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Hair Loss -- -- -- KidsHealth > Teens > Diseases & Conditions > Skin, Hair, & Nails >Hair Loss Baldness or hair loss is typically something only adults need to worry about. But in a few cases, teens lose their hair, too - and it may be a sign that something's going on. Hair loss during adolescence can mean a person's sick or maybe just not eating right. Some medications or medical treatments, like chemotherapy treatment for cancer, also cause people to lose their hair. And people can even lose their hair if they wear a hairstyle that pulls on their hair for a long time, such as braids. Losing hair can be stressful during a time when appearance really matters, but the good news is that hair loss that happens during the teen years is often temporary. Once the problem that causes it is corrected, the hair usually grows back. Hair Basics Our hair is made of a type of protein called keratin . A single hair consists of a hair shaft (the part that shows), a root below the skin, and a follicle, from which the hair root grows. At the lower end of the follicle is the hair bulb, where the hair's color pigment, or melanin , is produced. Most people lose about 50 to 100 head hairs a day. These hairs are replaced - they grow back in the same follicle on your head. This amount of hair loss is totally normal and no cause for worry. If you're losing more than that, though, something may be wrong. The medical term for hair loss - losing enough hair that a person has visibly thin or balding patches - is alopecia (pronounced: ah-luh- pee -shuh). If you have unusual hair loss and don't know what's causing it, it's a good idea to see your doctor. A doctor can determine why the hair is falling out and suggest a treatment that will correct the underlying problem, if necessary. What Causes Hair Loss? Here are some of the things that can cause hair loss in teens: Illnesses or medical conditions. Endocrine (hormonal) conditions, such as uncontrolled diabetes or thyroid disease, can interfere with hair production and cause hair loss. People with kidney and liver diseases and lupus can also lose hair. The hormone imbalance that occurs in polycystic ovary syndrome can cause hair loss in teen girls as well as adult women. Medications. Some medications that have hair loss as a side effect may be prescribed for teens. These include acne medicines like isotretinoin , and lithium, which is used to treat bipolar disorder. Diet pills that contain amphetamines can also cause hair loss. Chemotherapy drugs for cancer are probably the most well-known medications that cause hair loss, but some cancers including leukemia and lymphoma can cause hair loss even before treatment begins. Alopecia areata (pronounced: air-ee- ah -tuh) . This skin disease causes hair loss on the scalp and sometimes elsewhere on the body. It affects 1.7% of the population, including more than 4 million people in the United States. Alopecia areata is thought to be an autoimmune disease, in which the hair follicles are damaged by a person's own immune system. (In autoimmune diseases, the immune system mistakenly attacks healthy cells, tissues, and organs in a person's body.) Alopecia areata usually starts as one or more small, round bald patches on the scalp and can progress to total hair loss, although total hair loss only happens in a small number of cases. Both guys and girls can get it, and it often begins in childhood. The hair usually grows back in 6 months to 2 years, but not always. Trichotillomania (pronounced: trik-o-til-uh- may -nee-uh) . Trichotillomania is a psychological disorder in which people repeatedly pull their hair out, often leaving bald patches. It results in areas of baldness and damaged hairs of different lengths. People with trichotillomania usually need professional help from a therapist or other mental health professional before they can stop pulling their hair out. Hair treatments and styling. Having your hair chemically treated, such as getting your hair colored, bleached, straightened, or permed, can cause damage that may make the hair break off or fall out temporarily. Another type of baldness that results from hair styling can actually be permanent: If a person wears his or her hair pulled so tightly that it places tension on the scalp, it can result in a condition called traction alopecia . Traction alopecia can be permanent if the style is worn for a long enough time that it damages the hair follicles. Poor nutrition. Poor eating can contribute to hair loss. This is why some people with eating disorders like anorexia and bulimia lose their hair: The body isn't getting enough protein, vitamins, and minerals to sustain hair growth. Some teens who are vegetarians also lose their hair if they don't get enough protein from non-meat sources. And some athletes are at higher risk for hair loss because they may be more likely to develop iron-deficiency anemia. Disruption of the hair growth cycle. Some major events can alter the hair's growth cycle temporarily. For example, delivering a baby, having surgery, or getting anesthesia can temporarily stop the hair growth cycle. (Because the hair we see on our heads has actually taken months to grow, a person may not notice any disruptions of the hair growth cycle until months after the event that caused it.) This type of hair loss corrects itself. Male-pattern baldness. Among adults, particularly men, the most common cause of hair loss is androgenetic (pronounced: an-druh-juh- neh -tik) alopecia , also called male-pattern baldness. This condition is caused by a combination of factors, including hormones called androgens and genetics. In some males, the hair loss can start as early as the mid-teen years. It can also occur in guys who take steroids like testosterone to build their bodies. What Can Doctors Do? If you see a doctor about hair loss, he or she will check your scalp and, in some cases, may take hair samples. You may also be tested for certain medical conditions that can cause hair loss. If medication is causing hair loss, ask the doctor if a different drug can be substituted. If your hair loss is due to an endocrine condition, like diabetes or thyroid disease, proper treatment and control of the underlying disorder is important to reduce or prevent hair loss. Using a product like minoxidil that can discourage hair loss and speed up hair growth also may be helpful. Alopecia areata can be helped by treatment with corticosteroids. And if a doctor finds that nutritional deficiencies are causing your hair loss, he or she may refer you to a dietitian or other nutrition expert. Catastrophic Hair Loss Hair loss can be the first outward sign that a person is sick, so it may feel scary. Teens who have cancer and lose their hair because of chemotherapy treatments go through a difficult time, especially girls. It can help to feel like you have some control over your appearance when you're losing your hair. Try some of the many options for disguising hair loss - such as wearing wigs, hair wraps, hats, and baseball caps. For most teens who lose their hair, the hair does return - including after chemotherapy. And hair loss during chemotherapy is usually a sign that the treatment is working to destroy the cancer cells because you can see how it's working on the good cells (your hair!). Taking Care of Your Hair Eating a balanced, healthy diet is important for a lot of reasons, and it really benefits your hair. And don't forget to treat your hair well. For example, some doctors recommend using baby shampoo, shampooing no more than once a day, and lathering gently. Don't rub your hair too vigorously with a towel, either. Many hair experts suggest you consider putting away the blow-dryer and air drying your hair instead. If you can't live without your blow-dryer, try using it on a low heat setting. Style your hair when it's dry or damp. Styling your hair while it's wet can cause it to stretch and break. And try to avoid teasing your hair, which can also cause damage. Finally, be careful when using chemicals - such as straighteners or color - on your hair. Updated and reviewed by: Eliot N. Mostow, MD, MPH Date reviewed: June 2004 Originally reviewed by: Patrice Hyde, MD, and Lee Lucas, LCSW Printer -friendly version Email this article to a friend Send email to us About Us / Contact Us / Partners / Editorial Policy / Privacy Policy & Terms of Use Note: All information on TeensHealth is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor. ©1995-2005 The Nemours Foundation. All rights reserved.

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Male pattern baldness & hair loss, treatments & transplantation - BUPA UK You need to have javascript enabled for scripts to allow image rollovers and automatic dates to work. search home products & services health information facilities finder about BUPA jobs at BUPA contact BUPA health factsheets | health in the news | healthy lifestyles | medicines | health tests | health information | healthy living | men's health Baldness Are you losing it? Hair loss affects around eight million men in the UK, according to the Institute of Trichologists (IOT). For many men, going bald can be a highly traumatic experience. Why does it happen, and what can be done about it? Why me?! I'm losing it - what can I do? Self-help tactics Links and info Why me?! Male pattern baldness Latin name: androgenic alopecia 65% of 60-year-old men have suffered noticeable hair loss Well, it's mainly to do with your hormones, genes and age. The most common type of baldness in men is male pattern baldness ( androgenic alopecia ), and that's what is described here. In the presence of a natural catalyst called 5 alpha reductase , testosterone (also found naturally circulating the body), is converted into a substance called dihydrotestosterone (DHT). This then settles in the hair follicles in the front, middle and crown of the scalp. These areas have androgen receptors that take up DHT, which in turn has a degenerative effect on the follicle which leads to gradual hair thinning. The average hair lives for around five years, but once affected by DHT it will live for four years, then three and so on. Control of male pattern baldness is genetic, which means the timing of hair loss is passed on to you from your parents, actually from your mother, as the gene involved is on the X chromosome, which comes from the female parent. This means your father's pattern - and that of your relatives on your father's side - won't have anything to do with you, and any brothers may or may not have the same pattern as you do. Ageing is an important factor in male pattern baldness. Scalp hair lessens in all people from puberty onwards, and by the age of 35, about 40 per cent of men have noticeable hair loss. The older you are before you you start to lose your hair, the better chance you have of keeping it. Other kinds of hair loss can occur, such as the loss of a patch of hair ( alopecia areata ) or as a result of certain treatments, such as chemotherapy, or medical conditions such as thyroid disease. Total loss of the hair from your head is called alopecia totalis , the cause of this remains a mystery, but shock or stress could be a factor. BUPA factsheet: Thyroid disease I'm losing it - what can I do? We still can't stop hair loss in its tracks, but we can slow it down. Your GP should be able to give you advice on medical and surgical treatments, but here's a quick guide: Regaine (minoxidil) is a preparation applied to the scalp. It works by keeping hair follicles in the growth phase for longer; this results in bigger hairs. It's available over the counter in the UK in two per cent and five per cent concentrations. It's main side-effect is said to be skin irritation. It's worth noting that a report in The British Medical Journal (BMA), Male pattern androgenetic alopecia , said that only 50 percent of men who use minoxidil find that their hair loss is delayed by it, while 35 percent continue to lose their hair. Fifteen percent of users do experience some regrowth, but these hairs are lost when treatment stops. Dense regrowth occurs only in exceptional circumstances. BMA report: Male pattern androgenetic alopecia Hair transplantation is growing in popularity, but is still slow, expensive and not all trichologists (hair specialists) recommend it. Some men have a scalp reduction operation first, which usually involves removing the bald area of scalp and stretching the hair-covered scalp forward to reduce the area of baldness. Later, under a local anaesthetic, small sections of skin are taken from the back of the head and transplanted to thinning or bald areas where the follicles continue to grow. This can be as few as one, two or three hairs at a time. If you don't want surgery you could consider a wig or hairpiece, which can look great but can be incredibly expensive. These can be stitched to the existing hair, which is good for security, but can break or damage the remaining hair. Recently there has been a lot of interest in the medication Propecia (finasteride), which is licensed for use in the US, but not yet available in the UK. Taken as a tablet (one 1mg tablet each day, containing 1mg of finasteride), it has been shown to restore lost hair and works by inhibiting the enzyme 5 alpha reductase - so by stopping the conversion you stop the hair loss. It can take up to a year for the benefits to be seen, and after two years, around 66 per cent of men can expect to see visible re-growth. Remember that Propecia is a treatment, not a cure. This means that if you stop taking the tablets, your hair will return to its pre-Propecia state. However, the IOT suggests that it may have some undesirable, though mild side-effects in a small minority (less than two percent) of men - including erectile problems, breast tenderness and enlargement, and skin rashes. Pregnant women should also avoid taking or handling the tablets, especially if they are crushed or damaged in some way, as there may be a possibility of damage to the foetus if the finasteride is ingested or absorbed through the skin. BUPA factsheet: Erectile dysfunction As for the future, well, research into baldness continues. A potential treatment was described in the November 1999 issue of Nature, where researchers found that it was possible to grow hair follicles and hair from donated follicle cells. Hair follicle cells were taken from the arm of a male scientist and implanted in the arm of a female scientist. Just a few weeks later she grew large, thick dark hairs totally unlike her own where the transplant had been carried out. www.nature.com Other research is trying to discover how to shorten the 'rest phase' between old hairs falling out and new hairs growing. But, it's not just seeing your hair vanish that's difficult, sometimes your self-esteem can take a real knock too. Many men feel distressed about losing their hair, and think it makes them less attractive. Most people say it makes no difference to them - in fact, some people believe baldness to be a sign of virility (unfortunately bald men aren't more virile!). If your baldness is really getting you down, it may be worthwhile approaching your GP who should be able to give you advice about counselling options. Self-help tactics If you're starting to lose your hair there are some things you can try to help: use a soft brush or wide tooth comb to avoid breaking or pulling out hair pat your hair dry after washing - never rub dry with a towel - then leave to dry naturally don't fiddle with it - many people twiddle their hair unconsciously when watching the TV or reading. Wear gloves to help you stop avoid pulling your hair into a tight ponytail as this can make hair break perming and highlighting can dry your hair, making it more liable to break relax - it's thought that stress can be a factor in hair loss Links and info For more information about anything to do with hair, including latest medical treatments and advances you could try: The London Institute of Trichology, PO Box 142, Stevenage, Herts SG1 5UX. If you want to seek the advice of a trichologist independently, bear in mind that a trichologist is a person who has studied and successfully completed a Trichology Educational Programme that's recognised by The Institute of Trichologists, 228 Stockwell Road, London SW9 9SU. Members of the International Association of Trichologists can use the qualification "IAT" after their name. Please note that hair transplantation is not covered under BUPA private medical schemes. Feel better and visit the new BUPA site now Information you can trust Find out how we write our health information BUPA health checks Up to 40 medical tests to put your mind at ease Visit the BUPA shop for health and care products and services Emotional health Beat the blues and get the most out of Winter. Stop worrying factsheet email a friend bupa.com | website legal notices | cookie policy | © BUPA 1996-2005 | accessibility | contact us back to top

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Laser Hair Removal: Permanent Facial and Body Hair Removal Home Articles News Glossary Newsletter Resources Testimonials State County City Search By > Select a Topic Cosmetic Surgery Topics Choose a Plastic Surgeon Cosmetic Surgery Financing Cosmetic Surgery Breast Augmentation Breast Implants Breast Implant Types Breast Lift Breast Reduction Liposuction Tummy Tuck Face Lift Rhinoplasty Eyelid Surgery Chin and Cheek Implants Ear Surgery Hair Restoration Botox Hyaluronic Acid Laser Skin Resurfacing Laser Hair Removal New York Los Angeles Chicago Philadelphia San Francisco/East Bay -- Laser Hair Removal Permanent Hair Removal Laser hair removal is a relatively new cosmetic procedure designed to permanently remove unwanted facial and body hair by using the light energy from a laser. Permanent laser hair removal provides an alternative to shaving , waxing , tweezing , and using chemical depilatories . It is also significantly less time-consuming than electrolysis. With permanent body hair removal , the laser can treat large areas at the same time. Laser hair removal can be used on the back , chest , or legs , as well as on smaller areas like the upper lip or eyebrows . Laser Hair Removal Candidates The best candidates for laser hair removal include those with light skin and dark hair . The procedure is not as effective on blonde or red hair , and it works better on hair that is coarse rather than fine. Permanent hair removal patients must be willing to commit a substantial amount of time to the laser treatments , which are spaced out over a period of months. Laser body hair removal typically takes several treatments, whereas the number of visits required for laser facial hair removal varies by individual. The best candidates are in good physical and mental condition and maintain realistic expectations about the probable outcomes of laser hair removal. Permanent Lair Hair Removal Procedure Laser hair removal is an outpatient cosmetic procedure performed with one of several types of lasers, including the Q-switched Nd:Yag and the diode laser . Generally, the first step in the laser hair removal process is to shave the area that will be treated. In patients with dark skin , a bleaching cream may be applied beforehand to increase the chances of success. After the area is shaved and cleaned, an anesthetic cream is applied. Then, pulses of light from the laser send energy into the pigment of the hair shaft , which damages the surrounding follicle . A carbon lotion may also be used, which responds to the wavelength of the laser and helps stop hair from growing. Laser Hair Removal Risks Permanent laser hair removal is generally safe, but there are a few possible side effects. In some cases, a darkening or lightening of the treated skin may occur following laser hair removal. Darker skin is more susceptible to changes in pigment, so intentionally tanning beforehand should be avoided. Burning or blistering of the skin is also possible. Following the cosmetic surgeon's instructions and advice is the best means for reducing the risks involved with laser hair removal. Length of Laser Hair Removal Treatment Not all of an individual's hairs are in a growth phase at the same time. Typically, about two-thirds of the hairs are growing at any one time, while the other third are in a resting phase. Because of this, laser hair removal usually takes more than one treatment session, averaging about three sessions for permanent hair removal in any one area. Laser hair removal sessions are generally scheduled at least a month apart so that resting hairs will be back in the growth phase and ready for removal by the time the next procedure is performed. The length of each individual treatment session depends on the size of the area to be treated. Time can range anywhere from five minutes to an hour, depending on whether the procedure is for facial or body hair removal. It is very important that you choose a qualified and highly experienced cosmetic surgeon to perform permanent laser hair removal. 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