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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.

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.

Often, the presence of dry hair is accompanied by various symptoms such as: dry and brittle hair with split ends, very thin and dry hair that breaks easily, greasy skin and dry hair, dry skin and dry hair, and dry and thin hair that tends to fall out.

The causes that lead to dry hair vary and are difficult to counteract. When the causes cannot be eliminated, treatments focus on the symptoms. This allows for mitigation of the problem and to make it manageable. Among the endogenous causes, we can list hormonal causes, given that hormones influence the formation of hair and hair follicle activity by inhibiting the production of sebum. Another cause can be identified in dietary deficiencies or in a diet lacking in protein, vitamins or minerals. These nutrient deficiencies modify the keratinization process of the hair, thus causing the hair to weaken and become thin.
Genetic causes must also be mentioned: dry hair is hereditary.
An important cause of dry hair is reduced sebum production.

Among the exogenous causes we can list cosmetic hair treatments such as perms, hair dyes, highlighting and frequent use of a hair straightener. Hair straighteners may break hair just like hair dyes and strong ammonium-based and hydrogen peroxide-based hair decolorations. Moreover, in older age hair tends to become increasingly drier due to the progressive atrophy of adnexa and sebaceous glands.

Washing hair too often and the frequent use of aggressive shampoos may cause dryness both of the hair and of the skin. The use of hair dryers at high temperatures or too close to the scalp is another exogenous cause of dry hair.
Among environmental factors, excessive exposure to sunrays, excessively cold temperatures, salt water, pool chlorine and atmospheric pollution damages hair and makes it dry and brittle.

There are many cases of individuals with oily skin and hair that is dry at the ends. This occurs when an excessive quantity of greasy sebum is produced. Greasy sebum, different than oily sebum, adheres to the scalp and does not lubricate hair. In these cases it is important to wash and cleanse the greasy scalp, nourishing and lubricating dry ends. In a nutshell, this re-establishes the acidic-hydrolipidic balance of the skin in order to make hair healthier and shinier. Dryness of the skin and hair may be caused by two factors. The first depends on a defect in sebum secretion which leads to the quantity of lipids expelled onto the scalp being so low that it is unable to lubricate the skin and hair. The second instead derives from reduced sweating, resulting in the sweat glands not functioning as they should and therefore the scalp does not receive thecorrect amount of water, which has the task of evenly spreading sebum throughout the hair.

Dry skin and hair may, moreover, originate from the combination of the two aforementioned causes.
Dry and brittle hair is often the result of a deficiency concerning the lipids and liquids which normally help to untangle hair. When dry hair is associated with dry skin, a greater supply of lipids, water and nutrients is needed so as to stimulate both sebaceous gland and sweat gland function. Laser therapy vascularizes skin, while a daily scalp massage facilitates the secretion of skin.

When the problem of dry hair is not serious it is possible to opt for natural remedies that strengthen the hair via the use of vegetable oil masks, restructuring masks, nourishing shampoos or specific treatments for different types of hair.
Seriously dry, brittle hair that is susceptible to thinning tends to fall out, so it is best to consult a specialist for the correct therapy before it is too late.

Premature hair loss

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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Scalp itchiness

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.

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Grey 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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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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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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Hair loss: manifestation, causes and prevention

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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