A small area of hair loss?
Doctor, I have a small area on my scalp where hair has not grown, and that area was a wound from an injury in my childhood that required stitches.
Can I seek treatment to encourage hair growth in that area?
Jiang Xiaodi, 10~19 year old female. Ask Date: 2006/02/23
Dr. Zheng Lizhen reply Dermatology
Hello: If a scar caused by an injury prevents hair from growing, and the scar is not large, it is possible to excise and revise the scar.
By removing the hairless area and suturing it, the patchy hair loss can be eliminated.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.
Reply Date: 2006/02/23
More Info
When it comes to hair regrowth in areas that have been scarred due to childhood injuries, the situation can be quite complex. The ability of hair to regrow in scarred areas largely depends on the extent of the injury and whether the hair follicles were damaged or destroyed during the healing process.
In cases where a scar is formed due to an injury, such as a cut or a surgical procedure, the skin undergoes a healing process that can sometimes lead to the destruction of hair follicles in that area. If the injury was deep enough to affect the dermis, where hair follicles reside, it could result in permanent hair loss in that specific region. This condition is known as scarring alopecia, where the hair follicles are replaced by scar tissue, preventing hair from growing back.
For individuals who have a small scar and are experiencing hair loss in that area, there are a few options to consider. First, it is advisable to consult a dermatologist or a healthcare professional who specializes in hair loss. They can assess the scar and determine if the hair follicles are still viable. If the scar is not extensive and the hair follicles are intact, there may be a possibility for hair regrowth over time.
In some cases, if the scar is small and not too fibrous, surgical options such as scar revision may be considered. This involves removing the scar tissue and re-closing the area in a way that promotes better healing and potentially allows for hair to regrow. Another option is hair transplantation, where hair follicles from another part of the body are transplanted to the scarred area. This can be an effective solution for individuals with significant hair loss due to scarring.
Additionally, there are non-surgical treatments available that may help stimulate hair growth in scarred areas. These include topical treatments like minoxidil, which can promote hair regrowth in some individuals. However, the effectiveness of these treatments can vary, especially in scarred tissue where the hair follicles may be severely damaged.
It is also important to consider the age of the individual and the time elapsed since the injury. In children, the skin is often more resilient and may heal better than in adults. Therefore, if the injury occurred during childhood, there may still be a chance for some hair regrowth, especially if the scar is not too extensive.
In conclusion, while hair regrowth in scarred areas after childhood injuries is possible, it largely depends on the condition of the hair follicles and the extent of the scar. Consulting with a qualified dermatologist is essential to evaluate the situation and explore potential treatment options. They can provide personalized recommendations based on the specific circumstances, including the possibility of surgical intervention or medical treatments to enhance hair regrowth.
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