Dr. Aarav SharmaDermatologist & Aesthetic Specialist
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Trichology & Scalp Guide

Hair Loss & Follicular Thinning

Evidence-based scalp evaluation and individualized hair retention pathways.

The Science of Hair Shedding & Miniaturization

Hair shedding and thinning can stem from androgenetic alopecia (pattern hair loss), telogen effluvium (diffuse temporary shedding), nutritional deficiencies, thyroid dysregulation, or localized scalp inflammation.

Diagnostic Priority: Differentiating between diffuse temporary shedding (Telogen Effluvium) and progressive follicular narrowing (Androgenetic Alopecia) is the most critical first step before choosing any hair retention therapy.

Common Signs

  • Widening of the central parting line (female pattern hair thinning)
  • Receding hairline or thinning at the crown and temples (male pattern hair loss)
  • Sudden excessive shedding during washing or brushing (telogen effluvium)
  • Scalp itching, flaking, or tenderness accompanying hair fall

Underlying Drivers

  • Genetic predisposition to dihydrotestosterone (DHT) sensitivity
  • Physiological or emotional stress, fever, surgery, or rapid weight loss
  • Deficiencies in ferritin (iron stores), vitamin D3, or zinc
  • Endocrine conditions including thyroid imbalances and PCOS

Our Trichological Evaluation & Treatment Path

1

High-magnification digital trichoscopy to examine follicular units and hair shaft diameter variability

2

Targeted blood work recommendations to screen for micronutrient and hormonal imbalances

3

Medical management using evidence-backed topicals, peptides, and oral 5-alpha reductase inhibitors where appropriate

4

In-clinic targeted scalp mesotherapy and growth factor protocols

5

Scalp barrier and anti-dandruff management to optimize the follicular microenvironment

Biological Growth Expectations

The human hair growth cycle is slow (averaging 1 cm per month). Meaningful stabilization typically takes 3 to 4 months of consistent medical therapy, with density improvements observed over 6 to 12 months.

Frequently Asked Questions on Hair Loss

What is the difference between daily shedding and true hair loss?

It is normal to shed between 50 to 100 hairs daily as part of the natural telogen phase. When shedding noticeably increases for more than 6 weeks or density visibly reduces, a dermatological consultation is advised.

Can hair loss be completely reversed?

Reversibility depends entirely on the root cause. Acute telogen effluvium often resolves once the underlying trigger is corrected. Androgenetic alopecia requires ongoing management to halt progression and optimize existing follicle density.

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High-magnification dermoscopy and personalized hair retention protocol in New Delhi.

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