13 Aug 2015

New research that proves just how devastating hair loss can be

by Viviscal Hair Expert, originally posted on January 14th, 2013

Celebrity hair stylist James Brown is the latest famous face to talk about the profound impact losing his hair has had on his life.
The hairdresser – whose clients have included Kate Moss, Sienna Miller and Emma Watson – first noticed his hair was starting to thin on top in his early twenties.
But it took another 20 years for him to find the confidence to seek professional help.
Now, following a successful hair transplant, Mr Brown has talked openly about the agonies he suffered losing his locks – and how he hid his bald spot for years under his trademark hat.
He admitted: ‘I live [my life] going through airports, from LA to London, and I used to panic about having to go through airport security.
‘It got to the point when it was so bad, I didn’t want to take my hat off. Those minutes before going through security and taking my hat off, they were torture for me.’
I’ve written before about the trauma of losing one’s hair – and how I credit celebrities with a sea change in attitudes towards the treatment of hair loss.
Not everyone reacts badly to losing their hair, but for some, like Mr Brown, it can be a genuinely troubling experience.
Don’t just take it from me.
A major new study has revealed that hair loss can in fact trigger serious psychological breakdown – something my colleagues and I have believed for a long time.
Furthermore, researchers found it could even lead to exaggerated feelings of ugliness and, in the worst cases, trigger body dysmorphic disorder, where sufferers experience acute anxiety about their looks.
Doctors found that the ‘enormous emotional burden’ of going bald could lead in some cases to low self-confidence, mental disorders and even impaired quality of life.
The study is a major, and very welcome, piece of research into the psychological impact of hair loss.
Male pattern baldness (MPB), the main cause of hair loss, affects an estimated quarter of men by the age of 30 and two-thirds by the age of 60. So it is not necessarily someone else’s problem for many British men – and, indeed, some women.
Don’t misunderstand me, some men are happy losing their hair. Indeed, many wear their baldness as a badge of honour, feeling it suits them or reflects their personality. Others do not.
And until now the links between hair loss and mental issues among these men and women has been mostly anecdotal – shared via patient experiences, and in discussion among my colleagues in the hair replacement community – rather than scientifically proven.
Researchers at the Charité – Universitätsmedizin Berlin – one of Europe’s largest and most prestigious teaching hospitals – studied hair growth, hair disorders and changes in hair density and quality among patients.
I have previously argued that the impact of baldness has been ignored or dismissed by many in the medical establishment.
I concede, of course, that losing one’s hair is not in the same category as experiencing, say, a heart attack or stroke. The affects may not be immediately life-threatening.
The new research makes clear the impact of hair loss can have equally far-reaching, and, sadly, devastating consequences.
Recent successful hair transplants on celebrities like footballer Wayne Rooney, actor James Nesbitt and X Factor judge Louis Walsh have helped make the procedures more socially acceptable.
But solid research like that from the Charité – Universitätsmedizin Berlin will help educate those who see hair loss as a purely cosmetic issue.
Men and women alike go through a series of psychological stages when their hair thins. It might be difficult to measure, but there are all sorts of side-affects of that trauma on day-to-day life.
And the researchers also found that initial natural thinning could trigger self-inflicted conditions like trichotillomania – where sufferers exacerbate hair loss by repeated twisting or pulling.
Again, these so-called ‘psychotrichological’ disorders might be accompanied by feelings of disfigurement, depressive and anxiety disorders including social avoidance.
Sadly hair transplants are not available on the NHS except in the most acute circumstances. And they are not cheap.
Wayne Rooney’s operation, where follicles are painstakingly matched over two days to the surrounding hair for a totally natural procedure, cost in the region of £15,000 – though there are cheaper procedures in the region of £4,000.
It is thoroughly commendable that people like James Brown are willing to talk about their own hair loss and treatment in public. It lends credibility to my own experience as a surgeon and, I hope, will help others muster themselves to take action.
As Mr Brown admitted: ‘I have the confidence now, it’s mine, it’s not going to fall out – it’s my hair, it’s incredible and I really wish I’d had it done it ten years ago to save me those years of hell. It’s incredible.’
The good news is that treatments will become cheaper over time as the procedures advance. The results will be even better and they will become more widespread.
Until then, hair transplants should not be seen as mere vanity measures.
Hair loss can have far reaching consequences – and an underlying impact on well-being – as this important new research has shown.
Dr Asim Shahmalak
SOURCE: www.huffingtonpost.co.uk

Women can combat hair loss in variety of ways

by Viviscal Hair Expert, originally posted on January 9th, 2013
When we think of hair loss, we tend to think of men. After all, most commercials and advertisements for hair loss treatments tend to focus on the male audience, and it’s not uncommon to see male celebrities from Ed Harris to Bruce Willis to Larry David openly own their baldness with humor and sex appeal.
However, the truth is that women also grapple with hair loss. Conditions such as alopecia can strike men and women alike and aging can impact hair growth and volume regardless of gender. In fact, 40 percent of women over the age of 40 report that they have experienced noticeable hair thinning as they age.
Moreover, that likelihood only continues to increase as women age. According to the North American Menopause Society, almost half of all women experience hair thinning by age 50. Shifting hormones during perimenopause and menopause could be to blame for hair loss, and stress, illness and other health conditions (such as hypothyroidism and hyperthyroidism) also could play a role. And, while many people know that cancer drugs could lead to hair loss, medications for common conditions such as depression, acne, high blood pressure and arthritis also could lead to hair thinning and hair loss.
Hence, while some hair loss can sometimes be inevitable, it also can be a symptom of a serious health condition (such as a thyroid issue), so if you notice sudden hair thinning or hair loss, it’s important to talk to your doctor to find out why this is occurring. It will ease your mind to find out if there is something serious to be worried about, your doctor also can talk to you about your options for treatments if you so desire.
Personally, I think there is a new bald trend happening among women lately, and embracing your baldness can be powerful and inspirational. We all inevitably change as we age, and whether it’s wrinkles or loss, these marks of aging don’t have to shied away from or hidden.

‘Twilight’ star Anna Kendrick opens up on her stress-induced hair loss

by Viviscal Hair Expert, originally posted on January 7th, 2013
American actress Anna Kendrick shot to stardom as Jessica Stanley in hit film franchise Twilight in 2008, shortly before receiving a Best Supporting Actress Oscar nomination for her role in Up in the Air.
However, despite being put forward for such a coveted award, the 27-year-old starlet recently revealed that the pressure it put her under had a negative effect on her health.
Appearing on The Late Show with David Letterman, the actress opened up about the attention surrounding her all of a sudden, admitting that it manifested in hair loss.
“It was a lot of fun but it was so stressful and I was so terrified, which was weird,” she said.
“I managed to suppress that… but journalists would always be saying, ‘Aren’t you having the best time? Isn’t this the best time of your life?’
“And logically I knew that it was, but my body was telling me that things were getting crazy and I was, like, losing my hair.”
Hearing a star – both young and beautiful – being so candid about the problem many women suffer from is refreshing. It is actually quite common for those under increased pressure or severe emotional stress to lose hair.
The scalp tightens, restricting flood flow and effectively cutting off nutrients to the hair root. The follicles then enter a resting state prematurely, causing hair to fall out.
Other causes include child birth, diet, drugs and birth control pills. Not to mention extensions – particularly when losing glue, you are often left with gaps.
The good news for those suffering from stress-induced hair loss is that the hair tends to regrow naturally of its own accord – as was the case with Anna.
But in the event that hair regrowth is delayed, or thinning continues, there are products and procedures available to help stimulate growth or create the illusion of thicker hair.
A cheaper and less invasive option is to give targeted hair care a go.
For example an advanced hair loss system with a patented delivery system can deliver the formula directly to the root of the problem. It then helps strength and nourish your hair, ultimately providing an effective re-growth platform.
Meanwhile, nutritional supplements can also be beneficial.
Source: www.helloonline.com

Hannah Farrow

by Viviscal Hair Expert, originally posted on December 7th, 2012
Hannah Farrow (18)
“Doctors were never able to tell me why I lost my hair. I never felt stressed and I have always eaten well and exercised regularly, so it was really confusing when my hair started falling out at 13 years old. The thinning hair consisted of large patches on the side and back of my head, so it was extremely noticeable and very upsetting.
When I was younger I was really nervous about what I looked like and although I had a lot of friends that stood by me and supported me, there were also people at school that used to make me feel bad about myself – I felt especially self conscious in front on the boys in my class.”

Patricia Buckland

by Viviscal Hair Expert, originally posted on December 7th, 2012
Patricia Buckland (59), Kent
“I remember being out with my mother when I was in my early teens and looking at the back of her hair and was mortified to see she had a bald patch.
Time went on and I eventually married and went on to have a family of my own. In my early fifties, I was distressed to notice that my hair was thinning at the front and that I had the dreaded bald patch – just like my mother! This began the bain of my life forever trying to arrange my hair with clips and all sorts to cover the back.
I resorted to wearing a wig for special nights out, but found this hot and itchy. For a while I took an off the shelf ‘hair nail and skin’ supplement. Apart from making my nails a little stronger they did not have much effect.
However, now I am taking Viviscal. I cannot believe how much my hair has improved. I have taken it for about 3 months and my hair is so much better. There is new hair growing at the front but the best bit is that I now do not have a ‘bald’ patch and the overall condition of my hair is fantastic. The best it has looked for years.”

Jo Orchard

by Viviscal Hair Expert, originally posted on December 7th, 2012
Jo Orchard (25), Brighton
“I was 18 and a hairdresser but fed up with my thin, flyaway hair. So I had extensions put in worth £500. They looked great and lasted five months. But I couldn’t afford to have them done again. Then at 23 and studying graphic design, I bought long sections of real hair from a salon for £80 and had them glued in for a further £20. But after about three weeks they came out, so I paid another £20 for the hair to be glued back in. Each time the extensions came out, some of my own hair came out too. In time, I developed bald patches – which I tried to cover with more extensions. After 18 months of these cheap stick-in extensions, I realised if I carried on using them I could end up completely bald. So I went to the salon one last time and asked them to remove all the extensions, resolving not the have them replaced. Then, feeling horribly self-conscious, I scraped my hair up into a bun to hide the patches. Nobody commented on how awful my hair looked but they must have noticed. I went on the internet to researh natural ways of getting my hair back into condition and found a supplement called Viviscal…It contains minerals to promote hair growth and took a couple of months to kick in. I know my hair would’ve grown back anyway, but it did seem to grow faster and thicker than usual.”


Alex Kidd

by Viviscal Hair Expert, originally posted on December 7th, 2012



Alex Kidd (23), Bromley, Kent

“Finishing my shower, I wondered why the water wasn’t draining away as quickly as usual. Looking down, I was shocked to see clumps of hair clogging the plug hole…then I noticed my brush was matted with hair and on closer inspection, realised I had several bald patches. Heart thumping, I tried to stay calm. Over the past few months I’d been feeling run-down, with a constant sniffle. Ever since I started dieting in fact. I wondered if it had anything to do with it…I felt awful, but I loved being thin. But then my hair started falling out and I was terrified I’d end up bald. During an internet search I found a natural hair loss supplement called Viviscal that had good reviews. The Viviscal website also explained how diet is linked to hair loss, because if you’re not eating well you won’t be betting the nutrients essential for healthy hair. That was six months ago, and gradually my hair has got thicker. I had to try out different hairstyles to hide the bald patches, but I don’t have that problem now.”

Christine Reeves

by Viviscal Hair Expert, originally posted on December 7th, 2012
Christine Reeves, Solihull
“I noticed last year that my hair was going thin on top. Friends were pointing it out to me. I saw the advert in the Newspaper for Viviscal with Jenny Bond. Previously, I had tried other products with no success… I started taking Viviscal about five months ago and already I’m getting friends telling me my hair is thicker and it doesn’t go limp. It keeps it’s shape better and it’s healthier. My hairdresser tells me it’s grown about 1 1/2 inches (38cm). If you are conscious of your hair thinning, like I was, try Vivisal and see the difference. It’s working for me, it could also work for you.”

Katie Hampden-Smith

by Viviscal Hair Expert, originally posted on December 7th, 2012
Katie Hampden-Smith (49), Devon
“Looking at my two daughters’ hair, I realised how much I had lost so when a good friend noticed my hair was thinning and suggested Viviscal I was extremely grateful for the advice. She had experienced great results through using the food supplement herself and strongly recommended that I try it.
I saw the difference it made very quickly and after four months of taking the supplement my hair felt much stronger and noticeably different. Several people commented on how well I looked. Now when I blow dry my hair it even stays in place. I feel generally more confident about the way I look now and it has made me take much more pride in my hair.
I have been using Viviscal Maximum Strength for six months daily now and would recommend it to anybody that feels they are losing their hair and wants to do something about it.”

Morag McGregor

by Viviscal Hair Expert, originally posted on December 7th, 2012
Morag McGregor (64)
“I began to become aware of the dry, brittle condition my hair was in. I knew it had been thinning over the years, particularly once I passed sixty (now sixty four) but the condition of it had always been good and I hoped that the deterioration in terms of thinning would eventually stop. However, the evidence that this was ever going to happen was never apparent. Every time I washed my hair, there was lots of hair left in the sink. And then, on blow-drying my hair, which is colour treated and kept straight, even more left in my brush. This was not a particularly good time for me. I felt very low through it all and found it to be a debilitating experience.
It was at this low point I decided to try a natural food supplement for hair loss. After only two weeks there was a noticeable improvement in the condition of my hair, where it was no longer brittle and dry and was starting to look healthier. From then on, month by month, the improvement continued. My hair stopped breaking off, was no longer thinning, and finally, by the end of a six month period, stronger and thicker.
My hair is back in a condition I thought I had lost forever. Viviscal has produced text book results!”

Rachel Appleton

by Viviscal Hair Expert, originally posted on December 7th, 2012
Rachel Appleton
“During my pregnancy my hair was lovely, but after a stressful birth it started thinning. I’d had long hair since I was 13, but had to cut it short. After three months of taking Viviscal my hair was much thicker, and within six months the problem was solved and I didn’t have to take the tablets any more.”

Esther Liska

by Viviscal Hair Expert, originally posted on December 7th, 2012
Esther Liska (33)
Esther’s father is Portuguese. When, about 5 years ago Esther decided to leave the UK and live in Portugal, the stress associated of getting a new life coupled with the fact of having to adapt to everything in a new country, made Esther face another problem: thinning hair.
However, Esther had heard about Viviscal and decided to recover her hair and her confidence with Viviscal. Esther is a Image Consultant and, for this reason looking good is essential for her. When she was asked what she recommends to someone with a thinning hair problem she simply replied:
“Try Viviscal! I was amazed with the results! Imagine how good it is to see new hair growing after 3 months of treatment, it’s simply fantastic. I recommend 100%! I’m very happy with the results and I will keep using the product for maintenance”.

Catherine Roper

by Viviscal Hair Expert, originally posted on December 7th, 2012
Catherine Roper (82), Yorkshire
“After having a major operation, I found that my hair was coming out when I combed it. I’m now using Viviscal and I am very happy as my hair is much better and thicker. You have made me a very happy woman indeed.”

Barbara Warner

by Viviscal Hair Expert, originally posted on December 7th, 2012
Barbara Warner, 54, Essex

“As I got older my hair became a lot thinner and weaker, I put in hair extensions hoping that they would make it look thicker, unfortunately they made my hair even worse and it started to break off in chunks. At that stage I felt very self conscious and didn’t know what else to do. A few months later I was reading a magazine when I saw an article about Viviscal. I really liked the fact that it’s natural and also improves skin and nails, so I made my mind up that I was going to try it for 6 months.

I had only been taking it for about 2 months when I noticed that the excessive shedding had slowed down. By the fourth month, I could see fine baby hairs growing back and the overall condition was much better. I’ve been taking it for over a year now and am delighted with the results. My hair looks better than ever, it has completely grown back. I’ve been recommending Viviscal to friends and family!”

Goh YauKuang

by Viviscal Hair Expert, originally posted on December 7th, 2012
Goh YauKuang
“I experienced thinning of hair way back as far as in my mid 20s. I have tried various over the counter (OTC) hair loss products and most didn’t work as advertised…
I chanced upon Viviscal and decided to give it a try. I am completely amazed by this product. Within weeks after I took it, my hair became thicker and hair regrowth visible on thining portion of the scalp. I do not experience any side effects and am absolutely satisfied with this product… the positive results are definitely worth the money. All in all I would give a 4 out of 5 stars for this excellent product”

Anne Blyth

by Viviscal Hair Expert, originally posted on December 7th, 2012
Anne Blyth
“I’ve been using this product for about 3 months and it’s been working great. I was losing my hair and was really worried. Thank God I found Viviscal before my hair got worse”

Bald men are seen as more dominant

by Viviscal Hair Expert, originally posted on October 1st, 2012
It’s a problem that has always plagued men, but there is an upside to hair loss according to new research which has found bald men appear tougher and more powerful than others.[...]
Guys with shaved heads are also seen as taller, stronger and having greater potential as leaders, researcher Albert Mannes has found.
The University of Pennsylvania lecturer, and a balding man himself, carried out three experiments to delve into how men who shaved their heads were perceived by others.
Mannes told Time.com: ‘I was surprised that perceptions of dominance and masculinity extended to concrete, physical characteristics such as height and strength.’
In the first experiment nearly 60 participants were asked to look at a series of photos of men who were similar in age and attire but with differing amounts of hair.
When the results were averaged, shaved men topped the ratings in terms of how powerful, influential and authoritative they looked, Time.com reported.
In the second study each man was shown twice – one with hair and once digitally balded. Not only were the bald men perceived as more dominant, but they were also viewed as nearly an inch taller and 13% stronger.
In the final experiment participants were given written and verbal descriptions – where shaved men again got the highest marks for masculinity.
But Mannes, whose study was published in the journal Social Psychological and Personality Science, warned that while men with shaved heads topped the masculinity table, those with a full mane of hair were still voted more attractive.
‘So, whatever a man gains in dominance directly by shaving his full head of hair will be offset to some degree by his diminished attractiveness’ he continued.
‘The shaved look is more attractive than the visibly balding look. So men suffering natural hair loss may enhance both their dominance and attractiveness by shaving.
‘These men might better improve their well-being by finishing what Mother Nature has started.’
Source: dailymail.co.uk

Marina and the Diamonds star admits to wearing a wig

by Viviscal Hair Expert, originally posted on September 26th, 2012

SINGER Marina Lambrini Diamandis has worn a wig for the last nine months after all her hair fell out.
The Marina and the Diamonds star’s luscious locks snapped off during a nightmare trip to a Los Angeles hairdresser last November.
And speaking exclusively to The Sun, 26-year-old Marina confesses she kept the accident a secret and has hid the bald truth under a wig ever since.
The devastated star said: “It literally fell out.
 “I went to this hairdresser in LA before a shoot, and she just f***** it up.
“She was blowdrying my hair and said: ‘You’ve got a bit of breakage at the back.’
“I looked around and a lot had just snapped off at two inches.
“A week later I had it all cut really short.”
Marina then had to find a way to hide her hair loss in front of the camera.
She explained: “I bought a wig and painted the roots black and wore a ribbon over it, so it looked natural. And the ribbon became part of my look.
“I wore the wig for nine months. Nobody knew.”
It’s taken almost a year for Marina’s hair to grow back – and she’s relieved she can finally reveal her real hair and confess the truth about her fake barnet.
She added: “It’s only now that my hair is long enough to look natural.
“Wigs are fun, but I never felt beautiful in a wig. So I’m glad to have my own hair back.”
Marina revealed this week her record label have cancelled the release of her latest video because she looks too “ugly in it”.
SOURCE: The Sun

TOWIE star Sam Faiers suffers from Trichotillomania

by Viviscal Hair Expert, originally posted on September 25th, 2012
Fake lashes are a staple in any Essex girls’ beauty kit – but unlike the rest of her TOWIE co-stars, Sam Faiers admits there’s another reason why she’s rarely seen without her falsies.
The 21-year-old has trichotillomania (TTM) – a disorder that causes sufferers to pull out their own hair during times of stress.
Sam regularly pulls all her eyelashes out and has even done this in her sleep at one stage.
‘I’ve done it since I was seven after being told to make a wish as I blew away a stray eyelash,’ she tells Now.
‘My dad had gone to prison and “pulling” became a real comfort to me – and it’s been a habit ever since. Now, I don’t have any eyelashes at all.’
Sam has tried different treatments to keep her disorder under control, but knows she’ll always have to battle it.
‘When I was 14, I had hypnotherapy and stopped pulling. My eyelashes grew back, but once the treatment was over I started again,’ she explains.
‘I know I need more therapy and want to try again in future.’
Brave Sam hopes she can help other trichotillomania sufferers by speaking about her own experience with the disorder.
‘When I was 16, I decided to stop letting it control my life,’ she adds. ‘Instead of hiding away, I’d tell anyone why I didn’t have eyelashes.
‘Being open and accepting the condition helped – the more we talk about it, the easier it will be for society to accept and understand it – it’s no different to someone who bites their nails!’

Identical twins, but only one has alopecia

by Viviscal Hair Expert, originally posted on September 1st, 2012
As girls, they insisted on matching outfits, right down to the ribbons in their blonde pigtails. And as teenagers, identical twins Gwennan and Elin Thomas were inseparable, even going to the same university.
We were, and are, best friends,’ says Gwennan. ‘I had a freckle on my forehead as a baby – which disappeared – and that was how our parents told us apart. Looking at some childhood photos, we still argue about who is who.’ Yet, in 2002, a shocking, inexplicable event would mark the sisters apart.
That year, Gwennan, then 25, was diagnosed with alopecia, a condition that causes hair loss. She suffers from the most extreme form, alopecia universalis, and has lost all body hair, including her eyebrows and eyelashes. Ten years on, she can still remember the morning she woke to find clumps of hair on her pillow. ‘I burst into tears,’ she recalls. ‘My hair had been thinning for a while but then it started falling out in clumps pretty much overnight.’
Identical, in every way but one: Gwennan was diagnosed with alopecia in 2002, while her twin is unaffected.

Alopecia, which is thought to affect about one in 100 Britons at some point, occurs when the body’s immune system starts to attack its hair follicles. This can be limited to just a patch, but some patients go on to develop alopecia totalis, where the entire scalp is affected, or alopecia universalis.
What makes Gwennan’s experience extraordinary is that her identical twin sister Elin remains completely unaffected, even though the sisters share exactly the same genes.
Historically, because alopecia is clustered within families, it was thought to be an inherited condition. However, the experience of Gwennan and Elin points to strong non-genetic causes. Experts believe theirs, and a handful of similar cases, are proof that environmental factors are a major risk in developing the condition – and that this discovery will pave the way for a new understanding of this devastating, difficult-to-treat problem.
‘In identical twins with alopecia, about 50 per cent both have the condition. That means roughly half of the contributing causes of alopecia are non-genetic and may be environmental,’ says Dr Angela Christiano, a world leader in the study of alopecia based at Columbia University Medical Center.
‘Looking at my sister, I saw my loss’
‘Twins provide the perfect platform to study these environmental causes, because it’s likely most things about their environment and upbringing are the same. So, for science, twins such as Gwennan and Elin are fascinating.’
For the twins, the effect was devastating. Gwennan admits she struggled with feelings of jealousy and resentment towards her sister, while Elin experienced intense guilt that she had escaped the condition that threatened to destroy her sister’s confidence.
‘I’d look in the mirror and recoil at my reflection – I thought I looked like an alien,’ says Gwennan, 35, an office manager who lives in Cardiff.
‘Losing my eyebrows and eyelashes was even more traumatic as those define your facial features. And it made it worse having a sister who was the mirror image of me – but with hair. Of course I didn’t want Elin to suffer too, but every time I looked at her I was reminded of what I’d lost.’
Elin, a catering manager, says: ‘I knew I was the lucky one and that compounded my feelings of guilt.’
Gwennan remembers her hairdresser pointing out a bald patch the size of a 50p piece on the back of her head in April 2002.
‘I told myself it was probably nothing but I went along to my GP anyway,’ says Gwennan. ‘He told me it was probably a skin infection and prescribed an anti-fungal cream. But a few weeks later I noticed my hair was noticeably thinner. Elin and I both had the same hairstyle, but while her hair was thick, mine was really thin and bald patches were starting to appear.’
By October, most of Gwennan’s hair had fallen out, and she was referred to a dermatologist. ‘He immediately identified it as alopecia,’ she says. ‘I’d been having problems at work and he said it could be stress-related or there could be a genetic reason, but that was unlikely as my twin was unaffected. He told me my hair was unlikely ever to grow back. He was very blunt about it.
‘I was so upset but I felt relief I finally had a diagnosis. That night I shaved off all my hair, which I decided was preferable to seeing it fall out. In a way it was liberating as it gave me some control.’
But the twins did not realise their experience would add weight to the research being carried out by Dr Christiano, herself an alopecia sufferer who is now in remission.
‘Twins are usually raised in a similar environment so we can rule out causes such as diet or exposure to toxins,’ she says.
‘The most likely factors include infections, viruses, bacteria, or one’s response to stress. While a person’s response to stress is to a degree genetically determined, how identical twins process stress as individuals may be different.
‘People would ask me if I had cancer. Even my friends could be incredibly insensitive, talking about “bad hair days”. It made me realise how much people judge you by your appearance’
‘Both may carry an identical set of genes predisposing them to alopecia, but the degree to which those are expressed may differ. There may be something, for example reaction to stress, that causes the gene to express itself in one twin but not in the other.’
Dr Andrew Messenger, consultant dermatologist at the Royal Hallamshire Hospital in Sheffield and an expert on alopecia, says: ‘We now know alopecia is not 100 per cent inherited, but there is clearly a genetic component. Unfortunately, the more severe the disease, the less likely the patient is to recover. The average age of onset is 25 to 30 and it seems to affect men and woman equally.’
The twins suffered eczema and a dairy allergy as children – both of these diseases are thought to be due to problems with the immune system, although immunologists have assessed Gwennan and found nothing unusual.
Dr Christiano says: ‘In families where these autoimmune genes appear to cluster, we can say their immune systems are generally susceptible, but we don’t yet understand why in one their joints may be affected and in another, their hair follicles.’
For four years, Gwennan concealed her baldness with headscarves and a £4,000 wig. ‘My confidence hit rock bottom and I just wanted to feel normal again,’ she says. She also had to contend with stares and hurtful comments. ‘People would ask me if I had cancer. Even my friends could be incredibly insensitive, talking about “bad hair days”. It made me realise how much people judge you by your appearance.’
Counselling helped Gwennan come to terms with her condition, and in 2009 she ditched the wig for good during a holiday in Cyprus.
‘I wasn’t going to hide any more. I had a long heart-to-heart with Elin and admitted I’d struggled with resentment and bitterness in the past, while she revealed how guilty she had felt that it hadn’t happened to her. I haven’t worn a wig or a bandana since. It’s been a very emotional journey but I’m not even sure I’d want my hair to grow back now. Losing my hair has made me the person I am today.’
Elin remains mindful that, given the genetic link, she too could well experience alopecia. ‘I’m prepared for that,’ she says.
‘I’ve seen how amazingly Gwennan has coped and she’s a real inspiration. She’s living proof that you can have alopecia and still hold your head up high.’