Can Hair Treatments Cause Scalp Damage and Hair Loss? - Dermatology

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Will this cause hair loss?


Hello, doctor.
Recently, I saw a news report on television about a young woman who dyed her hair blonde.
As a result, her scalp became itchy, and she scratched it until it bled.
She then bought some medication to apply, but ended up losing a large patch of hair.
The doctor mentioned that it might have caused permanent damage, making it difficult for her hair to grow back.
It was quite shocking to see...
A few days ago, I had my hair permed, and since the stylist was very busy, the first and second treatments stayed on my hair longer than usual.
I'm not sure if it's just in my head or if my scalp has really been damaged, but for the past few days, my scalp has felt itchy and prickly...
I'm afraid to scratch it.
I'm really worried that I might have injured my scalp, but I'm hesitant to see a doctor.

Firstly, my scalp only feels prickly and itchy, and there are some small bumps, but they don't feel very clear when I touch them.
Secondly, I'm concerned about finding a bad doctor...
and I'm worried that I might have to shave my head to get treatment...

Could you please tell me if my description indicates that my scalp is injured? Also, how can I find a good doctor?

shudondon, 20~29 year old female. Ask Date: 2004/02/17

Dr. Chen Yiying reply Dermatology


Hello: In response to your question, based on your description, it is likely that you are experiencing contact dermatitis caused by hair dye.
An experienced dermatologist will provide appropriate treatment based on your condition, and there is no need to shave your head.
You can rest assured that if the inflammation is not severe, topical medication will lead to a quick improvement.
You can also visit the website of the dermatology association to find a nearby dermatologist for evaluation and treatment.

Reply Date: 2004/02/17

More Info


Hair treatments, such as dyeing, perming, or relaxing, can indeed cause scalp damage and hair loss if not performed correctly or if the products used are too harsh for your hair type or scalp condition. The case you mentioned about the woman who experienced significant hair loss after dyeing her hair highlights the potential risks associated with chemical hair treatments.
When hair treatments are applied, the chemicals can penetrate the hair shaft and alter its structure. If these chemicals are left on the hair for too long, as you experienced during your perm, they can also affect the scalp. Prolonged exposure can lead to irritation, inflammation, or even chemical burns on the scalp. This can manifest as itching, redness, or the formation of small bumps, which you described as "small particles" on your scalp. If the scalp is damaged, it can lead to hair loss, as the hair follicles may become weakened or even destroyed.

In your case, the itching and prickling sensation you are experiencing could be a sign of irritation or an allergic reaction to the chemicals used in the treatment. It’s crucial to avoid scratching the scalp, as this can exacerbate the irritation and lead to further damage or infection. If the scalp is indeed injured, it may take time to heal, and during this period, hair growth could be affected.

Regarding your concern about finding a good doctor, it’s essential to seek a dermatologist or a trichologist (a specialist in hair and scalp disorders) who has experience in treating scalp conditions. Here are some tips to help you find a reputable specialist:
1. Research: Look for dermatologists or trichologists in your area. Check their credentials, experience, and any reviews from previous patients. Websites like Healthgrades or Zocdoc can provide valuable information.

2. Referrals: Ask friends, family, or your primary care physician for recommendations. Personal experiences can guide you to trustworthy professionals.

3. Consultation: Schedule a consultation to discuss your concerns. A good doctor will listen to your symptoms, examine your scalp, and provide a thorough assessment without rushing you.

4. Treatment Options: Inquire about the treatment options available. A reputable doctor will discuss various approaches and not just push for one specific treatment.

5. Comfort Level: Ensure you feel comfortable with the doctor. Trust your instincts; if you feel uneasy about their approach or recommendations, it’s okay to seek a second opinion.

As for your current symptoms, if they persist or worsen, it would be wise to consult a dermatologist. They can perform a thorough examination of your scalp and determine if there is any underlying condition that needs treatment. They may also recommend topical treatments or medications to alleviate your symptoms and promote healing.

In summary, while hair treatments can lead to scalp damage and hair loss, early intervention and proper care can help mitigate these effects. Avoiding harsh chemicals, following the stylist's instructions carefully, and seeking professional advice when needed are crucial steps in maintaining a healthy scalp and hair.

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