Alopecia in women | Croix d'Or Hair Clinic Geneva

WHAT IS FEMALE ALOPECIA?

Hair loss is a common problem in women, with variable causes. As in men, the main cause is related to genetics and hormones. Hair loss is often diffuse with preservation of the frontal line.

HOW DOES IT WORK?

In most cases, hair loss in women is often diffuse, which reduces hair density and volume overall, including in the usual harvesting area at the back of the skull useful in hair implantology.

In androgenetic alopecia in women, there is a hereditary and hormonal character in patients with these disorders. Male-type hormones then promote the secretion of sebum and hair loss.

In young women : too many male hormones are often found (by endogenous secretion or by exogenous intake).
In postmenopausal women : the drop in female hormones no longer counterbalances the physiologically present male hormones as well.

These hormonal disorders often result in clinical and biological abnormalities, which may require specific assessment and endocrinological management.

The evolution of female alopecia is included in the Ludwig classification , which allows the patient's stage of baldness to be assessed. Stage 1 : Hair loss on the top of the head, in the form of thinning of the hair. Respect of the frontal line. Stage 2 : Increase in stage 2. Significant loss of volume. Stage 3 : Terminal stage. Very advanced alopecia, with persistence of the frontal area.

HOW ARE THE STAGES OF BALDNESS IN WOMEN EVALUATED?

The evolution of female alopecia is included in the Ludwig classification, which allows the patient's stage of baldness to be assessed.

Stage 1: Hair loss on the top of the head, in the form of thinning of the hair. Respect of the frontal hairline.

Stage 2: Increase in stage 2. Significant loss of volume.

Stage 3: Terminal stage. Very advanced alopecia, with persistence of the frontal area.

WHAT ARE OTHER COMMON CAUSES OF ALOPECIA IN WOMEN?

TELOGEN EFFLUVIUM

This is a temporary hair loss, without miniaturization. Sometimes seasonal (spring, autumn), following childbirth, trauma, surgery, diet, high fever, or linked to a thyroid problem or taking medication or iron deficiency...

We then observe a sudden synchronization of the follicles in the terminal phase (telogen), which will cause significant hair loss, a loss of mass often badly experienced by patients.

TRICHOTILLOMANIA

This is another cause of hair loss in patches, linked to the compulsive pulling out of one's own hair and/or hair. It affects both adults and children (often transient in the latter), and may require psychological help.

TRACTION ALOPECIA

Hair loss is the result of excessive traction (bun, African braids, hair pulled back too far). The hair then tends to break and fall out, resulting in a greater proportion of hair falling out compared to hair growing. This repeated pulling leads to progressive fibrosis (scarring) in the areas that are often pulled.

HOW TO MAKE THE CORRECT DIAGNOSIS?

The diagnosis is often clinical. It is often confirmed by an analysis of the skin of the scalp, the hair and sometimes a blood test.

WHAT TREATMENTS ARE AVAILABLE?

Depending on the hair loss mechanism and the degree of alopecia, a treatment plan will be proposed which may combine medication and/or hair implantology.

First of all, you will need to be careful not to damage your hair too much and avoid washing it too frequently, straightening it, pulling it too hard, etc.

AT THE MEDICAL LEVEL

PRP : autologous injection of growth factors. The action is deep at the level of the hair bulb.
Mesotherapy : injection of nutrients and antioxidants directly into the skin of the scalp to thicken hair.
Minoxidil : foam applied directly to thinning areas to increase the size of miniaturized hair and limit hair loss.
LLLT photobiomodulation : this is a “cold” light which will stimulate and energize the hair at the cellular level.

AT THE SURGICAL LEVEL

FUE hair transplant : This involves harvesting follicular units (hair by hair) from the back of the skull.
FUT hair transplant : This involves harvesting follicular units (by strip of skin and subcutaneous tissue) from the back of the skull.
Tricopigmentation : This is a medical and artistic technique for pigmenting the skin of the scalp to recreate the effect of hair density.

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