Hair is perceived as a sign of vitality and youthfulness. While having thick shiny bouncy hair builds your image and confidence, hair loss generates feelings of low self-esteem and anxiety from a perception of diminished attractiveness. Trichology is a subspecialty of dermatology which deals with study of anatomy, physiology and disorders of hair and scalp. This term is derived from the Greek word Trikhos meaning hair. Dermatologists are academically trained to diagnose Hair and scalp disorders and manage them efficiently.

An average scalp contains about 100,000 hairs. 80-90% of which is in active growing phase, 8-9% is in transition phase from growing to resting phase and only about1% is in resting phase which falls off daily while combing, shampooing etc. That is why trichologists consider hair fall of approximately 100 per day as normal.

Hair Analysis: It is done to diagnose the root cause of hair and scalp disorders. It includes

  • Trichoscopy
  • Trichogram
  • Hair pull test
  • Wood’s lamp examination
  • KOH mount
  • Scalp biopsy

Hair growth is a complex process which occurs in multiple phases:

  • Active growth phase (Anagen) – Lasts for 2 – 5 years
  • Transitional phase (Catagen) – lasts for 2 – 3 weeks
  • Resting phase (Telogen) – Lasts for 3 – 4 months

Each hair on human body is in different stage of development.

In humans, sex hormones and Thyroid hormone influence the hair growth cycle.

Anagen: During this phase, hair grows in length. Rate of growth of scalp hair is usually 1-1.25 cm per month. This rate may differ according to your genetics or age and may get affected due to hormonal disorders and certain medicines.

Catagen: At the end of anagen phase, hair is signaled to go into catagen phase where it is converted into club hair which is not growing.

Telogen: hair is resting in the follicle in this phase. As new hair starts growing from stem cells below, it pushes this club hair to fall off.

hair-biology

Man controls hair loss

There are various causes of hair fall.

Telogen Effluvium

Stressful events in life like surgery, severe physical or mental stress, recent illness, Post pregnancy, thyroid disorders, anemia, crash diets, sudden weight loss and certain medicines can trigger excessive hair fall. Finding and controlling underlying cause will arrest further progression of hair fall. If untreated this may progress to chronic telogen effluvium which may last for months to years.

Male pattern hair loss (Androgenetic Alopecia)

This is the most common cause of hair fall in men leading to baldness. A hormone responsible for this gradual onset hair loss is DHT (Dihydrotestosterone) which is converted from an androgen (Testosterone) in the skin with the help of an enzyme called 5-alpha reductase. This manifests as receding hairline or balding crown area which may further progress involving most of the scalp. Chances of baldness are increased if you have a family history of the same. A comprehensive consultation with your dermatologists and timely intervention in early stages of hair fall can arrest the progression of baldness.

Female pattern hair loss

This condition is characterized by a gradual reduction in hair density over the crown and widening of hair partition with retention of the frontal hairline. As opposed to Telogen effluvium, most of these women do not experience major hair fall but notice gradual thinning of pony tail and decreased density of hair on scalp. This can lead to psychological distress and social embarrassment.

Alopecia Areata

Commonly referred as Chaai or Undri in Marathi language, this condition presents as localized patches of baldness on scalp, beard, eyebrows and other body parts. It can affect any age group. It is an autoimmune condition wherein your own immune cells attack hair roots causing localized patches of baldness. Sometimes it may be associated with disorders of thyroid or diabetes mellitus.

Other hair and scalp disorders
  • Fungal infections of scalp
  • Scalp Psoriasis
  • Follicular lichen planus
  • Hair shaft disorders
  • Autoimmune diseases like Lupus erythematosus
  • Folliculitis of scalp
  • Contact dermatitis to hair dye

Treatment of hair fall includes investigating and diagnosing the exact cause of hair fall. We at ETERNIS clinic aim at providing you the highest standard of care and individualized affordable treatment options which are supported by latest medical evidence.

Treatments available

Mesotherapy, PRP Therapy, Micro-needling, Low laser therapy, hair transplant.

Laser hair removal epilation.

The growth of coarse unwanted hair is embarrassing for both male and females and can sometimes become a cause of psychological distress if not treated.

Traditional methods of hair removal (waxing, threading and plucking) are painful, tedious and temporary. They need to be repeated at fixed interval for lifetime of an individual. As oppose to this Lasers work on the roots of hair affecting the growth cycle of the hair thus leading to permanent hair reduction over time. Some individuals may need prolonged maintenance treatments but at less frequent intervals. Thus Laser proves to be cost effective over a long run.

Perfection of woman with beautiful legs

Hair growth can be classified as:

  • Hypertrichosis is the excessive growth of body hair in a normal or abnormal pattern. It may be genetic or due to medications, hormones.
  • Hirsutism is excessive growth of coarse hair in women following a male pattern — such as the beard, mustache or lower abdomen and may be due to heredity, hormonal problems, medications or sometimes tumors

How does laser treatment works?

Hair reducing lasers work by targeting the pigment in the hair follicle to produce heat, as a result of which the hair root is damaged to an extent which restrains the growth of hair in future.

Am I a candidate for laser hair removal?

As laser focuses on the pigment in the hair follicle, the ideal candidate is fair-skinned with dark hair. Grey or white hair does not respond to laser hair removal as there is no pigment to target.

Suitability of a laser for your skin and hair will be assessed by your dermatologist before going on to the treatment.

How is the procedure carried out?

The patient and treating physician or therapist wear safety eyewear to protect eyes from the laser light during the procedure. After applying cooling gel, Laser light is delivered through a hand piece of a laser machine, by gently touching the area to be treated. The laser light is given in very small pulses, usually fraction of a second. This might feel as little discomfort but most of the people describe it as tolerable. A test area will be done prior to the entire treatment.

Is the laser treatment painful?

As Laser treatment settings vary according to individual skin and hair types, so do the level of discomfort. Most patients describe the procedure as a little uncomfortable rather than painful. The inbuilt cooling system of our laser machine allows cooling the treatment area, hence reducing the discomfort level. However if you are having this treatment in a sensitive area, you may require an anesthetic cream to make the treatment more comfortable. A test patch performed at the consultation will give you an idea as to the discomfort level.

Are there any side effects?

Redness or mild transient swelling might be seen immediately after laser therapy which subsides in some time. In some patients pigmentary changes like hypo or hyper-pigmentation might occur which can last for few weeks to month but is reversible.

What precautions do I need to take?

Sun protection is must before and after the procedure to avoid pigmentary changes. You should also avoid waxing, plucking or threading during the whole course of laser hair reduction.

How many treatment will I need?

Hair grows in cycle and all the hairs are in different phase of growth cycle. Laser energy damages only hair which is in growing phase (Anagen). That is why you need several treatments to target all of the hair in its active growth phase. Due to individual variations in skin and hair type, some patients get substantial results in 3-4 sittings while others might require more than 8-10 sittings. Results also vary depending on the site to be treated and underlying hormonal disorders present.

Over time, few of the laser treated hair follicles may grow hair due to hormonal influence and thus maintenance treatments are recommended at less frequent interval in few individuals.

Can I remove the hair between treatments?

Only shaving with a razor is permitted during the course of laser hair reduction. You should avoid waxing, plucking or threading.

Is treatment safe over long term?

Lasers have been used in the medical profession for over 20 years with no long-term side effects reported.