Is there a way to test hair follicles to see if they are active or dead?

Question

I'm trying to figure out if my recent hair loss was due to stress or DHT and if there's any hope in reviving the follicles

Jae Pak, MD · Answer

There is no way to "test" if your hair follicles are active. One obvious  way to tell is if you see hairs grow.  If you notice no hair growth for 6 to 12 months then it probably is a "dead" follicle.Hair loss due to stress will be diffuse.  Hair loss due to DHT from genetic male pattern balding will have a "pattern".

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.Hair follicles can be seen as well as the hairs around them. Depending on you age, their location and your family history it may be genetic. Stress does play a role but will may not be in the normal male pattern baldness patterns.The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.best of luck!Dr Schwartz

Jason Emer, MD · Answer

If there are hair follicles they are active, if there are none they are dead. thats the bottom line.  If they are there but thin and not as dark they may be going through a thinning cycle and need treatment.  The fate of your hair loss is genetically determined unless its stress or autoimmune or traction induced.  I suggest a formal evaluation.  Best, Dr. Emer.

Robert Nettles, MD · Answer

The number one first step I recommend is a comprehensive consultation
 with a hair regrowth specialist who will perform lab tests to determine
 the underlying cause of your thinning.  Without labs, no-one can really
 know what your true cause is and any treatment will be temporary at 
best.
From here, you can receive the best treatment for your case.
Good luck on your search

Greg Williams, FRCS (Plast) · Answer

Hair follicles are only considered 'dead' if they have been destroyed by a primary (dermatological) or secondary (eg burns or trauma leaving scars) scarring alopecia. Otherwise, even if they are not producing hairs they may still be viable. Current research is aimed at re-awakening them. The medication available now such as minoxidil and finasteride has limited and unpredictable effect in restoring miniaturised hairs to terminal ones and are unlikely to get a new hair to grow if the follicle has shut down compmetely.

Jeff Donovan, MD, PhD · Answer

There are so many reasons for hair loss. The best way to determine the cause is to see a specialist in hair medicine. In general terms, hair loss from stress happens 2-3 months after the stressful event and leads to hair loss all over the scalp. Hair loss from stress gets better over time.Hair loss from DHT affects specific areas of the scalp rather than all over. It gets worse over time.These are general points. Be sure to see a hair medicine specialist for advice and guidance

Michael Meshkin, MD - Account Suspended · Answer

some times there is a temporary hair loss and it may come back. Also hair may go through a cycle which again it may come back. However if your hair loss is genetic then it may be permanent. It is best to find out the cause for you hair loss.

William Rassman, MD (retired) · Answer

If you are a male and lost hair in a pattern from genetic balding, you can assume that the hair follicles will never grow again. If the hair follicles are still there and much finer than the hairs elsewhere on your scalp, they are in the dying process and might be revived with the drug finasteride. See a specialist such as myself, who can make that assessment for you. We happen to have an open house in Los Angeles today (Saturday) and monthly where you can meet other people like yourself who have been treated by us with drugs, transplants or the like. You can also watch a surgery and meet with me for a free consultation. See the web reference below.

Is there a way to test hair follicles to see if they are active or dead?

Answers (8)

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