Hair Loss: Insights on Scalp Injuries and Regrowth - Dermatology

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What a great barber!


Hello Dr.
Cheng! Last Wednesday, I went to get a haircut, and the stylist accidentally cut my scalp, leaving a wound about the size of a coin.
However, he claimed it was a case of "ghost shaving." At that moment, I felt pulling pain, and after arguing, I went home to look in the mirror and noticed that there were still several hairs within the circular area, which was also red.
Would this happen with ghost shaving? On another note, will the hair that was pulled out grow back? What are your thoughts on this? I am really very upset.

Da Wei, 20~29 year old female. Ask Date: 2004/07/26

Dr. Zheng Lizhen reply Dermatology


Hello: If it is a cut injury, there should be a visible wound from the cut, and a physician can determine whether it is an injury or alopecia areata.
Even if the hair has been pulled out, as long as the hair follicles are still alive, the hair will eventually regrow after some time.
Sincerely, Dr.
Cheng Li-Chen, Department of Dermatology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/07/26

More Info


Understanding hair loss, especially in the context of scalp injuries, is crucial for addressing concerns about regrowth and overall hair health. When you experience a scalp injury, such as a cut from a haircut, it can lead to various outcomes for your hair follicles and the surrounding tissue.

Firstly, it's important to differentiate between two primary types of hair loss that can occur due to scalp injuries: telogen effluvium and scarring alopecia. Telogen effluvium is a temporary condition where hair follicles enter a resting phase (telogen) due to stress, trauma, or other factors. This can lead to increased shedding of hair, but it is usually reversible once the underlying cause is addressed. On the other hand, scarring alopecia, or cicatricial alopecia, occurs when inflammation damages hair follicles and replaces them with scar tissue, potentially leading to permanent hair loss in the affected area.

In your case, the injury you sustained during your haircut, which resulted in a circular wound with redness and some hair still present, raises a few important points. If the injury was superficial and the hair follicles were not severely damaged, there is a good chance that the hair will regrow over time. Hair follicles can often recover from trauma, provided that they remain intact and healthy. The presence of hair in the area suggests that the follicles may still be viable.

However, if the injury was deeper and resulted in significant inflammation or scarring, there is a risk that the hair follicles could be permanently damaged. This is particularly concerning if you notice that the area is not healing well or if there is ongoing redness and discomfort. In such cases, it is advisable to consult a dermatologist or a healthcare professional who specializes in hair and scalp conditions. They can assess the injury, determine the extent of any damage, and recommend appropriate treatment options.

Regarding your concern about whether the hair will grow back, if the hair follicles are healthy and the injury is healing properly, you can expect some regrowth. The hair growth cycle typically involves a phase of growth (anagen), a transitional phase (catagen), and a resting phase (telogen). After a period of rest, hair follicles can re-enter the growth phase, leading to new hair growth. This process can take several months, so patience is key.

In the meantime, you can take steps to promote a healthy scalp environment. This includes maintaining good hygiene, avoiding harsh hair products that could irritate the scalp, and considering gentle scalp massages to stimulate blood circulation. Additionally, a balanced diet rich in vitamins and minerals, particularly those known to support hair health (such as biotin, zinc, and vitamins A and E), can be beneficial.

In summary, while the emotional impact of hair loss can be distressing, understanding the nature of your injury and the potential for regrowth can provide some reassurance. If you have ongoing concerns or if the area does not improve, seeking professional advice is the best course of action to ensure the health of your scalp and hair follicles.

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