12/21/2025
Why scalp inflammation must be treated before regrowth.
Hair growth does not occur in an inflamed environment.
Chronic scalp inflammation alters the follicular micro-environment and interferes with the normal hair growth cycle. Even when follicles are still present, inflammation can suppress growth, prolong shedding, and accelerate miniaturization.
What inflammation does to the follicle:
• Disrupts the anagen (growth) phase
• Constricts micro-circulation around the follicle
• Impairs nutrient and oxygen delivery
• Triggers premature shedding (telogen shift)
• Contributes to follicular miniaturization
• In scarring conditions, can permanently damage follicles
Inflammation may be visible as redness, scaling, or tenderness—but in many cases it is only detectable under magnification.
Topical products, supplements, or stimulation therapies cannot override an inflamed scalp. When inflammation is present, the follicle prioritizes survival over growth. Attempting regrowth without first calming inflammation often leads to poor or temporary results.
Inflammation is a central feature in many forms of alopecia, including autoimmune and scarring types. Early identification and management are critical for follicle preservation.
Takeaway: Stabilization always precedes regrowth.
In my practice, scalp inflammation is assessed and addressed before initiating growth-focused protocols. This evidence-based approach improves outcomes and protects long-term follicle health.
Hair loss deserves investigation—not assumptions.
Contact us to schedule an appointment.