How to Choose a Hair Supplement

For many, a full head of hair represents youthfulness and vitality. However, when hair begins to thin, it can be a source of frustration and a hit to one’s confidence. At SOCAH Center, we understand the complexities of hair health and are dedicated to helping you achieve the luscious, thick locks you desire. Our experts have scoured the market and tested numerous products to bring you the top shampoo picks for thicker hair.

The search for an expert to address alopecia, the medical term for hair loss, can lead you to various providers, including dermatologists, alopecia specialists, hair loss specialists, or trichologists. Dr. Nikki D. Hill, a board-certified dermatologist, possesses additional training to specialize in diagnosing and managing scalp conditions leading to alopecia. Not all dermatologists are equally comfortable treating alopecia, making it crucial to find a specialist who can offer expertise, patience, and a collaborative approach to nurture your scalp back to health. In this article, we’ll explore the significance of early diagnosis and the necessity of consulting a dermatologist for various alopecia types and their respective treatments. Understanding Alopecia: Types and Classifications Alopecia is a broad term that encompasses various conditions of the scalp resulting in partial or complete hair loss. There are more than 20 different types of alopecia, typically classified into two main categories: scarring alopecia and non-scarring alopecia. Scarring Alopecia: This form of alopecia involves inflammation leading to scar tissue replacing hair follicles, resulting in permanent hair loss. Non-Scarring Alopecia: Non-scarring alopecia can result from numerous factors that cause hair to shed out of the follicle. However, the follicles remain intact and healthy. Once the underlying issue is addressed, hair can typically regrow normally. The Significance of Early Diagnosis and Treatment Early diagnosis and timely treatment are essential when you notice changes related to alopecia. Seeking an accurate diagnosis by a dermatologist is paramount, as it can make the difference between saving inflamed follicles and the development of permanent scarring alopecia, where hair will not regrow. Unfortunately, some individuals discover alopecia signs and symptoms after experiencing them for over a decade, often resorting to wigs or scalp prostheses to feel comfortable in public. Even potentially reversible non-scarring alopecias, if left untreated for an extended period, can lead to follicle shrinkage and permanent alopecia. The Diagnostic Process The health of a hair follicle cannot be determined by merely looking at its pore opening on the scalp. Dermatologists employ several diagnostic tools to differentiate between scarring and non-scarring alopecia, and to detect any permanent damage such as scar tissue. A scalp biopsy is sometimes necessary to provide a precise alopecia diagnosis. During a biopsy, a small injection of numbing medicine is administered to the scalp, followed by the removal of a tiny core of skin using a specialized tool. A single stitch is used to close the area, and the stitch is removed in one week, with biopsy results available during the follow-up appointment. Combining a biopsy with a comprehensive scalp examination is the most effective way to determine the correct alopecia diagnosis. It’s important to understand that “alopecia” is an umbrella term encompassing various alopecia types, whether scarring or non-scarring. The Importance of a Specific Diagnosis Specific alopecia diagnoses are crucial, as each type of alopecia may require different treatments. This distinction enables dermatologists to tailor treatment plans accordingly. For instance, if you have scarring alopecia, common procedures like platelet-rich plasma (PRP) stem cell therapy can exacerbate scalp inflammation. Similarly, if you’re experiencing an autoimmune-type alopecia, treatments such as red light laser therapy or low-level light therapy (LLLT) will not effectively address the underlying immune response. Conclusion Alopecia is a complex condition that demands careful attention and tailored treatments. When seeking a dermatologist to diagnose and manage your alopecia, inquire about their experience and comfort in treating various alopecia types. A brief assessment and a prescription for Rogaine are often insufficient for the majority of alopecia patients. Alternative options exist beyond the traditional steroid injections, which can be painful and lead to side effects. Depending on your demographic factors, you may be more susceptible to specific alopecia types, emphasizing the importance of obtaining a specific diagnosis. The ultimate goal of early treatment is to reduce inflammation in the scalp, allowing hair follicles to fulfill their role of growing hair.  For more information on alopecias or to schedule a consultation with Dr. Nikki D. Hill, a board-certified dermatologist specializing in alopecia, please contact our office or schedule your consultation online.

Dissecting Cellulitis (DC), also known as Perifolliculitis Capitis Abscedens et Suffodiens, is a distressing scalp condition associated with hair loss, specifically scarring alopecia. This inflammatory disorder predominantly affects individuals between the ages of 20 to 40 and is more commonly found in African Americans, followed by Hispanics and Caucasians. In this article, we will delve into the key aspects of DC, highlighting its symptoms, causes, diagnosis, and treatment options with a strong focus on alopecia and hair loss-related keywords. Symptoms and Progression DC typically commences with painful, inflamed hair follicles resembling acne-like bumps, predominantly in the crown of the scalp or posterior neck. Over time, these inflamed follicles progress into multiple boils that can connect beneath the skin, forming sinus tracts or canals, which often drain pus and/or blood. At its most advanced stage, the affected scalp may feel soft and boggy to the touch, and pressure applied to one lesion may express pus at a distant lesion. The accumulated fluid under the skin exerts pressure on overlying hair follicles, ultimately destroying them and leading to permanent hair loss. Diagnosis and Considerations Diagnosing DC involves a clinical examination, often complemented by a scalp biopsy. It is essential to rule out other conditions that exhibit similar symptoms, such as acne conglobata and hidradenitis suppurativa, as these may co-occur due to blocked hair follicles triggering an exaggerated inflammatory response. Furthermore, differential diagnoses like pseudopelade of Brocq, tinea capitis, and folliculitis decalvans should also be excluded. Causes and Contributing Factors While DC’s exact cause remains elusive, it is important to emphasize that it is not caused by unclean clippers or poor haircuts. The condition is associated with blocked hair follicles that trigger an abnormal inflammatory response. Patients are advised that while haircuts are still possible, caution is required to minimize scalp trauma and irritation. Treatment and Alopecia Prevention Treating DC primarily focuses on halting the inflammatory process. Oral antibiotics are employed to address secondary infections and harness their anti-inflammatory properties. Steroid injections, when administered directly into the scalp, work similarly to reduce local inflammation. In severe cases, combination regimens may be prescribed. Laser hair removal and surgical interventions can significantly improve or completely resolve lesions. It is crucial to underscore the significance of healing chronic open wounds, as they can elevate the risk of skin cancer development in the affected area.  Conclusion Dissecting Cellulitis is an inflammatory scalp condition that not only causes physical discomfort and psychological distress but can also result in scarring alopecia or permanent hair loss. Early diagnosis and prompt treatment are pivotal in preventing disease progression and alopecia. While the exact cause of DC remains unclear, maintaining healthy hair and scalp hygiene, and seeking professional guidance, can help mitigate the impact of this challenging condition. Understanding the link between DC and alopecia is crucial for those affected and their healthcare providers, to ensure effective management and improved outcomes.

As a dermatologist, I have witnessed the profound impact of androgenic alopecia, or male and female pattern baldness, on my patients’ lives. Addressing this condition effectively is a priority for both patients and healthcare professionals. One of the treatment options I often recommend is topical minoxidil. In this blog post, I’ll discuss why it’s crucial to remain consistent with topical minoxidil for androgenic alopecia, drawing from valuable insights available on the socahcenter.com website. Understanding Androgenic Alopecia Androgenic alopecia is a common form of hair loss driven by genetic factors and hormone fluctuations. Dihydrotestosterone (DHT), a byproduct of testosterone, plays a significant role in shrinking hair follicles and shortening the hair growth cycle. Over time, this leads to visible hair thinning and baldness. The Role of Topical Minoxidil Topical minoxidil is a medication that dermatologists often prescribe to combat androgenic alopecia. It works by stimulating hair follicles, enhancing blood flow to the scalp, and prolonging the growth phase of the hair cycle. The socahcenter.com website provides comprehensive information on the mechanism of action and effectiveness of minoxidil, reinforcing the importance of this treatment. Why Consistency is Key The success of topical minoxidil treatment hinges on maintaining consistent use. Here are some reasons why it is crucial for patients to adhere to their treatment regimen: Hair Growth Cycles: Hair grows in cycles, with the anagen (growth) phase being crucial for healthy hair. Topical minoxidil prolongs this phase. However, discontinuing the treatment can lead to a return to shorter growth cycles, resulting in hair loss. Maintenance: Androgenic alopecia is a chronic condition, and its progression continues if left untreated. Consistent use of minoxidil is necessary to sustain the positive results achieved with the medication. Shedding Phase: Some patients may experience temporary shedding when they first start using topical minoxidil. This is a sign of weaker, thinning hairs making way for thicker, healthier ones. Stopping the treatment during this phase may prevent patients from realizing the full benefits. Gradual Results: Minoxidil is not a quick fix; it often takes several months to observe significant improvements. Patients who discontinue treatment prematurely may miss out on the eventual positive effects, which can be discouraging. What Happens if Treatment is Discontinued If patients choose to discontinue topical minoxidil, several consequences may occur: Hair Loss Resumes: Without minoxidil, hair loss is likely to restart. Any progress made with the medication will gradually regress, and the hair may revert to its previous thinning state. Shedding: A shedding phase may reoccur when treatment is stopped, similar to the initial phase experienced when starting minoxidil. This can be distressing for those who decide to discontinue the treatment. Reduced Blood Flow: Minoxidil’s role in increasing blood flow to the scalp is vital for hair growth. Ceasing treatment could lead to reduced blood flow and, consequently, weaker hair growth. Conclusion Topical minoxidil is a valuable tool in the management of androgenic alopecia. To maximize its benefits, consistency in usage is paramount. As a dermatologist, I strongly advise my patients to follow their prescribed treatment plans and remain dedicated to using topical minoxidil. For personalized advice and a comprehensive understanding of the treatment’s potential, it is essential for patients to consult with a healthcare professional. In the battle against androgenic alopecia, remember that persistence with topical minoxidil can be the key to long-term success. 

Discoid lupus erythematosus (DLE), also known as chronic lupus erythematosus, is an autoimmune condition primarily affecting the skin, often leading to hair loss. In this article, we will explore the relationship between DLE, hair loss, and its connection to systemic lupus erythematosus. We will also delve into the diagnosis, treatment, and lifestyle considerations associated with this condition, emphasizing the importance of keywords such as alopecia, hair loss, lupus, and discoid lupus. DLE: A Focus on Hair Loss DLE primarily targets the scalp, face, ears, and lips, causing inflammatory skin lesions. Unlike systemic lupus erythematosus, which affects internal organs, DLE mainly manifests as a dermatological disorder. Individuals of all ages and backgrounds can be affected by DLE. Symptoms often start as red, scaly bumps that progress into thick or thin, itchy plaques. These plaques are characterized by a pink color with a hyperpigmented (darkened) rim and visibly plugged hair follicles. Hair loss in the affected areas is common, with hair either broken off or completely missing. Over time, these plaques can become atrophied and may leave behind scars. Diagnosis and Management Diagnosing DLE typically involves a skin biopsy and a thorough examination by a dermatologist. Unlike systemic lupus, DLE diagnosis doesn’t rely on blood tests. However, it’s crucial for individuals with DLE to undergo annual blood tests, as they may have an increased risk of developing systemic lupus erythematosus, which can affect internal organs. Managing DLE often includes the use of oral antimalarial medications and topical steroid creams to alleviate skin inflammation. In severe cases, immune-suppressing medications may be necessary. Lifestyle modifications are equally crucial to reduce the frequency of disease flares. The Importance of Sun Protection One key lifestyle aspect for DLE management is strict sun protection. Lupus is highly sensitive to sunlight, and exposure to intense sun can trigger flares, causing symptoms to worsen. Patients are advised to use umbrellas, wear hats, seek shade, use sunglasses, and apply sunscreen consistently to shield their skin from harmful UV rays. Smoking and Lupus Smoking is strongly discouraged for individuals with DLE and lupus in general. Cigarette use has been linked to more challenging disease management and frequent flares. Quitting smoking is highly recommended to improve the overall prognosis and quality of life. The Role of Early Intervention Early intervention is paramount in DLE management. Inflammation associated with this condition can lead to scarring, potentially destroying hair follicles and resulting in permanent hair loss. While there is no cure for DLE or lupus, with a well-structured treatment plan and adherence to recommended lifestyle changes, individuals can effectively manage the condition, often achieving symptom-free periods. Conclusion Discoid lupus erythematosus is a dermatological condition closely linked to hair loss. Understanding the connection between DLE, hair loss, and systemic lupus erythematosus is essential for individuals dealing with this autoimmune disorder. Early diagnosis, appropriate treatment, and lifestyle modifications, such as sun protection and smoking cessation, can significantly enhance the management of DLE, providing patients with a better quality of life and minimizing the impact of alopecia and hair loss. 

In a world that constantly evolves, with new technology and innovations emerging at every turn, one thing remains consistent – our innate desire to look and feel our best. Hair plays a pivotal role in shaping our identity, confidence, and overall aesthetic. The Skin of Culture and Hair Center understands this deeply and strives to provide state-of-the-art hair restoration services, firmly grounded in both scientific research and aesthetic finesse. Why Hair Restoration? Hair loss affects millions worldwide, cutting across genders, races, and ages. The reasons behind hair loss can range from genetic predispositions and hormonal imbalances to stress and specific health conditions. Regardless of the cause, the emotional impact can be profound, affecting self-esteem, personal relationships, and even professional opportunities. Hence, the need for efficient and effective hair restoration solutions has never been more pressing. Our Distinct Approach at the Skin of Culture and Hair Center Personalized Solutions: Every individual is unique, and so is their hair loss pattern. Our providers invest time in understanding the underlying causes and chart out a treatment plan tailored specifically for each patient. Advanced Techniques: We leverage the latest in technology and methods, be it for hair transplants or other non-surgical treatments. Our emphasis is on ensuring natural-looking results with minimal downtime. Holistic Care: Beyond just treatments, our approach encompasses a broader spectrum. From advising on dietary changes to recommending specific hair care routines, we ensure that clients have comprehensive knowledge to maintain and further the health of their restored hair. Blending Science and Artistry Hair restoration isn’t just a medical procedure. It’s an art form. Ensuring that the hairline looks natural, that the density is consistent, and that the restored hair blends seamlessly with existing hair requires an artistic touch. Our team possesses not just the technical know-how but also the aesthetic sensibility to craft results that are truly transformative. Post-Treatment Care The journey doesn’t end once the procedure is completed. Proper post-treatment care is paramount. We guide our clients every step of the way, ensuring that the restored hair is nurtured and maintained, optimizing the longevity and quality of results. Empowering Through Education One of our core beliefs is that informed clients are empowered clients. We strive to educate those who walk through our doors about their specific condition, the available treatments, and the expected outcomes. Such transparency fosters trust and ensures that clients are active participants in their restoration journey. In Conclusion The quest for lustrous, thick hair is as old as time. At the Skin of Culture and Hair Center, we’re redefining this quest by merging personalized treatments with cutting-edge technology. Whether you’re just beginning to notice thinning or are further along in your hair loss journey, rest assured, our dedicated team is here to guide, support, and transform. 

Diet & Gym Gains: Two Non-Hereditary Hair Loss Culprits 1. Diet Nutrient Deficiencies & Hair Loss – While effects of a poor diet may go unnoticed for a while, they will likely take an eventual toll on your hair and skin. Your scalp is skin. If failed to be nourished with vitamins, minerals, fats, and proteins, the scalp will become dryer, hair will become weaker, and the growth cycle may slow due to lack of proper circulation of nutrients to the scalp. Vitamins, Minerals & Nutrients for Hair Growth – Just like for strength and gorwth of muscles, hair and scalp require adequate consumption or supplementation of vitamin B, vitamin D, and biotin along with minerals of zinc and iron, calcium, and omega-3 fatty acids. Biotin is important for metabolizing amino acids, protein, fats, and carbs into usable energy sources for your whole body including hair and scalp. It incorporates into the tensile strength of hair and skin. Amino acids are the building blocks of protein necessary for muscle and hair growth and strength. Hair structure requires protein to stimulate and produce hair follicles. Proteins further help strengthen and protect the hair from breakage. Fatty acids are necessary to hydrate and nourish the scalp helping it absorb other vitamins as well. The right balance of vitamins and minerals can help increase blood flow and the supply of proper nutrients to the scalp. Stay consistent with a diet of whole foods to provide your body with a wide range of bioavailable vitamins and minerals. Seek advice from a physician or dietician to determine the cause of and best treatment for your hair loss. 2. High Testosterone Testosterone & Hair Loss – Increased levels of free testosterone may be desirable for muscle growth, fat loss, energy levels, and that “manly confidence”. However, a high level of testosterone or DHT in the body, especially if caused by a supplementation, is another factor from lifestyle choices contributing to male and female pattern hair loss. Dihydrotestosterone (DHT) is made from testosterone by the enzyme 5-alpha reductase and is five times more potent than testosterone. Therefore, the effects of DHT on sensitive hair follicles has an even greater hair loss effect. Depending on the sensitivity of your hair follicles, the scalp’s receptors may be too sensitive to the actions of DHT resulting in negative effects from testosterone on the growth of your hair. What’s worse would be it’s sensitivity to DHT-mimicking supplements. DHT is considered the hormone behind hair loss. Dihydrotestosterone does not convert back into testosterone, so a DHT supplement will actually possess less anabolic or muscle-building capability. It will fail to produce many of the desired effects of testosterone but may contribute more significantly to male pattern baldness by miniaturizing hair follicles. Treatments that interfere with production and actions of DHT are effective to combat hair loss. These include Finasteride (Propecia), saw palmetto, and Ketoconazole. In addition to DHT and testosterone, age, stressors, genes, and nutrition all play a role in hair loss. These additional triggers may require more holistic treatments such as diet restrictions and supplementations, regular exercise, and rest or stress reduction. Other treatment options include Platelet Rich Plasma (PRP) treatmetns to combat the miniaturization effect.  Diet & Testosterone – For those looking to maintain a healthy, natural level of testosterone as well as healthy hair, your diet is still the best site for change. Increase testosterone by eating foods rich in vitamin D and zinc. Foods like Tuna, milk, salmon, sardines, egg yolks, and ground beef are rich in vitamin D. Shellfish, salmon, oysters, cashews, and pumpkin seeds are rich in zinc. Try eating these particular foods a couple times a week. Healthy fats such as olive oil and coconut oil can both help reduce body fat and produce healthy hormones. Broccoli and cauliflower may help men get rid of excess estrogen allowing testosterone to be more available. Finally, lowering your sugar and carb intake may help reduce blood sugar, regulate insulin, and in turn increase testosterone. Regular exercise paired with the right intake of macronutrients will further boost testosterone production. For optimal testosterone levels, prioritize compound lifts like the squat, deadlift, bench press, and military press with lower repetitions and heavier weights. If you enjoy cardio, practice high intensity interval training to elevate testosterone as opposed to prolonged aerobic exercises. The trick will be to require your body to build strength and elevate testosterone levels without stressing it to the point of increase cortisol. Increased amounts of cardio have been shown to increase stress and cortisol and inversely decrease testosterone. A prolonged caloric deficit may also increase stress and cortisol and decrease muscle mass, further decreasing testosterone levels. Be sure to eat an adequate amount of calories for your activity level while keeping body fat fairly low and strength training a regular habit. A conscious intake of various vitamins and minerals along with adequate amounts of each fats, proteins, carbs and overall calories will do wonders to help you maintain optimal hormone and hair health!

Central centrifugal cicatricial alopecia (CCCA) is a primary inflammatory condition that previously held the names of “hot comb alopecia,” “follicular degeneration syndrome,” “pseudopelade” and “central elliptical pseudopelade.” CCCA primarily affects the vertex/crown scalp and progressively spreads down the top of the scalp over time. The causes of CCCA have been speculated but not proven. One study performed by Dr. McMichael1 showed patients affected by CCCA had a history of hair weaving and a long duration of chemical relaxer usage compared to unaffected individuals. However, a more recent study in 2011 by Olsen et al showed no obvious association of general central hair loss with relaxer or hot comb use, history of seborrheic dermatitis (dandruff article) or a reaction to a hair care product, bacterial infection, or male pattern hair loss in fathers of those affected2. CCCA can mimic other hair loss disorders including female pattern hair loss and requires definitive diagnosis and medical intervention. CCCA typically affects women but also men of primarily African descent. Patients present with an itchy, tender, and scaly scalp with areas of tight shiny skin where hair follicles have been destroyed and replaced with scar tissue. The condition is slowly progressive and severe cases can progress to involve the entire scalp. Awareness of this condition is important due to symptoms going unnoticed for a long time. The most common early signs are hair breakage, itching, scalp tenderness in the affected area. If diagnosed early, medical intervention can stop the progression of the condition. Topical steroids, antibiotics and other anti-inflammatory medications are used to calm down the inflammation targeting the follicles and the sebaceous glands (anatomy of a follicular unit).  Sources: Review Ethnic hair update: past and present. McMichael AJ. J Am Acad Dermatol. 2003 Jun; 48(6 Suppl):S127-33. Olsen EA, Callender V, McMichael A, Sperling L, Anstrom KJ, Shapiro J, et al. Central hair loss in African American women: Incidence and potential risk factors. J Am Acad Dermatol. 2011;64:245–52

Oily Hair How oily is your hair? How often should you wash your hair? Get some answers as to why your hair seems to produce more oils even when you’re washing diligently! What’s the Deal Some patients have oily hair. They wash their hair 2-3 times a day and regardless end up with weighed down, oily-appearing hair. A common misconception is that if the hair is oily, you must wash it more often. The truth is, the sebaceous oil glands in the scalp are producing too much oil or sebum. The sebaceous glands are stimulated by hormones, stress, dry skin, and detergents. While washing your hair to remove the sebum seems like a quick fix, the dry scalp left behind after shampooing stimulates the sebaceous glands to coat the dry skin with sebum. Your body is extremely adaptive and will learn to compensate and even over-compensate for this resulting dryness. Therefore, more washes, more dryness, more sebum produced on the scalp that slides down the hair shaft, hence oily hair. Tips for Less Oily Hair Follow these steps for less oily hair: 1) Wash Hair Less. Although it’s tough at first to get used to less washing, avaoid the temptation to continually remove your natural oils. Try not to wash the hair and scalp any more than 2-3 times a week. Frequent shampooing will strip away sebum and stimulate sebaceous glands to overproduce oil as a result. 2) Avoid High Heat. Try to avoid blow dryers or avoid their high-heat options. Try using them on low cool settings at a half-arm length from the scalp to avoid further drying of the scalp. 3) Limit Use of Acidic Products. Try to avoid or limit the use of Alcohol, lemon, vinegar, or tea rinses for oily hair. While these acidic solutions can close cuticles and give more shine to the hair shaft, when applied to the scalp, they will strip the scalp of oils only continuing the dry scalp-stimulated sebaceous gland cycle. These solutions, too acidic, can harden the cuticle layer and cause breakage. 4) Use a Mild Shampoo. Your shampoo should not have a lot of fragrance or dyes. Common anti-dandruff shampoos contain medication that can harshly strip oils and leave both the scalp and hair dry. When possible, limit these shampoos to once or twice weekly. 5) Don’t Strip Your Natural Oil. You can try products that claim to remove residue, give an ultra-clean, or are marketed primarily for oily hair. However, try to limit their use as they likely contain harsh detergents that will strip all oils. These few steps will prevent the sebaceous glands from overproducing sebum and allow a check and balance between the moisture content of the scalp and the amount of oil produced. If you continue to struggle with an oily scalp and oily hair, don’t forget that the scalp is skin and a board-certified dermatologist, especially one that specializes in the scalp and hair, can help you reset and balance the oils your scalp produces.