Hair is the keratin extension on the scalp. Hair production occurs in phases, including anagen (growing), telogen (resting) and catagen (cessation) phases. Hair loss patterns in the anagen phase and telogen phase are called as anagen effluvium and telogen effluvium, respectively. Anagen effluvium is generally seen following the inflammatory diseases and as associated with cancer medicines. On the other hand, telogen effluvium occurs in the cases such as thyroid diseases, diabetes, and insufficiency of iron, B12, folic acid or zinc. If the underlying reason is an insufficiency of any element, the administration of such element stops the hair loss. The hair loss associated with thyroid diseases is the most difficult type of hair loss to treat. The medicines used for thyroid diseases also cause the hair loss. The loss of 100 hairs per day is natural, but losses higher than that are deemed as pathological. Anagen or telogen effluvium does not lead to bald patches, but sparse hair is common.
The bald patches due to hair loss are seen in alopecia areata and androgenic alopecia. In alopecia areata, several round bald zones are formed on the hairy scalp or beard region. Even all body hairs including eyebrows and eyelashes can be lost in severe cases. It is an autoimmune disease. The immune system accidentally declares war on own hairs, resulting in destruction thereof. It may be seen together with autoimmune diabetes and thyroid diseases, and it is too aggressive and treatment-resistant in allergic people as well as in people with a wine stain-shaped vascular nevus on the nape. Its response to cortisone treatment is good.
Androgenic alopecia is a genetic disease also called as male type baldness. Although it is described as male type, it may also be seen rarely in women. Individuals with a family history of androgenic alopecia are more prone thereto compared to others. It begins with the recession of forehead hairline, especially temporal hairline. Thereafter, hairs on the top of scalp turn into peach fuzz, and consequentially, the top zone becomes completely bald. The hair roots are always apparent on the bald zone. Therefore, it always responds to treatments, and should not be deemed as an irreversible hair loss. Hairs on the nape never fall down. A hair transplantation therefrom to the top zone can be performed. We carry out this procedure in our center via FUE method. After such surgery with a simple, easy and low-priced technique, we administer PRP (Platelet Rich Plasma) and mesotherapy as add-on therapies.