For many people, hair loss can feel unsettling, especially when it happens unexpectedly. This change is often due to a condition known as alopecia, which is an umbrella term for different types of hair loss. Rather than a specific diagnosis, alopecia includes about 100 distinct forms, which are generally categorized into scarring and non-scarring types. Scarring alopecia results in permanent damage to hair follicles, while non-scarring alopecia leaves follicles intact, allowing for potential regrowth with proper care and treatment.
Let’s explore some of the questions people frequently ask about alopecia:
1. If I’m losing hair, does that mean I have alopecia?
Yes, technically, any form of hair loss is considered alopecia, as the term translates to “hair loss” in Latin. However, the critical question to ask is, “What type of alopecia Do I have?” Each type of alopecia is distinct, with some, like Central Centrifugal Cicatricial Alopecia (CCCA), being genetically influenced, while others, such as traction alopecia, result from consistent pulling or tight hairstyles. Knowing the specific diagnosis can direct the correct treatment.
2. Can my hair loss be reversed?
The potential for hair regrowth depends on the type of alopecia and the timing of diagnosis. Some forms, like telogen effluvium, are often reversible once the cause—like stress or illness—is resolved. For other types, such as CCCA, or LPP (lichen planopilaris) the earlier treatment begins, the better. Early intervention can make a significant difference, particularly for types that risk progressing into permanent hair loss. It is crucial to have a consultation by a Board Certified Dermatologist who are the true physician experts with training in all conditions of the hair, skin, and nails. Depending on your diagnosis , your Dermatologist will discuss the best evidence based treatments
3. If I cut or shave my hair, will it grow back healthier?
Shaving or cutting your hair does not address the underlying health of your follicles. While it may feel refreshing and create a sense of “starting fresh,” it does not affect the cause of alopecia or stimulate new growth in affected areas. Consulting with a dermatologist for an accurate diagnosis is essential for long-term improvement.
4. Is alopecia treatable?
Yes, in many cases, alopecia is treatable, especially with early intervention. Treatment options can vary widely based on the type, including topical medications, oral prescriptions, supplements, injectables, hair restoration and/or combination therapy. A proper diagnosis by a Board Certified Dermatologist will allow targeted effective treatment to improve the hair loss significantly.
5. Can my type of alopecia affect my children?
Certain types of alopecia can have a genetic component, while others may arise from family hairstyling habits. Traction alopecia, for instance, is sometimes linked to tight hairstyles that are passed down generationally. While genetics can’t be changed, consulting a Board Certified Dermatologist early will help determine your diagnosis and genetic predisposition.
Dealing with alopecia may seem daunting, but understanding your specific type and getting early treatment can make a significant difference. If you’re experiencing symptoms, consult a Board Certified Dermatologist promptly for early diagnosis and treatment. Dr. Mays is Double Board Certified Dermatologist with special interest in hair loss disorders. At Mays Dermatology every patient is assessed and treated only by Dr. Mays ensuring proper diagnosis and early effective treatment. We offer a large variety of evidence based hair restoration treatments targeted and customized to each patient.
