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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.

Greasy hair

Greasy hair appears dirty, greasy, oily, shiny and often has an unpleasant odor.
Individuals who have greasy hair often also have other areas of the skin (nose, forehead, chin) that are quite greasy (called “seborrheic” skin).

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Split ends

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.

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Hyperseborrhea

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.

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Dry skin or asteatosis

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.

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Alopecia androgenética ou calvície

A alopécia androgenética é o tipo de alopécia mais comum, que atinge a maior parte da população masculina branca, por motivos diversos. É menos frequente em outros grupos étnicos. Muitas vezes apresenta uma familiaridade com a calvície, mas a ausência de outros parentes com a doenção não exclui o diagnóstico. É caracterizada por uma progressiva queda capilar na região do vértice, na marginal frontal anterior e na região temporal.

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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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