Hair loss can be slow and in the initial stages not recognised; the hair follicle goes through gradually stages before it stops producing hair. The first signs can be the hair shafts becoming finer and shorter. Another sign can sometimes be increased shedding of hair; it´s not uncommon for us to shed around 100 hairs per day, this is not a problem as long as 100 hairs regrow the same day, and then a balance is achieved.
Hair loss is generally associated with the top of our heads, from the hair line to the mid-section and then the crown or vertex. An obvious sign of hair loss is loss of hair density, making the scalp more visible and the recession of the hair line and temples, enlarging the size and surface area of the forehead.
From a technical look at hair loss we need to look at the calibre of the hair shaft, sometimes colour changes and growth length of the hair; as all these factors will change when hair loss is apparent. Because the initial changes can be subtle they can sometimes only be visible under magnification. Under magnification it is possible to compare various areas of the scalp and the hair calibre.
When you have a consultation any miniaturisation can be assessed, not just over the top of the scalp but also the sides and back, known in hair transplantation as the donor area. It is usual to have a little miniaturisation in the donor. If a hair transplant is being considered too much hair miniaturisation in the donor area can make a hair transplant not credible. Miniaturised hairs should not be used as they are weaker and may not regrow when transplanted.
It is important to always receive a thorough consultation and understand how hair loss can progress, and the various options available in hair retention and restoration