Can Hair Growth Products Help Restore Hair After Trichotillomania?

Hair regrowth after trichotillomania improvement?

I previously experienced trichotillomania due to academic pressure, but now that the stress has decreased, it has improved significantly.
I still occasionally pull my hair, but there are noticeable bald spots along my hairline and bangs.
Can the use of hair growth solutions or hair tonics improve the hair loss caused by pulling? If I don't use these products, will the hair eventually grow back on its own?

Liao Xiaomei, 10~19 year old female. Ask Date: 2023/06/04

Dr. Wu Yuxin reply Dermatology

If it is trichotillomania, as long as you stop pulling, it will return to normal.
However, hair loss near the hairline and bangs should be evaluated by a physician, as it may not be the same issue.

Reply Date: 2023/06/04

More Info

Trichotillomania, commonly known as hair-pulling disorder, can lead to noticeable hair loss, particularly in areas such as the hairline and bangs. The good news is that if the pulling behavior is reduced or stopped, hair can often regrow in the affected areas over time. However, the extent and speed of regrowth can vary significantly from person to person, depending on several factors including the duration and severity of the pulling, individual hair growth cycles, and overall scalp health.

When it comes to using hair growth products, such as topical solutions or serums, they can potentially aid in the restoration of hair after trichotillomania. Products containing minoxidil, for example, have been clinically proven to stimulate hair follicles and promote hair regrowth in cases of androgenetic alopecia and other forms of hair loss. While there is limited research specifically addressing the efficacy of minoxidil or similar products in cases of hair loss due to trichotillomania, anecdotal evidence suggests that they may help improve hair density and promote regrowth in individuals who have ceased pulling.

It's important to note that the effectiveness of these products can depend on the presence of healthy hair follicles. If the hair follicles have been damaged or if scarring has occurred due to prolonged pulling, the likelihood of regrowth may be diminished. Therefore, consulting with a healthcare professional or a dermatologist is advisable to assess the condition of your scalp and hair follicles before starting any treatment.

In addition to topical treatments, addressing the underlying psychological aspects of trichotillomania is crucial. Behavioral therapies, such as cognitive-behavioral therapy (CBT), have been shown to be effective in helping individuals manage their urges to pull hair. Combining psychological support with hair growth treatments can provide a more comprehensive approach to recovery.

If you choose not to use hair growth products, there is still a possibility that your hair will regrow naturally, especially if you have stopped pulling. Hair typically goes through a growth cycle, and new hair may emerge in the areas where it has been lost. However, this process can take time, and patience is essential. Maintaining a healthy scalp environment through proper hygiene and nutrition can also support natural hair regrowth.

In summary, hair growth products may help restore hair after trichotillomania, particularly if the pulling behavior has diminished. However, the best approach involves a combination of behavioral therapy and topical treatments, along with a thorough evaluation by a healthcare professional. If you are considering using hair growth products, it is wise to consult with a dermatologist to ensure that you are choosing the right treatment for your specific situation.

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