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Scarring (scatricial) alopecia is permanent hair loss caused by damage to the hair follicles. This is usually the result of inflammatory or autoimmune diseases. Sometimes skin injuries, burns or certain medical treatments can also cause this condition. Scarring alopecia leads to permanent hair loss, where once the hair follicles have been destroyed, it is impossible for the hair to grow back.

In this article, what is scarring alopecia? What are its symptoms? You can find information about its causes and various treatment options. Get ready to discover effective solutions to protect your hair health and manage such conditions.

What is scarring alopecia?

Scatricial alopecia, also known as scarring alopecia, is a type of hair loss caused by damage to the hair follicles (the parts where hair grows on the surface of the skin). This is usually caused by factors such as infections, chemicals, burns or autoimmune diseases. Scarring alopecia can lead to permanent hair loss where hair regrowth is not possible unless the hair follicles are present in a healthy state.

What are the Symptoms of Scarring Alopecia?

Scar formation

  • Permanent scar tissue formation on the skin after hair loss.
  • Scars usually have irregular or irregular edges.
  • Color changes or permanent changes in skin texture can be observed.

Permanent loss of hair

  • Due to damage to the hair follicles under the scars, hair regrowth is not possible.
  • Permanent thinning or loss of hair can be observed.

Scalp Sensitivity or Itching

  • In some cases, skin sensitivity or itching can be felt in areas with scars.
  • Scars can affect the nerve endings in the skin, which can lead to sensitivity or itching.

Causes of Scarring Alopecia

Scarring alopecia, or scatricial alopecia, can often be caused by

  1. Burns and Skin Injuries: Burns or deep injuries to the skin can damage hair follicles and cause scar tissue formation.
  2. Infections: Skin infections in particular can lead to damage to hair follicles and scarring.
  3. Autoimmune Diseases: Some autoimmune diseases can cause the destruction of hair follicles as a result of the body attacking its own tissues.
  4. Chemical Substances: The use of aggressive chemicals or their long-term effects on the skin can lead to damage to the hair follicles.
  5. Trauma and Injuries: Physical trauma or injury to the hair follicles can contribute to the development of scarring alopecia.

These factors are some of the possible causes of scarring alopecia. The impact of each condition can vary individually and the treatment process can be tailored according to these factors.

How is Scarring Alopecia Diagnosed?

The health professional uses the following techniques to diagnose hair loss:

  1. Physical Examination: Assesses the location and shape of the hair loss. He or she also examines the skin in the hair loss area. This is to observe the presence of hair follicle openings and possible signs of inflammation. Be sure to tell your health care provider the first time you notice symptoms such as hair loss or itching.
  2. Medical History: The healthcare professional takes a detailed medical history. Your age, gender, hair care habits and general health are taken into account. You may also be asked to provide information about any medical conditions you have, such as lupus, anemia or thyroid. Blood tests may also be ordered to check for diseases that can lead to hair loss.
  3. Skin Biopsy: A skin biopsy can be used to confirm a diagnosis of scarring alopecia. The healthcare professional takes a small skin sample from your scalp or another area affected by hair loss. This sample is examined under a microscope and evaluated by pathologists. By checking for inflammatory immune cells, they can determine which type of scaly alopecia you have.

What is the Difference Between Alopecia with and without Scarring?

Feature

Scarring Alopecia

Non-Scarring Alopecia

Hair Follicles

Permanently damaged, replaced by scar tissue

Typically intact, can regrow with treatment

Hair Regrowth

Not possible, results in permanent hair loss

Can regrow with treatment or management

Causes

Serious conditions like injuries, burns, infections, autoimmune diseases

Temporary factors like stress, nutritional deficiencies, temporary health issues

Diagnosis and Treatment

Diagnosed with methods like skin biopsy, dermatoscopy, often requires permanent treatment

Diagnosed through medical history and physical examination, can improve with addressing underlying causes or treatment

What are the Treatment Methods for Scarred Alopecia?

Treatment methods for scarred alopecia are limited due to permanent damage to the hair follicles and the formation of scar tissue. However, various approaches can be used to preserve existing hair and improve the health of the scalp. Here are the treatment methods for scarring alopecia:

  1. Topical Treatments:
    • Corticosteroid Creams: Used to reduce inflammation and soften scar tissue.
    • Antibiotic Creams: Can be used to treat bacterial infections.
  2. Immunosuppressive Drugs:
    • Oral Corticosteroids: Used to reduce the body’s immune response.
    • Methotrexate or Cyclosporine: Used to treat autoimmune diseases and may help protect hair follicles.
  3. Surgical Interventions:
    • Hair Transplantation: Transplanting healthy hair follicles into areas with scar tissue. However, transplantation into scarred tissue can be more complex and the results more uncertain.
    • Exosome Hair Treatment: A method used to regenerate hair follicles and stimulate hair growth.
    • Stem Cell Hair Treatment: Aims to stimulate hair growth by transplanting stem cells into the hair follicles.
  4. Hair Laser Therapy:
    • Low Level Laser Therapy (LLLT): Improves the health of hair follicles and stimulates hair growth by increasing blood circulation in the scalp.
  5. Cosmetic Solutions:
    • Wigs and Hair Prostheses: Can be used to conceal permanent hair loss and improve aesthetic appearance.
    • Camouflage Products: Powders or sprays used to hide scalp scars and thinning hair.
  6. Healthy Hair and Scalp Care:
    • Gentle Hair Care: Gentle hair care treatments to avoid damaging the scalp.
    • Nourishing Products: Use of shampoos and conditioning products that support the health of the scalp.

These treatment methods can help reduce the effects of scarring alopecia and preserve existing hair. The treatment plan should be determined by a dermatologist or specialist doctor based on the individual’s condition.

Esteworld expert hair transplant doctors create a personalized hair treatment plan according to the degree and type of hair loss. You can contact us for detailed information about hair transplantation and our treatments.

What is scarring alopecia, and what causes it?

Scarring alopecia is a condition where inflammation damages hair follicles, leading to permanent hair loss and scarring on the scalp.

Yes, early treatment with anti-inflammatory medications or hair restoration surgeries can help manage the condition and restore hair..

Individuals with autoimmune conditions or severe scalp infections are more likely to develop scarring alopecia.

Yes, Esteworld offers diagnostic services and tailored treatments, including hair transplants, to address scarring alopecia.

Turkey’s experienced specialists and advanced facilities make it a top choice for managing complex hair loss conditions like scarring alopecia.

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