Making the Case
Hair loss is widespread. More than 70% of men and 40% of women will experience hair loss by the age of 70 (1). In addition, some previously rare irreversible scarring hair loss conditions (frontal fibrosing alopecia, central centrifugal cicatricial alopecia) are on the rise (2, 3, 4), Moreover, one previous study demonstrated that alopecia was the fifth most common complaint among African Americans in dermatology clinics (4).
According to the World Health Organization health is defined as "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity" (5). Although we understand hair loss is not life threatening; it can be life altering. Several studies have demonstrated its effects on mental health including increased rates of depression and adverse effects on self-esteem (6, 7, 8, 9, 10). Alopecia areata (AA) is a condition that presents with patchy hair loss and can result in complete baldness. Studies on people with AA, report an approximately 2-fold increase in depression and 2 to 7-fold increase in anxiety (8, 9). One recent study also revealed increased rates of mental health hospital admissions among AA sufferers (10).
People experiencing hair loss may be met with confusion when attempting to seek assistance. This is primarily due to the extraordinary amount of information found on the Internet and social media. Although some hair loss conditions may have a spontaneous recovery, there are others that may:
Signal systemic issues
Result in permanent hair loss if not diagnosed and managed early
Philosophy: Docs4Hair Multidisciplinary Approach to Hair Loss
Docs4Hair believes in the early and proper diagnosis and treatment of hair loss conditions. We also believe in a multidisciplinary approach to hair loss that includes:
Dermatologists: Physicians trained to diagnose and treat hair, scalp, skin and nail conditions. Dermatologist must complete one year of internship and three years of residency training in hair, skin and nail disorders. Dermatologists may use clinical examination, scalp analysis, laboratory evaluation and or scalp biopsy as a tool for hair loss workup. They can play an essential role in detecting systemic disease, as some scalp conditions can signal other serious illnesses. They are well versed on all forms of hair loss treatment and work with various medical specialties, hair transplant surgeons, and other hair loss professionals to reach patient goals. Some dermatologists take a particular interest in hair loss conditions. They may dedicate part or all of practice to people with hair loss. Dermatologists are thus best positioned as the initial contact for people dealing with hair loss.
Trichologists: Professionals trained in the science of hair structure, hair loss, and associated scalp problems. They can also help to manage some commonly occurring hair loss conditions and can often work with the dermatologist to achieve hair growth goals. They have advanced knowledge of non-medical treatment options for hair loss. However, unless they are also physicians, they can not prescribe hair loss medications. They play an essential role in providing a comprehensive and holistic approach to hair loss treatment. Various levels of trichology training range from certificate courses to Doctor Of Health Science (D.H.S.) With A Personalized Concentration In Trichology. Hair stylists, cosmetologists, physicians, hair restoration surgeons, and other health care professionals can all be trichology trained.
Hair Stylists: Professionals trained in the grooming of hair. Given the close relationship that many people have with their stylists, several studies have demonstrated the potential efficacy using barbers and beauticians in health education campaigns (11, 12). Hair stylists can also serve a crucial role in alerting people hair loss. In one published paper, hair stylists were responsible for informing 21% of study participants about their hair loss (13). Stylists aid hair loss sufferers by teaching proper and safe hair grooming practices, using skills to mask hair loss areas, and making custom wig units. Some stylists have also gotten further training in trichology.
Scalp Micropigmentation (SMP) Technicians: Professionals trained in the art of performing a type of medical tattoo that simulates the appearance of short or shaved hairs on the scalp. SMP can be performed on various types of alopecia and scars (e.g., hair transplant and burn scars). There are many training courses available around the world. Physicians (dermatologist, hair restoration surgeons, other), estheticians, tattoo artists, microblading professionals, cosmetologists, barbers, hair stylists, and permanent makeup artists can all be trained in SMP.
Hair Restoration Doctor: Physicians trained in the science and art of hair transplantation surgery and other hair restoration techniques. There are two main hair restoration organizations (ISHRS and ABHRS) with excellent physician locators; thus we have not added these type of professionals to this website.
Primacy Care Doctors: Internists, family medicine practitioners, and pediatricians are also very important in the diagnosis and management of hair loss. The physicians mentioned above may be the first point of contact. These doctors may also refer to dermatologists for further work-up. Dermatologists may also reciprocally refer back to primary care doctors if any systemic causes of hair loss are discovered. These doctors are not listed on this site.
Other Medical Specialists: Many causes of hair loss are either caused by or associated with autoimmune dysfunction, thyroid disease, hormonal imbalance, and other endocrine abnormalities Thus, rheumatologists and endocrinologists and play a crucial role on the hair loss management team. These doctors are not listed on this site.
This comprehensive website platform meets the needs of people dealing with hair loss by:
Highlighting professionals who are dedicated, experienced and exquisitely sensitive to this population.
Providing evidence-based hair loss information and education about current and emerging theories, products, treatments, and procedures.