Can seborrheic hair loss grow back?

Written by Liu Gang
Dermatology
Updated on September 30, 2024
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Seborrheic alopecia, also medically known as androgenic alopecia, is generally more common in men, with a relatively lower incidence rate in women. The occurrence of this disease is mostly related to vigorous secretion of sebaceous glands, or it can be said to have a certain relation to family genetics. The condition can be improved with standard treatment, but it may not fully recover, especially for patients with severe symptoms, such as receding hairlines or baldness, who find treatment rather challenging. Generally, standard treatment at a dermatology department of a formal hospital can restore about 80% of the original condition, which is considered quite effective. Complete recovery is generally difficult to achieve clinically. Treatment can include oral and topical medications, and can also be complemented with long-term conditioning using traditional Chinese medicine.

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Written by Liu Gang
Dermatology
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What are the causes of male seborrheic alopecia?

Male seborrheic alopecia is also called androgenetic alopecia, which is related to excessive secretion of endogenous androgens leading to vigorous secretion of sebaceous glands. Excessive secretion of sebaceous glands makes the hair follicles loose and buoyant, so the hair roots are not firm and will fall out. It is also related to family genetics; most men in the same family will exhibit similar symptoms of hair loss. Once this condition occurs, formal treatment can bring about some improvement. However, most men may experience recurrent hair loss as they age into their 40s or 50s, and this hair loss is irreversible. Generally speaking, it becomes difficult to completely cure with age.

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Written by Qu Jing
Dermatology
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How to treat hair loss?

There are many types of hair loss, such as sudden localized patchy hair loss known as alopecia areata, androgenetic alopecia which is related to genetic factors and dependent on the action of androgens, also known as seborrheic alopecia, as well as postpartum hair loss due to insufficient qi and blood after childbirth, and telogen effluvium caused by rapid weight loss or dieting. The specific treatment of hair loss should be based on the corresponding cause. The cause of alopecia areata is not completely clear, and it is related to factors such as emotions, stress, endocrine disruption, and autoimmunity. Treatment generally includes oral intake of compound glycyrrhizin tablets and topical application of minoxidil. If the skin lesions are widespread or severe, the combination of corticosteroid treatment may be considered, and treatment generally lasts several months or even longer. Androgenetic alopecia often occurs between the ages of 20 and 30 and is related to familial genetics. The treatment of this condition lacks very effective remedies. Treatment options include topical minoxidil, and oral intake of finasteride. Traditional Chinese medicine has relatively good effects in treating androgenetic alopecia, including the oral intake of Chinese herbal medicine and local acupuncture treatment. Attention should be paid to avoiding staying up late and maintaining a light diet. When the hair follicles have already closed, local hair transplantation can be carried out, transferring hair from the occipital region of the scalp to the top. If the area of androgenetic alopecia is too large without sufficient follicles for transplantation, then the use of a wig should be considered. (Note: Medications should be used under the guidance of a physician.)

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Written by Qu Jing
Dermatology
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How to deal with seborrheic hair loss and itchy scalp?

Scalp itching associated with seborrheic hair loss can arise from two possible scenarios. One is that the itching is due to seborrheic dermatitis accompanying the hair loss. The other possibility is that the scalp, being greasy, provides a conducive environment for the proliferation of microbes, leading to a fungal infection of the scalp, which then results in itching and increased dandruff. In cases of seborrheic dermatitis, the affected area may show erythema and papules with oily scales or crusts, and there may even be exudation, crusting, and erosion, resembling eczema. The local treatment should primarily focus on degreasing, anti-inflammation, and itch relief. When fungal infection is also present, antifungal treatment becomes the priority. Ketoconazole shampoo can be used in such cases, applied three times a week for a period of 6-8 weeks.

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Written by Huo Ze Jun
Traditional Chinese Medicine
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The difference between kidney deficiency type hair loss and kidney insufficiency type hair loss.

Kidney deficiency-related hair loss and kidney insufficiency-type hair loss are essentially the same thing; they basically mean the same thing. Kidney deficiency can be divided into several types: one is kidney yin deficiency, typically characterized by heat in the palms and soles, dry mouth, and dry tongue; another is kidney yang deficiency, where the most typical symptom is feeling cold; there is also kidney qi deficiency, which mainly manifests as lack of strength and dislike for movement; another one is kidney essence deficiency, which includes symptoms such as dizziness and blurry vision, and can cause hair loss, among other things; there is also unstable kidney qi, where symptoms include various involuntary losses, inability to control urination, and stool that is prone to diarrhea. These symptoms belong to either unstable kidney qi or some organs prolapsing. These are various manifestations of kidney deficiency. The main clinical manifestations of hair loss due to kidney deficiency are thinning hair, accompanied by a lack of vigor, fatigue, and weakness in the lower back and legs. Its treatment should primarily focus on nourishing the kidneys. On the other hand, the type of hair loss often referred to in men, caused by an excess secretion of androgens, which leads to early balding in men, is generally not caused by kidney deficiency and should not be treated by nourishing the kidneys.

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Written by Liu Gang
Dermatology
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How to treat seborrheic hair loss?

Seborrheic alopecia, also medically known as androgenetic alopecia, is associated with excessive secretion of sebum by the sebaceous glands, consumption of spicy and stimulating foods, or frequent staying up late. Most patients have a certain genetic predisposition, with parents also displaying similar hair loss. Upon encountering this condition, it is necessary to treat it with medication. The most commonly used medications include Vitamin B6 tablets, finasteride tablets, and anti-grease hair growth tablets. These medications require long-term usage, and the treatment period is relatively long, lasting at least one to three months or more, to potentially control the condition. Topical medications can include the use of minoxidil solution. It is important to maintain a proper diet and lifestyle, strengthened exercise, avoiding spicy and stimulating foods, and persisting long-term to possibly prevent the recurrence of the condition.