DrEO Clinic Hair Shedding on Hair

Shedding on Hair

The "shedding" in the hair is an excessive fall of hair in a certain short time. I mean, you lose a lot of hair pulled.

Many individuals who start some hair treatment end up giving it up since, coupled with not seeing any improvement even in that period, they may even lose more hair than before. This is the famous "shedding effect" and can be due to multiple causes.

But let's start at the beginning if that's okay ...

Beautiful, shiny, healthy hair is intrinsically tied to our idea of ​​what is beautiful and our sense of self. We praise celebrities for their beautiful ripples like beach waves or their luscious curls.

But what happens when you start to lose a lot of your hair?

It all depends on the severity of your situation. It is perfectly normal to lose between 50 and 100 hairs per day. Anything else is known as excessive hair loss, a condition called telogen effluvium, and is a common response when you have lost 10 or more pounds, given birth, or faced great stress (think of a layoff. , loss of a loved one or a loving thunderclap).

The hair according to my perspective goes through different phases, I am not talking about the real phases that we experts use, but the generic phases that we can see day by day:

  • Growth
  • Rest
  • Drop.

And if you are dealing with a chronic fall, it may be time to see a medical professional.

However, before making the appointment, I suggest that you do a "clinical self-history" that goes back six months to point out any physical or lifestyle changes such as medications, diet, menstrual cycle patterns (if you are a man do not complicate looking for it) or chemical treatments and take this information to your doctor.

Now is the time to unleash your inner mathematician, we must do a “quantitative count for a few days. Consistently excess 100 hairs "fallen at war" per day may indicate a problem. Ask your family members about any family history of hair problems. You know ... little guys, great-grandparents and grandparents with Oaxaca cheese hairstyle, etc.

You may have a problem if you lose more than 100 hairs a day for several weeks. Also, note any visible baldness or if the scalp is inflamed, sore, and irritated.

Perfect circles of baldness could indicate an autoimmune problem or an inflammatory skin condition that is causing hair loss.

If an individual has very severe dandruff and is not treated, this could increase the normal amount of daily fall.

Now the "shedding" as we know it in Spanish speaking refers more to the fact of losing hair after starting a treatment than to the normal fall.

What is "shedding" on the hair or "shedding effect"?

The word "shedding", as you may realize, comes neither from the beautiful Castilian inherited by our Spanish brothers, nor by our native Mexicas. It is an Anglo-Saxon word that comes from the verb "to shed" or to detach.

As you see it does not mean fall or loss, which tells us that it will be something TEMPORARY.

The "sheding effect" can be understood as a phase change or transition of the hair follicle. This from a growth phase to a rest phase so that they grow again; probably stronger and thicker.

The shed is the hair we see on our fingers, on a comb or brush, on a pillow or on clothing. Hair loss is a normal part of the hair cycle and is a continuous process, that is, it always happens.

Understanding the hair growth cycle can help us understand normal and pathological hair loss; therefore we recommend that you read our article on the hair cycle.

There are a number of stressors that can affect the hair growth cycle and cause excessive hair loss.

As we mentioned before: "Shedding" in the hair is an excessive fall of hair in a certain short time. I mean, you lose a lot of hair pulled.

Normally this happens as an effect after starting medical treatment or undergoing a hair graft; this for telogen effluvium.

The moment a patient (normal human seen from a doctor's view) who has alopecia decides to start a treatment to stop baldness, they must realize that there is no treatment that stops this baldness in an instant or does that the hair develops quickly and supernaturally; since, curiously, the effects begin to be seen from the third or fourth month in a moderate and dynamic way.

Why is there this temporary hair loss effect?

The hair as we have said repeatedly has a cycle; This cycle is a replacement to generate a new stem and renew hair damaged by time, environment and daily life.

When we start a new treatment, the follicle receives an "abnormal" stimulus; which causes that there is a messaging cascade to the bulb (hair generating cell) that it is time for a replacement.

But what happens during this time?

The "shedding effect", also known as "shock loss" or medically telogen effluvium, is that an individual who is undergoing a treatment for alopecia does not feel an improvement or increase in volume or density, added to this he has the perception (very correct by the way) that you are losing more hair at a faster rate.

And then come our beautiful moments of pessimism with fatalistic thoughts "something is not right", "the remedy is worse than the disease" or "I'm going like crabs backwards" ...

This naturally makes the patient sometimes annoyed or incredulous of the treatment. Since like you or me, just like if I eat a guava, I hope that it tastes like guava and not beans, if you do a hair treatment you hope you have more hair, not that you lose more.

Because of all this, you come to think that the treatment is damaging the hair, that the body is not reacting to the drug and that the treatment is not working for your situation.

Given this situation, it seems very relevant to me that the specialist who sees you explains everything about this process; since it will be peace of mind not only yours but his.

Where you then will know that it is something unwanted but normal and that it will happen ... as well as the Trump government :).

What is really "being lost" during the "shedding effect"?

Hair shedding (as with chameleons) is an idea that is regularly confused. Actually, the action word "shed" in English is detach. This is why the term is often misused as a word equivalent to losing hair, since peeling is actually just the progress of the follicle from a developmental stage to a resting stage, to develop again. some time later.

We in the Spanish language have strengthened the connotation that refers to the abnormal fall, but in reality the shedding in English refers more to hair replacement, which can be normal or excessive.

Therefore, shedding is not a change in the balding process. It is not that the hair falls out and does not develop again, but only the follicles change stage.

Is there always the "shedding effect" with treatments?

Furthermore, the impact of molting is very regular among individuals starting treatment. It is common, although confusing, to see an expansion of baldness during the main weeks and even a long time of starting treatment. Despite the fact that this is sad and that the treatment has by all means the opposite impact, it is only brief. This can happen with the best-known medicines for androgenetic alopecia, for example, Minoxidil moisturizer and oral Finasteride, among others.

By the time they receive the treatment update, most of the hair follicles (90% of them under development) stop working. This causes the follicle to restart the hair cycle (fall, rest, development) producing this obvious and gigantic baldness. Now it is important to mention that the fall does not generally occur and although it is a fairly frequent side effect that the treatment is working, the way it does not appear does not imply that it is not working.

You need to make sure that when the shedding impact occurs the hair follicles are not damaged and that the hair is not lost at all, however only the last fragile and faulty procedure is stopped and after entering the resting stage produces a thicker and more punished hair due to the applied treatment.

Minoxidil Shedding

When men and women use minoxidil to improve the growth rate and thickness of their hair, they may experience significant hair loss as a side effect. While this may sound like a cause for alarm, it is actually a normal process as minoxidil begins to alter the way the scalp produces hair.

Remember, minoxidil does not directly treat the cause of male pattern baldness or hair loss. Instead, it acts as a catalyst to improve hair growth and stimulate hair follicles to start producing new strands or stems.

When the use of minoxidil causes hair loss, it is simply a side effect of the scalp follicles that change their stage of hair growth in preparation to produce new hair.

Hair follicles work in three stages: the anagen phase, the catagen phase, and the telogen phase. Some believe that minoxidil causes hair follicles to skip the telogen phase prematurely in order to be able to readjust the current hair production schedule.

By restarting the hair follicles, minoxidil causes the hair production process to restart and can speed up the growth rate of new hair. Indeed, the drop is actually a sign that minoxidil works as intended.

Finasteride Sheding (Shedding Finasteride)

The shedding of finasteride begins when you start to take finasteride in any form. Finasteride works by preventing testosterone from being converted to DHT by the enzyme 5-alpha-reductate.

Because of this, any hair follicle that was previously in the "rest" phase after being affected by DHT now becomes active and begins to grow. This means that any hair that was there begins to fall at a much faster rate than normal - resulting in the fall.

For those taking finasteride it is improbable They may see new hairs grow, although they may experience hair growing back thicker and stronger than before.

Hair loss is expected to be seen after approximately 3 to 6 months of treatment. It will last around 2 weeks.

This shows that the treatment is working, so when this happens it is recommended not to stop taking finasteride.

There isn't much you can do to prevent finasteride from causing hair loss, and you shouldn't want to do it anyway. If you experience finasteride drop, you know the medicine is working.

Instead, you should think about what you can do to help new hair grow as strong and fast as possible.

Make sure you provide all the vitamins necessary for hair to grow by eating a well-balanced diet, including foods that promote hair growth.

"Shedding effect" or "Shock Loss" in the Hair Transplant

The "shock loss" or "shedding effect" is a loss of natural hair, regardless of whether it belongs to the donor area or the recipient area (or even in none of the areas worked on). It is common among many patients after they undergo the hair transplant procedure. It can be both temporary and permanent. When it is temporary, it means that the lost hair will regrow after a certain period of time, this is the most common.

Shedding of transplanted hair (Shedding after hair transplantation)

Hair loss after hair transplant surgery is universal. After surgery, the transplanted hair falls out and this fall begins 3-4 weeks after the transplant and generally lasts up to 3-4 months. This is because the hair follicle is temporarily removed from its regular blood supply. But hair loss will have no impact on the overall result of the hair restoration process.

Shedding of existing native hair (Shedding after hair transplantation)

After hair transplant surgery, natural hair loss existing hair continues according to the normal cycle of hair. The hair transplant procedure does not alter the natural cycle of existing hair.

Although if the process of rest and growth could be accelerated, that is, we could see a temporary fall of the native follicles.

It can generate something known as follicular stress.

If hair loss is excessive compared to normal fall, then you can consult with your doctor who can help you find the cause of hair loss. You should NOT panic due to normal hair loss, but you should also not avoid excessive hair loss.

Conclusion: The shedding effect is ... Well?

It can be said that the «Shedding effect» is proof that better quality hair will be created than the previous one. Altogether, in order for the hair to develop firmer due to the treatment, the follicle must stop its movement, eliminate weak hair, redesign itself inside and in this way produce stronger hair once again. This is observed from 6 months after the start of treatment.

We accept that the fall is transient and if the subject is consistent with the treatment, it stops and the lost hair appears again. However, if the fall is greater than 3-4 months, it is important to consider the possibility of different procedures, for example, stress, hair diseases, due to some hereditary factor, among others.

Consequently, the follow-up of the treatment to stop the fall must be constantly directed by a hair specialist, since in all this fall process the inadequate results of the individuals, the restlessness and the depression at the impression of the irreversible have a significant influence .

The patient will experience this phase of significant hair loss, understanding that it is a transitional period that is regularly part of the treatment.

In conclusion, the shedding that tells us, in most cases, that your treatment is working. Congratulations and keep it up.

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Dr. Enrique Orozco
Dr. Enrique Orozcohttps://dreoclinic.com/
General Director, Specialist in Trichology and Hair Transplantation Certified by ABHRS. Only ABHRS Certified with residence in Mexico.


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Dr. Enrique Orozco
General Director, Specialist in Trichology and Hair Transplantation Certified by ABHRS. Only ABHRS Certified with residence in Mexico.




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