The Importance of Scalp Health During Hair Prosthesis Removal

By Elisabetta Benini, CRLAB Trichology Team Leader

When it comes to removing a hair prosthesis system, the primary concerns of a hair restoration professional are the health and well-being of the client. During this delicate process, signs of imbalance or issues on the scalp may emerge, requiring careful assessment and a targeted intervention.

The removal of a prosthetic system can reveal a range of skin conditions, from mild irritations to more severe infections. It is crucial not only to promptly recognize and address these issues, but also to establish and maintain correct habits to prevent their recurrence. This ensures the ongoing health of the client's scalp. An experienced professional will be able to identify and treat these problems with competence and sensitivity.

During the removal of the prosthetic, it is important to carefully observe the client's scalp. If necessary, conduct a thorough evaluation of the scalp using methods such as capturing macro and microscopic images with a scope.

If issues are detected, it is our responsibility to provide to the client detailed information regarding the situation. This includes guidance on maintaining scalp balance and addressing any skin disorders. This advice may involve recommending specific products, suggesting hygiene improvements, and further consultation with industry and medical professionals. The key to properly address any issue is collaboration. Collaboration is done with the client by establishing an open dialogue and creating a relationship of mutual trust. With medical professionals, we collaborate to avoid prescriptions that could be ineffective or harmful to the client's health. With our colleagues and peers, we collaborate by sharing our different experiences.

Education is crucial to ensure a client maintains a healthy and balanced scalp. It is the responsibility of the professional to provide the client with detailed information on proper scalp care practices. This advice includes regular washing (at least twice a week) with specific products, daily drying of the prosthesis (with a cool air dryer to prevent humid conditions that may encourage irritations or bacterial growth) and increasing the appointment frequency of salon hygiene services. Scheduling is particularly important during periods of heightened sensitivity, such as seasonal changes or when dealing with oily skin conditions or new medications.

What Factors Can Promote Skin Problems?

■ Incorrect application of the prosthesis, such as not precisely adhering to the original edge.

■ Neglecting scalp analysis or failing to rebalance the scalp during monthly service.

■ Failing to recognize problems, such as mistaking irritation for infection or vice versa.

■ Neglecting to discuss with the client new medications or hygiene habits.

■ Poor hygiene practices, including infrequent washing or neglecting salon hygiene services.

How Can We Avoid Scalp Problems?

■ Conducting preventive patch tests of the base materials of the hair system and adhesive materials and repeating them when you see the client is having a reaction on the scalp. Every individual is unique and may go through periods of increased sensitivity, so it’s necessary to repeat the patch test.

■ Education on correct hygiene practices.

■ Accurate identification of issues, no self-diagnosis but consultation with professionals and medical personnel.

■ Using products that do not align with individual sensitivities, such as those containing aggressive ingredients, allergens, or not specifically formulated for the scalp.

■ Respect for the application and removal protocols; taking care not to skip steps or use unproven do-it-yourself methods. When encountering scalp problems during the removal of a hair system, it is important to address the situation with care and attention. A comprehensive and personalized approach includes assessment, treatment, and ongoing support. These steps are essential to ensure that the client maintains a healthy scalp to promote long-term hair growth.