The Role of the Scalp Microbiome in the Etiology of Seborrhea, Dandruff, and Hair Loss
Anna Stalmakova , Hairdresser, PRO HAIR BY STALMAKOVA Woodinville, USAAbstract
This article examines the role of the scalp microbiome in the pathogenesis of dermatological conditions (seborrhea, dandruff, and various forms of alopecia) and assesses the impact of modern hairdressing procedures on the scalp ecosystem. The study aims to identify stable correlations between disruptions to the scalp microbiota and the use of invasive cosmetic procedures, as well as to systematize approaches to their diagnosis in trichological and dermatological practice. To achieve this goal, we utilize theoretical, legal, and natural-scientific analyses of recent publications, as well as methods for systematizing and critically interpreting empirical data presented in clinical and experimental studies. The concluding section substantiates the need to integrate new-generation tests aimed at assessing the state of the microbiome, the barrier function of the epidermis, and the acid-base balance of the scalp into professional hairdressing and trichological diagnostic protocols, as well as the development of personalized programs for restoring the microbiota after chemical procedures. The findings and proposed approaches have practical implications for trichologists, hairdressing technologists working with highly aggressive formulations, and dermatologists dealing with secondary dermatoses induced by cosmetic procedures.
Keywords
scalp microbiome, seborrheic dermatitis, alopecia, hair coloring chemistry, disulfide bonds, hair diagnostics, Malassezia, pH balance, hair reconstruction, scalp dysbiosis
References
Sobol E. A. et al. Analysis of human skin microbiota // Bulletin of new medical technologies. Electronic publication. - 2021. - Vol. 15 (6). - pp. 76-85.
Kovaleva Yu. S., Komkina N. G. Psoriasis of the scalp - pathogenetic therapy // Medical Council. - 2024. - Vol. 18 (13). - pp. 63-70. https://doi.org/10.21518/ms2024-189.
Jung D. R. et al. Comparative analysis of scalp and gut microbiome in androgenetic alopecia: A Korean cross-sectional study //Frontiers in Microbiology. – 2022. – Vol. 13. https://doi.org/10.3389/fmicb.2022.1076242.
Tao R., Li R., Wang R. Skin microbiome alterations in seborrheic dermatitis and dandruff: a systematic review //Experimental dermatology. – 2021. – Vol. 30 (10). – pp. 1546-1553. https://doi.org/10.1111/exd.14450.
Sanders M. G. H. et al. Composition of cutaneous bacterial microbiome in seborrheic dermatitis patients: a cross-sectional study //PLoS One. – 2021. – Vol. 16 (5). https://doi.org/10.1371/journal.pone.0251136.
Dias M. F. R. G., Loures A. F., Ekelem C. Hair cosmetics for the hair loss patient //Indian Journal of Plastic Surgery. – 2021. – Vol. 54 (04). – pp. 507-513.https://doi.org/10.1055/s-0041-1739241
Yin C. S. et al. Efficacy of probiotics in hair growth and dandruff control: A systematic review and meta-analysis //Heliyon. – 2024. – Vol. 10 (9).
Gómez-Arias P. J. et al. Association between scalp microbiota imbalance, disease severity, and systemic inflammatory markers in alopecia areata //Dermatology and therapy. – 2024. – Vol. 14 (11). – pp. 2971-2986.
Breakspear S., Nöcker B., Popescu C. Chemical bonds and hair behaviour—A review //International Journal of Cosmetic Science. – 2024. – Vol. 46 (5). – pp. 806-814. https://doi.org/10.1111/ics.12967.
Lee H. J., Kim M. Skin barrier function and the microbiome //International journal of molecular sciences. – 2022. – Vol. 23 (21). https://doi.org/10.3390/ijms232113071.
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