What is hair loss treatment 1

Hair loss - causes, diagnosis and therapy

How hair loss can be treated

Anyone who is affected by hair loss should first get a specialist diagnosis to find out the cause and type of excessive hair loss. Because only on this basis is it possible to find a suitable and above all effective therapy for hair loss. But what treatment options and therapies are there anyway? Which means are effective and which are not?

In our third part of the “Hair Loss” themed week, the dermatologist Dr. med. Thomas Schulz answers exactly these questions. He will tell you which active ingredients can be used for which type of hair loss and which are really helpful.

Can any type of hair loss be treated?

Yes, any type of hair loss can be treated. However, a prerequisite for successful treatment is the exact diagnosis of the type of hair loss and thus the underlying cause. The treatment itself is very different and depends on the type of hair loss.

What are the benefits of means such as shampoos against hair loss that you can buy in the drugstore or pharmacy?

As so-called “rinse-off” products, shampoos are far less effective than the advertising for these products promises. The "active ingredients" only come into brief contact with the scalp, are very low in doses and cannot penetrate deep into the hair shaft and hair roots. This limits their effect considerably, regardless of which active ingredient is contained.

Is there a remedy for all types of hair loss?

No. The treatment of hair loss always depends on the type and changes accordingly.

Can you do something about hair loss yourself?

In general, it can be helpful as a preventive measure to achieve a certain balance in life, to eat healthily, to exercise regularly and to avoid uncomfortable stress - because it is now known that stress can also lead to hair loss. Dietary supplements such as biotin (vitamin H), zinc and selenium can also be helpful.

Does massaging the scalp with olive oil help?

Massaging the scalp as a measure to promote blood circulation can be quite helpful. Whether with olive oil or other oils - or even without oil - does not matter, however.

What therapy options are there for hereditary hair loss?

In the case of hereditary hair loss, one has to distinguish between the treatment of women and men.

For Men There are two effective treatment options: Firstly, the local application of Minoxidil on the scalp. Minoxidil is actually a blood pressure medication that is applied locally to the scalp as a solution to improve blood circulation. New hair can form, but this is only retained if the product is used regularly. After stopping, the hair slowly falls out again.

On the other hand, the active ingredient finasteride should be mentioned as an effective agent, which is taken as a tablet and slows down the influence of the male hormone on the hair roots. The effect of testosterone on the hair roots is a decisive factor for hereditary hair loss in men and women. Finasteride should not be used in women of childbearing age.

So there is a therapeutic gap in the use of finasteride Women concerns: from puberty to menopause (climacteric). When diagnosing “hereditary hair loss in women” there are therefore not many options for therapy.

One method, however, is “mesotherapy”. A special meso-injector is used to make superficial injections into the scalp with so-called hair cocktails, which contain all the essential active ingredients against hair loss, including special hair growth factors. The treatment should be carried out as a cure of at least 3 months with approx. 8-10 sessions.

A new therapy is the so-called AC therapy. AC stands for "alopecia contentionalis", the so-called tension hair loss. Stress can lead to increased scalp tension in predisposed patients and this in turn worsens the blood circulation in the scalp to such an extent that the hair roots react to it and hair loss results.

The tension of the scalp is measured before therapy. The muscle relaxant "botulinum" is injected into the scalp muscles when there are corresponding tension complaints. The relaxation effect lasts for about 4-6 months and can significantly reduce hair loss and tension complaints.

What therapy options are there for circular hair loss?

In circular hair loss, localized foci of inflammation in the scalp lead to hair loss. The triggers are usually stressful conditions.

There are two effective therapies: On the one hand, the local application of cortisone as a solution, cream or as injections into the scalp. On the other hand, the triggering of contact eczema at the location of the circular hair loss on the scalp, which causes the inflammatory cells of the body in the area of ​​the hair-free zone to be "driven" by the inflammatory cells of the artificially created eczema. This treatment must be carried out regularly once a week and can last for 2-6 months.

What therapy options are there for diffuse hair loss?

Here it depends very much on the triggering cause of the diffuse hair loss. If there is an iron deficiency, iron tablets should be taken; if the thyroid is underactive, the thyroid hormones should be substituted. Dietary supplements such as biotin, zinc and selenium can be helpful. Often, hair lotions containing estrogen are prescribed for hormonal imbalances. Hormone preparations containing estrogen (special anti-baby pills) are also used.

If inflammation of the scalp, such as psoriasis with redness and flaking, leads to diffuse hair loss, this should be treated with anti-inflammatory measures, for example with solutions containing cortisone, shampoos or creams. If it is a so-called seborrheic dermatitis of the scalp, shampoos with active ingredients against fungi are therapeutically useful.

Can you check for yourself whether the hair is growing back after a long period of hair loss?

If the hair loss rate has fallen below 100 hairs in an average of 7 days, then it can be assumed that the hair will grow back. In the so-called "Ziep test" - i.e. when you run your hands through your hair with a gentle pull - no or only a few hairs go out.

For an objective assessment, the dermatologist can use a special device (Trichoscan) to determine the hair density and the number of hairs in the growth phase. However, the hair must be shaved in one place. The examination is carried out twice at an interval of 4 weeks in order to obtain a valid result.