scalp health dandruff disease

It doesn’t matter what the reason is, losing your hair is never easy. It’s common knowledge that drug treatments like chemotherapy and the normal aging process can bring on thinning hair and hair loss. But what happens when you lose your hair because of a skin condition? There are not many people that are aware that skin conditions like eczema and psoriasis can affect the scalp, and that they can also affect hair growth. There is very little talk about coping with scalp-related hair loss. For individuals of all ages that struggle with this problem, it’s a painful condition and is often stigmatized and covered up due to embarrassment.

Hair Loss and Self-Esteem

If you have a skin condition on your scalp, one of the first steps in learning to cope with your hair loss and being aware there are others than can understand your condition. Most people that struggle with hair loss often struggle with their self-image as well. If a skin condition is the cause of your hair loss, then there is often a greater loss of self-esteem and confidence. Often this type of condition affects not only the thickness your of your hair, but leaves unsightly marks on the skin and scalp. It’s also not uncommon for people with skin conditions to experience dandruff and itching. When it comes to conditions like psoriasis and eczema, they are often chronic and affect a person throughout their entire life.

Finding a Trichologist Practitioner

If you didn’t realize that a skin condition could have such an affect on your scalp, then you may not know who to turn to if you suffer from eczema or psoriasis on your scalp. In this case, you would look to a Trichologist. They are similar to dermatologists, only they specialize in scalp issues. A trichologist is best suited help you with scalp issues that is causing your hair loss.

Hair Restoration

When you have hair loss, and especially when related to skin issues, it can have a large impact on your life. Take into account your mind and your body wellness when you plan treatments. To cope with your condition, it takes both time and effort and most of all patience. Having support along with appropriate treatment is key to dealing with the emotional and physical condition and recovering from it.

Photo via Carolyn Speranza on Flickr Creative Commons

Alopecia Areata is frequently referred to as “spot baldness”, a term that reflects its unique pattern of onset. Where Male Pattern Baldness primarily affects the hairline and crown, and Female Pattern Baldness primarily affects the part, Alopecia Areata is characterized by sudden and somewhat random hair loss in varying and irregular patches on the scalp. The onset of the condition, which is seen in both males and females, often begins sometime between late childhood and early adulthood, though it is not abnormal for Alopecia Areata to exist in very young children or start later in life. Nearly 6.5 million people in the United States alone live with Alopecia Areata; that is 2% of the population!

The condition itself can be confusing though. Earlier this year, we discussed the many faces of alopecia, noting that the umbrella of alopecias includes a number of different types of hair loss. Alopecia Areata is unique in that this specific term refers to hair loss caused by an autoimmune disorder and, as mentioned above, causes distinct patches or spots of baldness. In an autoimmune disorder, an individual’s immune system confuses some of its healthy body tissues for unhealthy and unwanted outside materials such as bacteria, viruses, or toxins. It then tries to protect the body by ridding it of what it understands to be intruders by attacking them. Unfortunately, in this scenario, the tissues being attacked are actually healthy hair follicles.

Research continues on autoimmune susceptibility as well as why an immune system suddenly views healthy tissues as external intruders, and while records are growing to aid in the understanding of the genetic underpinnings of Alopecia Areata and hopeful progress is being made towards prescription drug applications, definitive answers to the many questions surrounding the condition’s origins and potential cure do not yet exist. What is known is that the majority of people living with Alopecia Areata are completely healthy aside from their autoimmune hair loss.  For some individuals, hair loss and regrowth on certain spots of their head will be a continuous cycle throughout their life. For others, what began as specific spots of baldness may develop into broader hair loss and more rare forms of Alopecia Areata. When all hair on the scalp is lost, the condition is then called Alopecia Totalis. If the hair loss encompasses the entire body, including follicles in the eye brows and pubic hair, the condition is known as Alopecia Universalis, the rarest form of Alopecia Areata.

Treatment options vary in the same way that prognoses do. Stimulation and maintenance of hair growth is possible through ongoing treatments for some individuals while external replacement systems are more effective for others. The degree of hair loss, pattern of hair loss, age of patient, and needs and desires of the patient all play a role in defining which options might suit a specific individual. To best understand the possibilities available, a one-on-one consultation with a professional hair restoration specialist is the best place to start. Contact your local specialist today!

Photo via Carolyn Speranza on Flickr Creative Commons

Most people agree that having hair pulled out is a very unpleasant feeling. For someone with trichotillomania, though, pulling hair out feels good — and may help the person deal with stress and anxiety. Trichotillomania is one of the more unusual hair loss diseases. What causes this hair loss disorder, and can it be cured?

What Is Trichotillomania?

Trichotillomania (TTM) is a disorder that causes a person to have an overwhelming urge to pull out their own hair. Symptoms of trichotillomania include:

  • noticeable hair loss
  • increased tension right before pulling out hair, or when trying to resist pulling
  • pleasure or relief when hair is pulled

As long as hair pulling is not caused by another health issue, and it causes the puller enough problems to interfere with daily life, it can be classified as trichotillomania.

TTM is closely related to obsessive-compulsive disorder. The International OCD Foundation sheds light on the difference between the two:

  • OCD sufferers have repetitive behaviors that distract from bad feelings but do not bring pleasure.
  • TTM sufferers get pleasure or relief from pulling hair.

Scientists do not know the cause of TTM. Symptoms of TTM increase when the body encounters stress. Interestingly, this stress can be either negative stress (e.g., money problems) or positive stress (e.g., planning a trip). The brain does not differentiate between the signals, so both types of stress can increase the desire to pull hair.

What Are Complications of TTM?

On an emotional level, the sufferer may experience tremendous stress and shame because of their behavior. This can prevent them from going to work, engaging in social activities or pursuing higher education. Physically speaking, one of the worst complications occurs when a person eats the hair they pull. Strands of hair can build up in the intestines and cause painful, even life-threatening blockages, which may require surgery.

Can Trichotillomania be Cured?

There are several treatments for TTM. Different methods may work for some and not for others.

Cognitive Behavior Therapy

Cognitive Behavior Therapy (CBT) interrupts and resets the mental processes that lead to hair pulling. Through CBT, the patient identifies the factors that lead to the desire to pull, then learns techniques that can redirect those urges. To be effective, CBT should be performed by a qualified psychologist.


There are several medications that have been helpful for TTM patients. Among the most effective are the antidepressant clomipramine and the amino acid N-acetyl cysteine. SSRIs like Prozac have had mixed results; a few patients have reported that they stopped pulling their hair completely, while others felt no effect whatsoever.

Support Groups

Because sufferers of trichotillomania deal with debilitating of shame, support groups can be very helpful. Hair pullers may find that being in a support group helps them to focus their energies on finding an effective strategy, rather than hiding their disorder and feeling embarrassed.

Alternative Therapies

Certain hair pullers have reported success with alternative therapies like biofeedback, hypnotism or a strict regimen of diet and exercise. These methods have not been studied by scientists, so their usefulness remains in question.
Who Suffers from Trichotillomania?

Trichotillomania often begins in childhood or adolescence, but TTM symptoms can onset at any time in life. Boys and girls seem to be equally affected in childhood, but among adults, TTM appears to be more common among women.

Actress Olivia Munn has been open about suffering from Trichotillomania. In an interview for Self magazine, she speaks of the stress that brought on hair pulling. “I had it growing up, having had a little bit of a tumultuous upbringing, moving around a lot with a mixed family with five kids.” She remarked that the stress of being an actress has, at times, brought that anxiety back. “I just didn’t want to let anybody down,” she said.

Trichotillomania can affect anyone at any age. VanScoy Hair Clinics specializes in hair replacement and hair loss solutions for those who suffer from Trichotillomania. We have many options to choose from. To learn more, call us at (419) 289-6665 or click here and make an appointment online.

Photo Credit: Martin Cathrae Via Flickr Creative Commons

Many people facing hair loss are well informed on the ins and outs of their specific condition. They might have heard that at least half of all men will have experience some degree of hair loss by the age of 50, or that 40 percent of hair loss victims are women, or even that the leading cause of hair loss is hereditary patterns. Although those are all true statements, there are some fictitious statements that get passed around which help the hair loss industry along. The real trouble is trying to decipher between fact and fiction.

Is it really your mom’s side of the family to blame for your hair loss? Can wearing a baseball hat actually make you go bald? The following are a few of the most common myths about hair loss, fact or fiction:

Hair Loss comes from the mother’s side

Fiction! Contrary to what people say, it is not your mom’s side to blame for your hair loss. Although male pattern baldness is hereditary, it has been proven that the condition could just as easily come from the father’s side as well. Since this condition is genetic, it cannot be prevented, but it can be treated.

Baseball Caps Cause Baldness

This one is actually fiction to. Health experts have not found any sort of specific link between hair loss and wearing a cap. Only hats that are tight enough to cut off circulation to the follicles would cause hair loss.

Poor Treatment of Hair, Causes Hair Loss

Fact! Using too much styling product like dyes and perms can cause hair loss. It is also stated that tight buns and braids can cause hair loss through follicle damage, so be sure to avoid those as much as possible. Even women that are trying to bleach their hair with natural sunlight should be sure to put a hat on because overexposure to the sun’s UV rays have shown to cause hair loss as well.

Hair Loss from Stress

This is a fact, but not in every aspect. Scientists have found that extreme emotional or medical related trauma can cause sudden hair loss. However, it is noted that stress stemming from every day stress of work and family life will not cause hair loss.

Hair Loss Only Occurs When You’re Old

This is fiction. Just like some of the examples given above, male pattern baldness among other conditions can occur as early as the teen years, or the early 20’s for women. For these cases, VanScoy hair loss specialists can work to help rule out a typical causes such as hormonal issues.

Let us help

Everyone is different when it comes to the reasons for hair loss. We understand that your needs are different than other, which is why we off many different hair replacement options. Visit us today for a free consultation.


Photo Credit: Chun-Hung Eric Cheng via Flickr Creative Commons

When we experience a major loss, grief is a perfectly normal process that we undergo. The grief process is complex and circular. Unlike many descriptions of the grief process having a beginning and end, with several parts in the middle, the process is not always linear. Grieving includes psychological, emotional, and physical reactions that have an impact on individuals, friends, and family. Read below to learn about some of the common phases that individuals move through as they grieve.

The death of a loved one is not the only cause for grief. Any major change can incite feelings of denial, anger, bargaining, depression, and acceptance. If you have recently begun losing your hair, you might be feeling any one of these emotions or a combination. It is likely that individuals at any stage of the hair loss process will grieve their previous life. Even though your hair loss may not be permanent, you may miss the time before your hair loss began.

Denial– “I feel fine.”; “This can’t be happening, not to me.” Denial is usually a temporary defense for an individual. When you first begin losing hair or notice your thinning hair, you may not believe it is happening. In fact, you may convince others that you are not losing your hair.

Anger– “Why me? It’s not fair!”; “How can this happen to me?”; ‘”Who is to blame?” Anger is sometimes an emotion that follows denial. Once you’ve acknowledge that hair loss is something that is happening in your life you might become enraged. It doesn’t seem fair that you have to undergo this difficult burden while others do not.

Bargaining- “I’ll do anything.”; “I will give my life savings if…” This stage involves an individual hoping that they can postpone hair loss if they negotiate. Usually, the negotiation is made with a higher power in exchange for the head of hair they once had.

Depression — “I’m so sad, why bother with anything?”, “Why go on?” During this stage, the individual begins to understand and feel the effects of hair loss. Because of this, the person may withdraw and isolate. It’s completely normal to feel sadness and fear in this stage.

Acceptance — “It’s going to be okay.”; “I can’t fight it, I may as well prepare for it.” The acceptance stage is one where the person begins to accept their hair loss and prepare for it. This stage also might include educating others about hair loss and findings solutions for the problem. Grieving is a process that takes time.

Don’t discount your emotions about hair loss. Allow yourself to grieve and reach out to others for support. If you want professional support as you work through this difficult time in life, contact a counselor or support group for guidance. Often, sharing your emotions with others who understand what you are going through is a powerful first step.  Call Van Scoy at (419)-289-6665.

Schedule a private consultation with an expert or see our locations near you.

It is a widely accepted misconception that hair thinning and balding are problems that are unique to the male gender. Though still not desirable, there is an expectation of sorts that hair loss comes with age for men, but not for women. In actuality, hair loss does not discriminate and a notably high percentage of women will experience some degree of thinning or balding during the course of their lifetime.

The single largest cause of hair loss in women has hereditary origins and is known as Female Pattern Hair Loss (FPHL). This type of loss is usually identified by thinning along the part rather than the thinning at the hairline that is frequent in its male counterpart, Male Pattern Hair Loss. The degree of a woman’s hair loss with FPHL is measured using the Savin Scale. According to a 2013 study conducted by the Department of Dermatology and Cutaneous Surgery at the University of Miami, some 21 million women in the United States alone are suffering from FPHL with 12% of women seeing signs by the time they are 30 and upwards of 30-40% of women dealing with FPHL in their 60s. These numbers are astounding when one considers how little female hair loss is discussed and acknowledged in today’s society!

In addition to FPHL, hair loss in women can also be attributed to a number of other causes including hormonal changes such as postpartum, birth control, or menopausal hair loss, extreme stress, regular overstyling, medications including, but not limited to, chemotherapy, underlying medical conditions such as hyperthyroidism or lupus, other known hair loss conditions, such as alopecia areata and trichotillomania, and the list goes on and on. It can seem a bit daunting to pinpoint a specific cause with so many possibilities, but a doctor or specialist can help individuals to understand their unique diagnoses and the potential solutions that are suited to their condition.

It is true that certain medications or procedures that are successful in men are not as broadly applicable in women. For example, some medications simply do not treat FPHL and others have female specific side effects that deter doctors from prescribing them. This is not to say that there aren’t a range of options for women dealing with hair thinning and loss, because there absolutely are. From hair transplantations and medications to laser therapies and high quality human hair wigs, opportunities for female hair restoration have never been so plentiful. Like diagnoses though, these prescribed treatments require the expertise of a specialist who understands how to accurately match the unique details of a woman’s hair loss with the dynamic impact and effectiveness of various solutions.

Last, but certainly not least, the social and emotional impact of hair loss in women is a fundamental piece of the challenge faced by females who are enduring ongoing thinning and baldness. For centuries, hair has played an enormous role in defining self-image, femininity, youthfulness, and beauty, and despite how one categorizes things like beauty and femininity, losing the opportunity to decide for oneself can be remarkably difficult to overcome. Frequently women seek to hide their thinning scalp with a new style or limited public exposure, and these temporary solutions leave them feeling vulnerable and isolated. By increasing awareness and initiating conversations about hair loss in women, there is potential to not only limit the loss and commence restoration, but also to minimize the negative social and emotional strains on females that are caused by unwanted hair-based changes. Women struggling with hair loss are not alone!

With more than 40 years experience, Van Scoy Hair Clinics has offered the latest advances in hair restoration for men and women in our state-of-the-art facilities in Cleveland, Columbus and Ashland, Ohio. Schedule a FREE hair loss and scalp analysis today.


Hair growth is cyclical. Throughout an individual’s life, the hairs all over their body are going through a long growth phase followed by a brief transition phase and then an intermediate resting phase before the specific hair is shed and a new one begins its long growth phase in the first one’s place. Growth, transition, rest, shed. Growth, transition, rest, shed. This pattern, which varies in exact duration from one person to the next and one body area to the next, is most frequently discussed in terms of its three main phases, the anagen phase, the catagen phase, and the telogen phase.

The anagen phase, or growth phase, can last anywhere from 2 to 6 years for scalp hairs. During this time, the follicle’s cells in the root are dividing, receiving nutrients that fuel growth from the bloodstream that are delivered via the papilla. Scalp hairs in the anagen phase grow on average about 6 inches per year. Hairs on other parts of the body, such as eyebrows or arm hairs, have a much shorter anagen phase, and thus, are shorter hairs than those on the scalp.

The catagen phase, or transition phase, is the shortest of the three, lasting only a few weeks for scalp hairs. During this time, the hair moves (or transitions) from active growth to a resting state. The mechanism through which this is achieved involves the root attaching to the shaft and detaching from the papilla, cutting the hair off from its source of nutrients.

The telogen phase, or resting phase, typically lasts about 2 to 3 months for scalp hairs. During this time, the non-growing, detached hair is referred to as a club hair. It is essentially dormant until it falls from the head. If it has not been shed by the time the next anagen phase begins, it is forced out by the newly growing hair. For those hairs on other parts of the body such as eyebrows or arm hairs, which, as discussed above, have a shorter anagen phase, the telogen phase is actually longer, leaving the short hairs at rest for more time than on they would be on the scalp.

Fortunately, not all hairs experience these phases at the same time. If they did, a person would experience years of growth followed by complete baldness. Instead, most hairs are in different stages than those surrounding them. At any given time, about 85-90% of hairs are in the anagen phase meaning only 10-15% are in the catagen and telogen phases, with more in the latter than the former. Some noticeable hair shedding occurs (up to 100 each day), but a healthy head of hair appears consistently full.

In less healthy manes, hair loss can sometimes be explained by a shift in the percentage of hair in the anagen and telogen phases. If follicles that would typically be in the growth phase enter the resting phase early, then the percentage of hairs in the anagen phase drops and that of those in the telogen phase increases, leading to a period of shedding a higher than typical amount of hair. This type of hair loss is referred to as telogen efflivium and can be caused by a number of things, including stress and subsequent changes in dietary habits, sleep, and health. As we wrote in our discussion on the impact of stress on hair loss in April:

“When external or emotional stressors lead to physiological stress, the body responds by essentially taking the attention it was giving the hairs in the anagen phase and reallocating it to other areas in need, thus pushing a larger number of follicles into the resting state. After a few months, these resting hairs begin to shed. While it is normal to lose telogen phase follicles, the abrupt loss of so many new resting hairs when stressors have caused telogen effluvium makes a regular cycle of loss and growth into an unbalanced and noticeable process of hair thinning.”

Gaining comprehension of how healthy hair growth works is an important part of understanding irregularities. With the knowledge of expected growth patterns and mechanisms, we can then identify specific points of abnormal development and explore their causes.

Despite being primarily known by a single name, ringworm comes in a variety of different strains. In fact, there are at least 8 separate types that affect the human body alone, with different Latin names for each. Ringworm of the hand is a different kind of infection than ringworm of the foot, and a third strain exists that impacts the nails. Ringworm of the face, scalp, and beard are three separate strains as well. On the scalp, the Latin name for ringworm is tinea capitis, with tinea representing all ringworms and capitis signifying the unique strain that affects the scalp area. Even within a single type of ringworm there is variation though. Tinea capitis, for example, can be caused by a number of different fungi which each cause a unique manifestation of the infection.

In general, ringworm of the scalp is identifiable by splotchy and itchy bald areas with scaly skin and black spots where the hairs have broken off. Some individuals may experience a raised ring, inflammation, or crusting. Though the infection occurs in people of all ages, children are the most susceptible and most cases of tinea capitis in the United States arise on the heads of the young. Treatment is usually comprised of oral and topical medications. The oral medication (most typically, griseofulvin) is often considered a requirement to dispel the infection while the topical medications (such as special shampoos or steroid ointments) act as a tool to contain the infection and keep it from spreading to other parts of the individual’s scalp or other family members. When following the doctor’s instructions, ringworm can usually be healed in 6-8 weeks.

Unfortunately, severe cases of tinea capitis can cause permanent hair loss and scarring. The preferred course of action is to avoid transmission of ringworm altogether. This means keeping clean, avoiding physical contact with someone who is infected, monitoring pets (especially cats) for patches of hair loss, wearing sandals in locker rooms, refraining from sharing brushes or towels with others, and possibly using anti-fungal shampoo for all family members if someone in the household has ringworm. Wouldn’t it be fantastic if all hair loss could be prevented with just a bit of attentiveness to a few simple practices?

When ringworm of the scalp is past avoidance, there are many options for hiding or repairing areas of temporary baldness as well as restoring hair that was lost permanently due to scarring and impact of the infection. To explore the available possibilities, contact a hair restoration specialist for a complimentary consultation and analysis of your hair and scalp.

Diagnosing the cause of hair loss and understanding the degree of it are related and often linked tasks. Their core questions, however, are different, and so too are the tools used to reach answers. Diagnosis asks ‘Why is there hair loss?’ and utilizes a number of methods to find the cause, while labeling the degree of loss asks ‘How bad is the hair loss?’ and uses an objective visual scale to appropriately gauge the current state of follicles on the scalp. The Savin Scale is one of these scales; it is a tool used specifically for measuring the degree of hair loss in women.

Though four main scales have been suggested by doctors for measuring the level of female hair loss, the Savin Scale is the most widely used. Very similar to the Ludwig Scale, it was developed, tested, and put forth by Dr. Ronald Savin in the mid 1990s as a way to better facilitate hair loss research. Where the Savin Scale differs from the Ludwig Scale is in its ability to measure overall thinning in addition to loss. As can be seen in the image below, female pattern hair loss occurs along the part, and the Savin Scale acknowledges 3 different stages (I, II, and III) detailed as 9 unique phases (I-1, I-2, I-3, I-4, II-1, II-2, III, advanced, and frontal). When a hair restoration specialist or doctor sees a female patient, they examine her head, hair, and scalp and compare it to the scale. By choosing the image that most closely resembles the patient’s patterns, the specialist can gain a more measurable and communicable understanding of the degree of the woman’s hair loss.

So why is a scale like this so important? For a number of reasons! First, it can be difficult for researchers to discuss and compare their findings when there is not a shared method for recording various degrees of hair loss. With widespread acceptance and use of the Savin Scale, these researchers are now able to operate with a higher level of assurance that their understanding of a specified degree of female hair loss is the same as that of their peers. An invented and over-simplified example is that rather than two researchers comparing notes in which one of their studies discusses “early stage” hair loss and another reviews “light” hair loss (terms that they each defined separately and perhaps differently), they can now label the degree in question using the Savin Scale, knowing that when a reference is made to stage I-3, it is done with confidence that they are in agreement about exactly what that means.

Second, getting on the same page about more clearly defined stages of hair loss also has implications for doctors and restoration specialists as they ask questions and learn new findings. Being able to discuss a specific case with a peer for insight or to elicit a professional opinion is an important part of accuracy and development in the medical field, and the Savin Scale promotes higher levels of understanding in these types of situations too.

Third, and most directly related to the patient, the Savin Scale can be applied to an individual female’s hair loss at various intervals to more accurately gauge the change in her unique hair loss over time. This insight can aid in the diagnostic process, inspire a sense of urgency when necessary, and provide guidance for the best restoration solutions available for each specific woman.

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Savin Scale

The Savin Scale


The below video shared by the National Institute of Health gives a brief introduction to Alopecia Areata, the autoimmune disease in which the immune system mistakenly attacks hair follicles leading to hair loss.  As the video mentions, the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) supported the establishment of a national registry in which five academic research centers compiled information on those with Alopecia Areata and their families as one of many tools now being used to further research the causes and genetic underpinnings of the disease. Ongoing investigation has been and continues to be an important factor in understanding the causes of hair loss and expanding our potential for hair restoration solutions.