Hair and Scalp Diseases

Our treatments are well thought out: especially for scalp diseases.

Diseases of the scalp and hair can be extremely unpleasant for those affected as the external appearance suffers and, depending on their severity, they can lead to hair loss. There are almost as many reasons for hair loss as there are hairs on a healthy head. These reasons include drugs, malnutrition, severe diseases, thyroid dysfunction, hormonal influences, genetic predisposition, scalp diseases, infections of the scalp by viruses, bacteria and fungi, injuries or the effects of chemical and physical pollutants. We look for the individual cause through a comprehensive anamnesis and diagnostic measures such as blood analysis and by using TrichoScan. We aim to stop the hair loss before the hair follicles are irreversibly damaged.

Your questions. Our answers.

What is a TrichoScan and how is the examination performed?

In a TrichoScan, computer-assisted images of areas of the scalp are used to determine parameters such as hair density and thickness, hair root status and growth rate. This enables us to draw conclusions about the cause of hair loss and to assess and document the success of a therapy.

For the analysis, a small area of approximately 2 cm2 at the back of the head is first shaved and dyed. The selected area is hidden and can be easily covered by appropriate combing. Subsequently, pictures are taken with a special camera stored in the computer and then evaluated. In order to quantitatively evaluate hair loss, pictures are taken again after three days and the computer determines the relationship between hair growth (anagen) and loss (catagen) phases. Normally about 85% of the hair should be in the growth phase and about 8–14% in the loss phase. A reversal of this ratio can, for example, indicate hereditary hair loss.

Do lost hairs grow back?

Hairs can grow back only where inflammation and scarring has not destroyed the hair follicle, or where it has irrevocably degenerated due to the influence of dihydrotestosterone. It is therefore all the more important that the right therapy is initiated quickly.

Can hair growth be stimulated?

With plasma treatments and mesotherapy hair growth stimulation is effectively possible. With plasma treatments, the body’s own growth factors extracted from the blood stimulate the hair follicles and blood flow to the scalp increases. This treatment is also ideal for patients who have had a hair transplant performed – hair growth is improved and the transplant is protected against new hair loss. In mesotherapy, we inject a stimulating cocktail of vitamins, minerals and amino acids directly into the scalp where they can be optimally absorbed by the hair follicles.

How does spot baldness develop and how is it treated?

It is assumed that spot baldness is caused by autoimmune reactions where the body attacks its own hair follicles. There is often also a vitamin D deficiency. In many cases, the application of a high-dose cortisone solution can help. Due to the thickness of the scalp there are no side effects on the rest of the body.

What are the causes of brittle and thinning hair?

If the scalp dandruff layer is roughened, the hair appears brittle. Simple reasons include incorrect care, while more complex causes include hormonal changes (menopause, pregnancy) or thyroid disorders. A lack of trace elements (iron, zinc, copper) and vitamins (biotin, vitamin B) can also be a trigger for these symptoms.

What causes dandruff?

Dandruff occurs more frequently in the autumn and winter months. Psoriasis or neurodermatitis can also cause dandruff. Seborrheic dermatitis could be caused by the growth a specific fungus.

What are the characteristics of scalp fungal diseases?

Scalp fungal diseases are less common in adults. Fungal diseases of the scalp usually occur in children between two and 14 years of age. The pathogens are usually filamentous fungi: fungi, whose natural hosts are animals and can cause particularly severe infections that are difficult to treat. Infections by the fungus Microsporum often spread endemically in day-care centres and schools.

How can bacterial infections of the scalp be identified?

Bacterial scalp inflammations can manifest themselves as extremely painful hair follicle inflammations with inflammatory papules and purulent pustules. We take a bacteriological smear in order to prescribe the correct antibiotic, if appropriate.

What can cause hair root inflammation?

Inflammation of the hair follicles on the scalp can occur as a symptom of severe acne or they can manifest themselves independently of this. The occurrence of so-called tuft hairs and scarred hair follicles are characteristic. However, pustules with subsequent scarring and the resulting hair loss can also develop without bacterial involvement meaning that not all patients respond to antibiotic treatment.

What are the causes of hair loss through scarring?

So-called scarring alopecia can occur, for example, in autoimmune diseases (lupus erythematosus, lichen planus) and chronic acne-like hair follicle inflammations (folliculitis decalvans). The pathological pulling out of hair, radiation treatments, infections from viruses, bacteria and fungi and tumour diseases can also trigger scarring of the hair follicles.

Our expert for hair and scalp diseases

Dr. med. Anna Brandenburg

Make a non-binding enquiry via our contact form, call us on 040 – 46 77 46 27 or book an appointment directly online. We look forward to hearing from you.