Hair is an outgrowth that contains keratin (a protein also found in the skin and nails) and grows from the follicles located at the dermis level of the skin – the middle level. Hair grows everywhere in the body except for the palms of the hands, soles of feet, lips and eyelids. A normal loss of hair averages from 50 to 100 strands per day. Every time a hair is shed, a new hair from the same follicle replaces it with a new growing cycle. This growth cycle has three distinct stages that occur simultaneously: anagen, catagen and telogen.
• Folliculitis: an infection of the hair follicles that is usually caused by bacteria or fungus. This condition appears when the hair follicles are infected, become blocked or irritated by sweat. Shaving, wearing tight clothes and makeup are other triggers to this infection. It mainly appears as red pimples with a hair in the center that may cause burning and itching. Once the pustules break, they can drain pus, blood or both. This condition is mainly treated with antifungal medications.
• Tinea Capitis (Scalp Ringworm): a contagious disease caused by fungal infection that affects the scalp area. Most commonly in children, this condition appears as red patches of scaling that lead to broken hair, redness, swelling and oozing.
• Tinea Barbae (Beard Ringworm): similar to the scalp ringworm, yet this contagious fungal infection affects the hair follicles in the beard and moustache areas. Oral medications can quickly relieve this condition.
• Trichotillomania: a hair pulling habit that leads to harmful effects by pulling out noticeable patches of eyebrows, eyelashes or hair. This pulling habit is usually triggered by emotional stress or depression. Treatment is targeted toward awareness and behavior modification.
• Head Lice: also known as pediculosis, head lice are parasite, blood-sucking insects that attack the human scalp and are most commonly found in school children. Continuous head scratching is a common symptom for detection, as well as the fine comb technique. These insects are spread head-to-head; therefore once diagnosed it is imperative that hygienic measures take place such as washing all items that were in contact with the infested. There are various over-the-counter treatments along with prescribed medications to eliminate head lice.
• Hair Loss: there are many causes to this condition; however not all of them have successful treatments. Dr. Nikko can evaluate each condition individually to determine the best treatment options or to discuss the progress in future remedies.
>Alopecia Areata: an unpredictable skin condition that causes a rare hair loss mainly in the scalp. This non-contagious, autoimmune disease attacks the hair root causing round patches of hair loss. Even though there are treatments available to re-grow the hair, this condition cannot always be cured and new patches may appear. Ironically, this disorder appears in healthy individuals
>Telogen Effluvium: unlike other hair diseases, this one tends to disappear on its own. High fever, chronic illness, thyroid disease and other factors cause too many hairs to enter the telogen stage of the hair cycle; therefore producing a higher amount of hair shed (effluvium).
>Androgenic Alopecia: hereditary thinning or balding is the most common hair loss condition due to genetics. Although this no cure, there are various treatments that may help.
>Cicatricial (Scarring) Alopecia: a rare condition that causes inflammation around the hair follicles that leads to scarring and permanent hair loss. Although the cause is still unknown, it produces itchiness, swelling and pain. Dr. Nikko’s treatment will focus in stopping the spread of inflammation and scarring.
• Hair Restoration: there are various surgical procedures available to restore the loss of hair to obtain a natural hairline. Dr. Nikko will recommend the best procedure depending on each candidate’s hair loss pattern.
>Hair Transplant: a surgical technique that involves moving healthy hair particles to the affected area. The process includes removing small strips of healthy hair from the back or sides of the head, harvesting the strips and transplanting the grafts into the bald areas. This procedure leaves minimal scars that are hidden by overlaying hair.
>Scalp Reduction: a cosmetic surgery that works best for patients with extensive baldness. Through this procedure several inches of the bald area are removed and then the scalp is sutured back together. This procedure is usually conducted along with a hair transplant.
>Scalp Extenders and/or Tissue Expanders: a restorative process that is used for patients who lack enough donor hair particles for a transplant. The expanders are inserted under the scalp to enhance the hair growing areas. The expanders are inflatable balloons and the extenders are rubber bands to expand and extend the hair-bearing areas and to reduce the bald patches.