to reach complete maturity before detaching. Whitish-yellow flakes (masses of corneum cells) form and detach, gathering in patches or often spreading evenly across the scalp.
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.
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.
Scalp itchiness of varying intensity is a sensation perceived by many people of both sexes.
Itchiness is a scalp problem that leads those afflicted to scratch their skin and is often associated with pain. Many causes of this illness are recognized, which shouldn’t be underestimated as it may cause hair loss or thinning.
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.
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