European Correspondent

Hair loss in teenagers and how to deal with this

Hair fall in teenager

In this case we are talking about hereditary hair loss in teenagers before the age of 30. What advice should you give as a hairdresser? A lotion without proven effect? You have a little more to offer, right? Please note that we are talking about hereditary hair loss here. There are also hair diseases that can cause partial or total hair loss, but they belong in the dermatologist’s home and can sometimes be cured.


Who does that happen to?

Usually, beginning teens do not suffer from it, but as soon as they go to post-primary school to further education, the problems can begin. Adolescent-onset AGA (hereditary hair loss) is a special subtype of early-onset AGA that requires special attention, especially if it starts before the age of 18. Fortunately, it does not occur frequently, but it is estimated that it does occur in about 2% of young adults, and then mostly boys. Most of the signs can be seen between the ages of 13 and 15.


How to discover

Before you discover hair loss, it has been going on for a while. You don’t notice it at first because you lose hair daily due to the natural hair loss phases that everyone goes through.

  • The growth phase (anagen phase)

At this stage I can destroy the hair. During this phase the hair appears above the skin surface for the first time. A hair grows +/- 1cm per month and a little faster in the summer, during sleep and between the 16th and 24th year of life. Depending on the area to be depilated, this phase lasts 14 to 16 weeks.

  • The transition phase (catagen phase)

Hair growth is slowed down and the hair papilla prepares for hair to fall out. The hair slowly slides up into the skin and falls out. This process takes a few days to a maximum of 3 weeks..

  • The resting phase (telogen phase)

The hairs are not visible but are waiting in the skin for them to be activated. Her papillae are usually grouped together. So up to three hairs can come out of each pore and need to be destroyed. The resting phase lasts from 2 to 6 months. This depends on the area where they occur.

  • Again the Anagen phase. Then the hair growth phases start all over again.


The mirror

Another reason that we notice hair loss (too) late is because of our behavior. We look in a mirror several times a day and then get used to our appearance. You don’t see less hair from day to day.


Just a snack

The same phenomenon also occurs in men with a hairpiece. They do not see when maintenance or renewal of the hair system is needed. Years ago, I had someone on a consultation with a hairpiece that had a green shine. He proudly told me that he had had his hairpiece for over 10 years. When he asked me how long my hairpieces lasted, I replied, lifelong. I did add, “It doesn’t look like much after a while, but it doesn’t go away. So lifelong ”.


The course of hair loss

First, a miniaturization occurs. It is not the case that hair falls out that does not come back. In the first phase, hairs still come back, but they are thinner, a bit curlier and lighter in color. They also do not grow. These are the so-called “vellus” hairs. If such a hair falls out, there will be nothing in return.


Family history

In some, but not all cases, a family history of hair loss may be present. Hereditary hair loss in the family can be a cause of hereditary hair loss on both the male and the female side.


What should you advise

Hair growth remedies for hereditary hair loss do not exist. There are remedies and treatments that can stop or slow hair loss. Hair preservation means. Approved hair preservation agents are Minoxidil and Finasteride, Approved hair preservation treatments are Platelet Rich Plasma (PRP) treatments provided by clinics. You can also do something yourself with the so-called Low Level Laser Therapy (LLLT). These are devices that you can use at home.



Be extremely careful when approaching hair loss in young people. If you notice her with a client, don’t talk about it openly. With very young boys or girls it is better to discuss it with the parents first. Discuss with older young adults only without others being able to hear. Discretion is in order here.


Hans J. Diks, European editor International Hair Authority, Independent expert on hair problems.

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