Can I Perm My Hair with a Scalp Skin Condition? - Dermatology

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Scalp skin issues?


I was born with a small area on my scalp where hair does not grow.
I will need to have it removed with laser treatment.
In the meantime, is it okay to get a perm before the treatment?

Wang Yijia, 10~19 year old female. Ask Date: 2016/08/13

Dr. Li Yufen reply Dermatology


Hello: Based solely on the textual description, it is not possible to accurately diagnose a skin condition.
I recommend that you consult a nearby dermatologist for a diagnosis, and then assess whether it is suitable for you to get a perm.
Thank you!

Reply Date: 2016/08/13

More Info


Perming your hair when you have a scalp skin condition can be a complex decision that requires careful consideration. It is essential to understand the nature of your scalp condition and how chemical treatments like perming could potentially affect it.

Firstly, if you have a pre-existing scalp condition, such as seborrheic dermatitis, psoriasis, or any form of dermatitis, it is crucial to consult with a dermatologist before undergoing any chemical treatments. These conditions can make your scalp more sensitive and reactive to harsh chemicals found in perming solutions. Chemical burns, irritation, or exacerbation of your existing condition could occur, leading to discomfort and further complications.

In your case, you mentioned having a small area on your scalp where hair does not grow, which you plan to treat with laser therapy. If this area is inflamed, irritated, or infected, perming could worsen the situation. The chemicals used in perming solutions can penetrate the scalp and potentially aggravate any underlying skin issues. Additionally, if the scalp is already compromised, the risk of adverse reactions increases significantly.

Moreover, the process of perming involves the use of strong chemicals that alter the structure of your hair. If your scalp is sensitive or has an active condition, the chemicals may cause a burning sensation, redness, or even lead to hair loss in the affected areas. It is also worth noting that if you have any open wounds or lesions on your scalp, perming should be avoided entirely, as this could lead to infections or further irritation.

If you are determined to perm your hair, here are some recommendations:
1. Consult a Dermatologist: Before proceeding, have a thorough evaluation by a dermatologist who can assess your scalp condition and provide personalized advice. They may recommend treating your scalp condition first before considering any chemical treatments.

2. Choose a Professional Stylist: If you receive clearance from your dermatologist, ensure that you go to a professional stylist who is experienced in working with clients who have sensitive scalps or skin conditions. They can tailor the perming process to minimize irritation.

3. Patch Test: Always request a patch test before the full application of the perm solution. This test can help determine if your scalp will react negatively to the chemicals.

4. Post-Perm Care: After perming, follow a gentle hair care routine. Use sulfate-free shampoos and conditioners designed for sensitive scalps to avoid further irritation.

5. Monitor Your Scalp: After the perm, keep an eye on your scalp condition. If you notice any worsening of symptoms, contact your dermatologist immediately.

In summary, while it is possible to perm your hair with a scalp skin condition, it is fraught with risks. Prioritize your scalp health by consulting with a dermatologist and ensuring that any chemical treatments are conducted safely and professionally. Your scalp's well-being should always come first, as it plays a crucial role in the overall health of your hair.

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