The final solution to the problem of Androgenetic Alopecia and hair loss in general cannot yet be found. But in the second decade of the 21st century we can safely say that every person with sparse hair or extensive hair loss (baldness) can have natural, dense hair with solutions offered by technology.
In the thinning of the scalp, in the early stages of Hair Loss, what really happens is that the scalp appears between the hairs. It is the color contrast that marks the visual dilution (the actual dilution has begun years ago but was not visible) and can “eliminate” the hair loss products, giving the illusion of dense hair to the areas that are sparse.
The use of products that hide or camouflage weak hair and make it look dense is the most direct and affordable solution with many advantages but some limitations too. These products do not inhibit or reverse hair loss, but if used correctly by the right candidate, they can have a remarkably positive effect on both the appearance and the psychology of the person who chooses to use them.
Men and women with sparse hair can benefit from the impressively natural effect of these products as long as they are applied only in places with even thin hair growth since in completely empty places these products cannot be used and look natural.
Consequently, men with extensive hair loss (Norwood-Hamilton VI-VII) and women with extensive FPHL may not be suitable candidates for dilution cover products. They are, however, suitable for the use of a wig, such as alopecia totalis, extensive alopecia, alopecia, post-traumatic scarring and patients undergoing chemotherapy.
Modern products for thinning hair have improved dramatically and are so natural that they sometimes do not stand out from real hair. Hair type, base type, hair seam technique and hair attachment technique create a handful of products that meet a variety of needs and allow people with Hair Loss to get a more natural image through an add-on and live a normal life, even If they engage in intense physical activities, it is not easy to see how the individual uses an add-on.
However, the use of an add-on by men with hair loss should be the ultimate solution and only when all other possible solutions have been exhausted and only men with Norwood-Hamilton VI-VII Hair loss or people with irreparable damage from bad or old hair transplantations (punch grafts, flaps, etc.) are candidates for an add-on. In any case, the cost/benefit ratio, where the cost is the economic, psychological and social costs/benefits, depends on the social and psychological benefit of the patient. The use of an add-on has huge demands from the user, the cost is continuous and excessive, the inconvenience is great, the psychological cost is immeasurable, as the patient ends up adapting even his professional and personal life and choices around his wig, While it is very difficult to “separate” the wig from the moment it starts to use it. For all the people with hair loss or not, however, care is a frequent, if not daily, exercise.
The main “weight” of hair care takes on the shampoos, which appeared 80 years ago and have replaced the old natural soaps that did not adequately clean and left residue in the hair, making them dull. The main purpose of the shampoo is to remove sebum and pollutants from fats, but now consumers expect hair shampoos that will be mild, economical and even pleasant in texture, smell and appearance. That is where the art of the composition of a shampoo, that is to say, the right balance of detergents and softeners, that will provide hair that is sufficiently pure, without being “excessively” clean and lacking the natural glow and softening/antistatic action that semen offers.
Almost all consumer shampoos have similar properties and their only differences are in marketing, packaging, price and how they irritate the consumer’s senses (odor, touch, vision). Only pharmaceutical shampoos have a substantial benefit to the user and only for specific signs and illnesses, although almost all patients with Hair Loss/FPHL have the wrong impression that hair loss solution is initially a special “hair loss” shampoo.
The doctor should explain to them that common shampoo does not “grow hair” or stop the hair from falling, and just grooming the hair shows a denser image of them, because in reality the hair does not “thicken”, nor become “healthier”, the patient just experiences a more enjoyable image of their hair.
The use of products that hide or camouflage weak hair and hair loss is the most direct and affordable solution with many advantages and limitations.
Indeed, there are many people who use products for thinning hair, and the use of these products goes unnoticed by everyone. People in television or public life and celebrities, but also the general public use such products to cover the image of hair loss. How aesthetically good the result will be from the use of such a product depends on:
- the extent/stage of hair loss
- the hairy area with hair loss
- the type of product
- the correct way of use.
The success of all products is based on the fact that it reduces or eliminates the contrast of the skin to the hair color, giving the successful illusion of dense hair at the points it has failed. The application of these products, however, can be done only in places with sparse hair, since in the completely empty spots the change of the skin tone will be evident. Of course, in places where hairs are “tied” and cover this area, the result is most of the times from very good to impressive. The indications for use of these products are:
- Men and women with hair loss
- People of both sexes with generalized hair loss or hair loss of any cause
- Individuals with suffocating hair loss or with localized hair loss spots (gynecological hair loss)
- People who have undergone an unsuccessful hair transplantation technique and have an abnormal effect
- People who have undergone recent hair transplantation in order to cover post-operative signs in the recipient area or telogen effluvium
- People who have undergone a successful hair transplantation and want a higher density.
From the above, it is understood that these products can be successfully used by people with mild to moderate hair loss (stages II-V), while those belonging to Norwood-Hamilton VI-VII stages are not suitable candidates. Significant detail is that people who have undergone hair transplantation may, of course, use the doctor’s agreement, both during the period until signs of healing of the recipient region disappear and later to improve the postoperative aesthetic effect, since at points previously sparse, there will be hairs that will allow the use of these products.
Hair loss products belong to four general categories:
- Solid: are products in the form of a solid compressed powder that spreads through the scalp and the hair with the aid of an applicator, basically staining the scalp and hair
- Lotion: Cream or liquid lotion products that have a similar effect to solid products, that is to say, the skin of the scalp
- Sprays: They are products in the form of ordinary hair but they have color and locally stain the scalp and hair
- Keratin micro-vitamins (such as KMax Milano): are products containing keratin microfibers that adhere through static electricity to the hair and give the image of density and coverage.
In any case, the doctor must explain to the patient that the main purpose of using these products is the naturalness and only the right choice of product and its proper use ensures naturalness.
The second most important condition is that others can’t tell if the patient is using such a product. This requires not excessive use of the product in attempting to completely “cover” hair loss. The patient needs to understand that if it is properly used in the worst case he will be a little sparse (while before it was too sparse) something perfectly normal. If it is overused, even the most successful product will be fake and longer than before (again perfectly normal and expected, although unpleasant for the patient) he will now be a fool.