Understanding Hair Health: Why Your Hair Changes
In my career as a dermatologist specializing in hair health, after treating over 10,000 people with hair or scalp problems, I have come to understand that hair loss is never an isolated event.
Understanding what's happening to your hair follicle isn't just about aesthetics: it's a way to regain control over your well-being.
Knowledge as the first step toward a solution
Current science shows us that hair is an organ with very high metabolic activity and, therefore, is the first to reflect any internal imbalance.
We are not always dealing with a serious illness; many times it is a malfunction of the follicle or accelerated hair aging due to factors that we can identify and correct.
My commitment as an educator and doctor is for you to stop seeing your hair loss as a stressful mystery and start seeing it as a meaningful symptom that we can treat with scientific rigor and clinical evidence.
The causes behind hair loss
Although the visible symptom may be hair loss or thinning, the root of the problem varies depending on the pathology and each person's situation.
Identify your hair situation
Choose the condition you most identify with and read the full clinical approach.
Female Androgenetic Alopecia
Do you notice your part widening or that thinning is more evident under light?
If you've felt that pang of anguish when looking in the mirror, I want you to know that I understand: I suffer from it too. I know what it's like to analyze every change in density or volume and the importance of your hair projecting the vitality you feel inside. Androgenetic alopecia is much more complex in women than in men. Although little is said about it, it affects up to 50% of women at some point in their lives. You are not alone.
The science behind what happens to you: beyond your genes
Traditionally, this condition was thought to be solely a matter of male hormones. Today, scientific evidence confirms that it is a polygenic and multifactorial disorder. It's not just one gene, but an orchestra of factors that accelerate the aging of the follicle.
What's really happening in your hair
Precision Diagnostics
- Digital trichoscopy to detect miniaturized hairs and signs of inflammation before thinning becomes evident.
- Integrative lab tests to assess hormonal health, iron levels, systemic inflammation, and metabolic health.
- PNIec assessment through a comprehensive medical history to review factors that harm or benefit hair.
Your action plan
- Pharmacological treatment and in-clinic biostimulation with precision medicine, personalized drugs, and local protocols based on the characteristics of hair loss.
- Exclusive ABderma protocols to improve scalp health, reduce micro-inflammation and oxidative stress.
- Integrative approach and general health: hormonal assessment, stress, nutrition, and lifestyle context.
- Hair transplant in selected cases, always combined with medical treatment to protect transplanted and native hair.
- Follow-up and support, adjusting the plan at each stage of life.
Male Androgenetic Alopecia
Are you noticing your hairline receding or your crown starting to thin under bright lights?
If you've started to notice more hair than usual on your pillow or see that your hairstyle no longer covers as it used to, you're likely experiencing the first signs of androgenetic alopecia. This is the most common condition in men, affecting up to 80% of the male population to some degree.
Why You Get Sick: Genes, Stress, and Energy
Male baldness isn't just about heredity. It's a progressive miniaturization process where the follicle exhausts itself and produces increasingly finer hair until it's no longer visible. Our current lifestyle can act as a real accelerator of this process.
Factors that can activate these genetics
Precision Diagnostics
- Digital trichoscopy to measure the percentage of miniaturized hair and detect inflammation or fibrosis.
- Scalp assessment before considering surgery or intensive treatment.
- Medical plan to protect and strengthen non-transplanted follicles.
Your action plan
- Integrative treatment with state-of-the-art drugs and therapies.
- Habits to reduce body inflammation and improve overall vitality.
- Scalp preparation before a transplant to maximize graft success.
- Follow-up without fear of rebound effect: if treatment is paused, hair returns to its natural genetic rhythm, but will always be better than if it had never been treated.
Telogen Effluvium
Do you feel like you're losing whole clumps of hair in the shower or that your ponytail has lost half its thickness?
Few situations are as distressing as seeing your hair fall out abundantly and daily. Even if you don't always notice obvious thinning, that loss of volume and quality can make you feel like you're no longer yourself. In today's society, telogen effluvium has become a complex challenge: often it's not an isolated shedding, but chronic effluvium caused by a chain of acute episodes.
What's happening with your hair cycle
Telogen effluvium is an alteration in the growth cycle. In the event of damage, intense stress, or internal imbalance, the follicle decides to slow down production to protect itself and conserve energy. It has not been damaged, but the result is a temporary lack of product.
The Keys to Effluvium
Precision Diagnostics
- Digital trichoscopy to assess the hair loss pattern and follicular status.
- Specific blood tests to identify hormonal, metabolic, inflammatory, or nutritional triggers.
- Comprehensive health study to address multiple causes and improve overall body function.
Your action plan
- Intensive stimulation with treatments that nourish and activate the root from within and from the scalp.
- Environment management: washing routine, gut health, stress, and rest.
- Support until hair strength returns with every style.
Fibrosing Frontal Alopecia
Do you notice your forehead appearing higher or your eyebrows or sideburns disappearing?
If you've started to notice your hairline receding, leaving an area of smoother, clearer skin, or if your eyebrows have inexplicably lost density, you may be experiencing Frontal Fibrosing Alopecia, a type of scarring alopecia. The word "scarring" can be frightening, but early diagnosis is our best tool.
What really happens in your skin
AGA is not common hair loss. It’s a process where the immune system mistakenly identifies the hair follicle as something to be attacked. Inflammation is generated around the root and, if left untreated, it can destroy the follicle and replace it with a small scar.
What causes this disease
Precision Diagnostics
- Early medical assessment and trichoscopy to confirm signs of cicatricial alopecia.
- Study of inflammatory, environmental, and general health factors.
- Follow-up to determine stability before considering reconstructive options.
Your action plan
- Integrative stabilization with specific medical treatments, anti-androgens and anti-inflammatories.
- Microbiome care and reduction of systemic inflammation.
- Elimination of pro-inflammatory factors from daily life.
- Aesthetic restoration once the disease is stabilized: medical eyebrow microblading or hair transplantation in selected areas.
Alopecia Areata
Have you noticed the sudden appearance of circular bald spots or areas without hair?
Alopecia areata is one of the conditions that generates the most emotional impact due to its sudden and unpredictable onset. Watching your hair disappear in patches can be terrifying, but there's something fundamental to understand: the follicle isn't dead, it's just being held hostage by your own immune system.
Why your body is attacking your hair
Alopecia areata is an autoimmune disease. Due to a combination of genetic and vital factors—infection, vaccination, sustained stress, silent inflammation foci, or alterations in the microbiota—the body's defenses mistakenly identify the hair root as an enemy.
Speed, origin, and hope
Precision Diagnostics
- Precision diagnosis using trichoscopy.
- Analysis of inflammatory foci, gut health, and the nervous system.
- Evaluation of disease extent and activity to determine therapeutic intensity.
Your action plan
- JAK pathway inhibitors in indicated cases, acting as high-precision immunological signal breakers.
- Biostimulation therapies such as PRP and carboxytherapy to awaken follicles and accelerate recovery.
- Systemic approach with supplementation and lifestyle habits to reduce the total inflammatory load.
- Emotional and clinical support during an evolution that can be capricious.
Dermatitis and Scalp Disorders
Do you have an itchy, flaky, or overly oily scalp that just won't go away?
Many patients come to us reporting they have tried everything for dandruff without success. Seborrheic dermatitis is often dismissed as a simple hygiene issue, but at ABderma we see it as much more than an aesthetic nuisance: an inflamed scalp is an unhealthy ground where hair cannot thrive.
The Scalp: Your Hair's Ecosystem
Seborrheic dermatitis is the result of an imbalance or dysbiosis in the skin. There isn't a single cause, but rather a combination of altered microbiota, inflammation, sebum, skin barrier, and internal factors.
Why treating the scalp is treating hair loss
Precision Diagnostics
- Scalp and flaking type assessment: itchiness, oiliness, or breakouts.
- Systemic origin search: gut health, nutrition, stress, and previous cosmetic products.
- Review of hygiene habits to adjust without damaging the skin barrier.
Your action plan
- Gut health and nutrition to control one of the frequent drivers of flare-ups.
- Stress control, because cortisol can fuel seborrheic dermatitis.
- Meaningful cosmetics: formulas that deep cleanse without damaging and respect the pH.
- Excellent long-term control, even if there is no definitive cure.
Traction Alopecia
Do you frequently wear your hair tied back and notice thinning areas at the sides or on top of your head?
It's common to think that traction alopecia is a purely mechanical problem, caused by tight ponytails, braids, or extensions. However, many women wear these hairstyles without consequences, while others lose density. The key isn't just the tension, but how your body responds to it.
Beyond Tension: The Inflammatory Response
The hair shaft subjected to repeated tension sends stress signals to the follicle. On a healthy scalp, it can withstand a certain amount of pressure; if there is silent inflammation or a predisposition, this traction can trigger a disproportionate repair response.
What we need to detect
Precision Diagnostics
- Identification of traction habits, accessories, hairstyles, and affected areas.
- Assessment of scalp inflammation and skin barrier condition.
- Evaluation of progression time to determine regrowth potential.
Your action plan
- Anti-inflammatory protocol with topical and systemic treatments to soothe damage.
- Growth stimulation with biostimulation techniques.
- Small reconstructive transplant in cases where spontaneous regrowth no longer occurs.
- Hair and cosmetic reeducation to identify protective accessories, habits, and routines.
Beyond Hair: Your Health Matters
"I shun rigid protocols. My Viae method doesn't treat alopecia, but rather a woman within a specific life context."
Success does not depend on an isolated solution, but on a comprehensive strategy that restores the vitality of your hair cycle.
Do you feel like your hair has lost its essence?
Sometimes, the reason for the consultation is not massive hair loss or obvious thinning, but a difficult-to-define sensation: less body, less length, more breakage, or a change in texture.
For me, hair aging is not something we should simply accept. It's a sign that your body's functioning needs a tune-up.
Treating it means healing from within, protecting the scalp's ecosystem, using rescue technology, and improving cosmetic routines to restore shine and strength.
Knowledge is the first step toward a solution
We are here to support you every step of the way, adapting the treatment to your lifestyle, so you can feel strong again, starting with your hair.