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Is hair loss due to alopecia permanent?
Don’t worry if you’ve noticed a patchy, thinning scalp or a lot of hair strands on your brush or in the shower; we are here to help you.
Nearly half of the population suffers from a noticeable loss of hair at a certain point in their lifetime. The only way to stop the shedding is to identify the underlying cause and treat it.
“Hair loss is not a disease,” says our top hair transplant experts in Madhapur, Hyderabad. Instead, hair loss is a symptom. The causes that contribute to hair loss can be determined when a specific diagnosis is received.
Many of you don’t know the term “alopecia,” which refers to many hair loss types. Alopecia is of two major types, and within those two categories, there are a variety of hair loss types.
One is non-scarring or temporary hair loss in which the hair will grow back, and the other is scarring or permanent hair loss; as the hair follicles are damaged permanently, they don’t grow back.
We listed seven different types of alopecia below – knowing what type of alopecia you have will help determine the right treatment for you.
Non-scarring (Reversible) Type of Hair Loss
Androgenetic alopecia, also known as pattern baldness, is a form of hair loss frequently seen in both men and women. This condition in men is called male-pattern baldness. Hair starts to fall in a well-defined pattern. Over time, your hairline recedes and forms an “M” shape baldness on your head. In addition, the hair at the crown thins, often resulting in partial or total baldness.
But the hair loss pattern in women is different compared to male-pattern baldness. In women, their hair becomes thin on the head, and the hair may not fall out. In addition, androgenetic alopecia in women can also lead to total baldness.
Telogen effluvium is a condition of excessive hair shedding. Stress is the common cause, usually caused due to physical stress like surgery, medications, weight loss, or family tensions. Hair loss usually starts three to six months after a stressful event and may last around three to six months.
Telogen effluvium can also be triggered by hypothyroidism and iron deficiency. Hair follicles work in a cycle, so 70% of your hair strands will be in the anagen phase(growing phase), so you won’t go bald completely since hair grows back.
About 2% of people suffer from this type of hair loss. It looks like round, smooth circles anywhere on the head and doesn’t have any signs like redness, itching, or pain. It is thought that alopecia areata is caused by an autoimmune disorder. The flaws in your immune system result in the production of T cells that attack your hair follicles.
Those with traction alopecia often experience thinned hair and bald patches at the temples or where the hair is pulled tight frequently.
This is a common hair loss form caused due to inadequate hair care and stubborn hairstyle practices — such as braids, ponytails, hair extensions, and locks that place excessive tension on the hair follicles.
Scarring (Permanent) Types of Hair Loss
Central centrifugal cicatricial alopecia (CCCA)
This type of alopecia tends to shed hair in the crown region of the scalp with breakage and thinning. Often, it is also associated with inflammation and scarring. Gradually, it spreads outward, resulting in permanent hair loss. CCCA is very commonly seen in black women aged 30 to 55 years.
A recent study discovered that about 25% of people with this type of hair loss have a mutation in a protein responsible for hair follicle formation. In addition, some hair care practices that strain your hair and lead to traction alopecia can also contribute to CCCA.
Lichen planopilaris (LPP)
A lichenoid planopilaris infection can cause patchy hair loss and is also associated with irritation, burning, redness, or pain in the scalp. It is a kind of alopecia condition that occurs more frequently in Caucasian-race women. It is currently believed that LPP is due to an autoimmune response; however, the exact cause is yet to be known.
Some studies say that people with this LPP have decreased activity of PPAR-gamma, an essential enzyme responsible for metabolizing the lipids on the scalp. So people with inactive PPAR-gamma enzymes are at risk of developing LPP. Usually, hair loss due to this condition is permanent. The condition is challenging to cure, but there are treatments available to prevent further damage to the remaining hair and also helps to control symptoms. Unfortunately, it is difficult to regrow hair lost as a result of this condition.
Lupus of the scalp is widespread inflammation that leads to a type of scarring alopecia. This is an autoimmune disease in which your immune system attacks your cells in the scalp. It’s more commonly seen in white women. This condition is associated with red, scaly, thick lesions that may not hurt or itch.
Lupus gradually thins out the hair on your scalp, and in a few people, they may lose bunches of hair. In addition, it is also possible to shed the hair on your eyebrows, eyelashes, beard, and even your body hair.
Hair Loss Treatments
You can determine the right treatment for your particular type of hair loss by knowing its cause. For example, after excessive shedding occurs due to stress-related telogen effluvium, it usually takes six to nine months for the hair to begin to grow back. However, if the telogen effluvium is due to other health conditions like high thyroid and low iron levels, your hair will begin to regrow after addressing the underlying condition.
The only FDA-approved treatment that can treat female hair loss is topical minoxidil (Rogaine). Technically, it is approved for androgenetic alopecia, but it is effective for many other hair loss types, and it is also available over the counter.
Finasteride (Propecia) is the only approved medicine by FDA for treating male pattern androgenetic alopecia. It is even more effective when combined with minoxidil. Spironolactone is another medication often prescribed for women but has the risk of congenital disabilities, so use any medication only after taking advice from a doctor and after child-bearing age.
When you have form scarring alopecia like CCCA or any other inflammatory type of alopecia, antibiotics may be administered to reduce inflammation around the hair follicle.
Additionally, cortisone injections could be used to reduce inflammation in CCCA and alopecia areata. The future is looking promising with many new treatments for extensive forms of alopecia areata that are currently in clinical trials. We’re already using some off-label treatments that aren’t approved yet, but they’re proven effective. However, one way or the other, you can have a solution for hair loss at Best Hair Transplant Clinic in Madhapur, Hyderabad. Call +91 8331020202 and book an appointment right away.