Hair Loss: Effective Treatments and Care Tips for Teens - Dermatology

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Regarding baldness?


I am currently 17 years old and about 6.7 months ago, I saw a doctor who recommended using 3% minoxidil.
Later, I couldn't wait and switched to 5%, which I've been using for about six months.
It seems like there hasn't been much effect; I just feel like my hair is getting thinner.
Initially, I was very diligent in using it, but later I lost patience and started using it inconsistently.
I have a few questions:
1.
Is it necessary to use minoxidil twice a day? Does it make a difference if I only use it once a day sometimes?
2.
Since my hair is very oily, what type of shampoo should I use?
3.
Is it okay to wash my hair with cold water? Will using a cool setting when blow-drying my hair help protect it?
I apologize for asking so many questions, but I am really worried about my hair, which is why I have so many inquiries.
Thank you, Dr.
Zheng!

abc, 10~19 year old female. Ask Date: 2001/05/27

Dr. Zheng Lizhen reply Dermatology


1.
It is recommended to use the medication twice daily, as the effective concentration lasts approximately 12 hours.
2.
Choose a shampoo suitable for oily scalp based on the characteristics of your hair.
3.
It is better to wash your hair with lukewarm water, as it helps dissolve and remove oil and dirt more easily.
When blow-drying, just ensure the temperature is not too high; there is no need to intentionally use cold air on your hair.

Reply Date: 2001/05/27

More Info


Understanding hair loss, especially in teenagers, can be a daunting experience. At 17, you are at an age where hormonal changes can significantly impact hair health. It’s important to address your concerns with a combination of medical advice and lifestyle adjustments.

1. Frequency of Treatment: You mentioned using a topical treatment (likely minoxidil) for hair loss. It’s crucial to adhere to the recommended usage of the product. For minoxidil, the standard advice is to apply it twice a day. This is because the medication needs to maintain a certain concentration on the scalp to be effective. If you only apply it once a day, you may not achieve the desired results, as the medication's effectiveness diminishes over time. Consistency is key; if you find it challenging to stick to the regimen, consider setting reminders or integrating it into your daily routine to help you remember.

2. Choosing the Right Shampoo: Since you mentioned having oily hair, it’s advisable to select a shampoo specifically formulated for oily hair types. Look for products that contain ingredients like salicylic acid or tea tree oil, which can help control excess oil production. Additionally, avoid heavy conditioners that can weigh your hair down. Instead, opt for lightweight conditioning products that won’t clog your hair follicles. Regular washing (2-3 times a week) can help keep your scalp clean and free from excess oil, which is beneficial for hair growth.

3. Washing Hair with Cold Water: When it comes to washing your hair, using lukewarm water is generally recommended. Hot water can strip your hair of its natural oils, leading to dryness and potential damage. Cold water, while it can help seal the hair cuticle and add shine, may not effectively remove oil and dirt. Therefore, a good practice is to wash your hair with lukewarm water and rinse with cooler water for the final rinse to help close the cuticles.

4. Blow-Drying Techniques: If you choose to blow-dry your hair, it’s best to use a medium heat setting rather than cold air. While cold air can be gentler, it may not dry your hair effectively, leading to prolonged exposure to heat from the dryer. Instead, use a heat protectant spray before blow-drying to minimize damage. Additionally, keep the dryer at least six inches away from your scalp to prevent overheating.

5. Lifestyle Considerations: Beyond topical treatments, consider your overall health and lifestyle. Ensure you’re getting enough sleep, as lack of rest can exacerbate hair loss. Aim for 7-9 hours of quality sleep each night. A balanced diet rich in vitamins and minerals, particularly those known to support hair health (like biotin, zinc, and vitamins A and E), can also be beneficial. Staying hydrated is equally important, so try to increase your water intake.

6. Consultation with a Specialist: If you continue to experience hair loss despite following these recommendations, it may be beneficial to consult a dermatologist or a trichologist. They can perform a thorough examination of your scalp and hair follicles, potentially recommending blood tests to rule out any underlying conditions that could be contributing to your hair loss.

In summary, managing hair loss effectively requires a combination of consistent treatment, proper hair care, and attention to overall health. By following these guidelines and maintaining open communication with your healthcare provider, you can take proactive steps toward improving your hair health. Remember, you are not alone in this journey, and many young people experience similar challenges.

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