Hairfall – An Expert’s Guide to Types, Causes, Treatment
About Hairfall
Hairfall is one of the most distressing dermatological concerns across all age groups particularly in adolescents and teenagers. On an average, shedding 50–100 hairs per day is normal. But when the loss becomes visible, persistent, or patchy, it can trigger emotional stress.
Hair is more than a biological structure. It reflects identity, heritage, self-worth, and confidence. That’s why addressing hairfall needs more than just medication—it needs understanding, empathy, and holistic care.
Hair grows in cycles:
• Anagen phase is the growth phase.
• Catagen phase represents the transitional phase.
• Telogen phase is resting or shedding phase.
In hairfall, this cycle is disrupted by certain factors like hormonal imbalances, autoimmune attacks, or mechanical stress—leading to premature shedding of hair or damage of hair follicle.
Knowing the difference between different types of hairfall
Not all hairfall is the same. Identifying the type is essential for proper treatment.
Telogen Effluvium is the most common cause of hairfall. It cause sudden, diffuse hair shedding often after stress, illness, or childbirth. Usually reversible within 3–6 months.
Androgenetic Alopecia is also called pattern baldness. It is commonly genetic and hormonal. Commonly seen in both men with receding hairline and women with thinning crown.
Alopecia Areata is an autoimmune condition where immune cells attack hair follicles. It presents as smooth, round bald patches over the scalp and can also occur over the beard area and other body parts.
Traction Alopecia is caused by constant pulling or tight hairstyles, including turban-tying. Commonly seen in those with braids, buns, or weaves.
Trichotillomania is a hair-pulling disorder linked to anxiety or OCD. It often starts in teens under stress.
Cicatricial or scarring alopecia is rare but irreversible where hair follicles are permanently destroyed. The condition requires urgent dermatologist intervention.
Causes of Hairfall – What Triggers It?
Hairfall can be caused by one or a combination of multiple factors, like:
• Physical or emotional stress.
• Poor nutrition leading to nutrient deficiencies especially iron, zinc, vitamin D deficiencies.
• PCOS, thyroid disease, and other hormonal disorders.
• Harsh haircare routines or frequent chemical hair procedures. Frequent use of heat tools, hair colour, or tight ponytails can damage the scalp and follicles.
• Genetics also plays a role.
• Medications like isotretinoin, chemotherapy can be the triggering factor.
• Fungal infections or scalp psoriasis.
Hairfall among adolescents and teenagers is becoming increasingly common. This can be alarming, especially at a time when self-image and peer perception are so crucial. Teens are especially vulnerable due to rapid hormonal changes, exam-related stress, and unhealthy diets.
Emotional Effects of Hair Loss in Teens can lead to low self-esteem and self-consciousness, avoidance of social settings, increased risk of depression or anxiety, bullying or teasing at school and feeling isolated.
This makes early evaluation and supportive care vital, not just for physical treatment, but also for emotional reassurance. Empowering patients with knowledge and timely dermatological help can prevent long-term emotional damage.
Diagnosing Hairfall
A proper diagnosis is key to managing hairfall. During a consultation, a dermatologist take a detailed history related to diet, stress levels, family background, hormonal health, perform a scalp examination, recommend blood tests and certain investigations if required.
Timely diagnosis improves chances of full hair regrowth, especially in reversible conditions.
Treatment Options – What Really Helps?
Hairfall isn’t fixed with just one product. Treatment depends on the type and underlying cause. There are topical and oral medications to target different factors causing hairfall.
In-clinic treatments include Platelet-Rich Plasma (PRP) wherein patient’s own platelets are injected into the scalp to stimulate hair regrowth.
Mesotherapy involves microinjections of nutrients and medications into the scalp, leading to increased hair strength, thus reducing hairfall.
Low-Level Laser Therapy (LLLT) promotes follicle activity and thickness.
Lifestyle adjustments also plays a role like stress management through mindfulness or therapy, add a nutrient rich diet and avoid tight hairstyles and high-heat styling.
With the right care, emotional resilience, and timely medical guidance, hairfall can be treated.