Hair glossary.
Understand your hair, hair loss, and transplantation.
Clear definitions to help you move forward.
Alopecia
A reduction in hair, which may affect a specific area or be widespread.
Alopecia is an umbrella term, not a single disease. It may appear as a widening part, bald patches, or thinning across the scalp. Its course and the possibility of regrowth depend on the cause. A scalp examination, the history of the hair loss, and targeted tests when needed help distinguish these situations before care is planned.
Alopecia areata
An autoimmune condition that can cause hair loss, often in patches.
It can affect the scalp, eyebrows, or other hair-bearing areas. Follicles are not necessarily destroyed, but the course varies. Care addresses the disease itself; transplantation is not a usual solution for active alopecia areata.
Alopecia totalis
A form of alopecia areata involving loss of all scalp hair.
The term describes the extent of alopecia areata on the scalp. It does not by itself establish how long the condition has been present or how it will progress. Dermatologic assessment and its personal impact guide discussion of options.
Alopecia universalis
An extensive form of alopecia areata affecting scalp and body hair.
This form can involve eyebrows, eyelashes, and body hair as well as scalp hair. It calls for comprehensive dermatologic care. Protection needs and the person's experience are also part of that care.
Anagen phase
The active growth phase of a hair.
During this phase, the follicle actively produces a growing fiber. Its duration contributes to the length hair can reach. Changes in the cycle help explain why regrowth is assessed over time rather than within days.
Androgens
A group of hormones that includes testosterone and DHT.
These hormones are present in both women and men. Their effects depend on tissue sensitivity, not only on a blood level. Hormonal testing is therefore not automatically needed for every case of hair loss.
Autologous transplant
Transfer of tissue from one area to another in the same person.
In hair transplantation, the follicles come from the person being treated. The procedure redistributes an existing resource; it does not create new donor follicles. This limitation explains why planning must fit the available supply.
Baldness
A common term for substantial hair loss.
In everyday language, this often refers to pattern hair loss, but the term is imprecise. The affected area and its progression should be described before discussing solutions. Advanced baldness does not automatically mean a transplant is possible or impossible.
Biotin
Vitamin B7, also called B8 in France. Supplements can interfere with certain laboratory tests.
Claims of stronger hair do not by themselves justify supplementation. An established deficiency differs from use without a clear indication. Tell the clinician about biotin before blood testing because it can distort some results.
Blood supply
The network of vessels supplying blood to a tissue.
Blood supply supports tissue function and repair. Local characteristics may differ in scarred areas and require assessment. Blood supply alone cannot predict a regrowth rate.
Catagen phase
A short transition between the follicle's growth and resting phases.
The follicle gradually stops producing the fiber and transitions toward rest. This is part of normal renewal. A healthy scalp therefore contains hairs at different stages of the cycle.
Choi implanter pen
The Choi method uses a pen to implant grafts. In our practice at NOVA, we favor Sapphire FUE.
A graft is loaded into the Choi pen and then placed in the scalp. The term describes implantation, not the harvesting method. At NOVA Capillaire, we do not recommend this approach within our protocol: based on our experience, it is less suited than Sapphire FUE to the control of direction and graft distribution we seek. We therefore favor preparing recipient sites with sapphire blades. This reflects our team’s practice, not proof of universal superiority. Our comparison article explains this position and its limitations.
Coily hair
Hair with tight coils, whose characteristics need to be considered during assessment.
The curvature of the strands affects visible volume and styling. For transplantation, assessment also considers the follicles beneath the skin and the donor area. A texture category alone does not determine the right approach for an individual.
Contraindication
A circumstance in which a treatment or procedure may be unsuitable or unsafe.
It may be temporary or lasting. Active inflammation, certain medical conditions, or insufficient donor supply may lead to postponing or ruling out surgery. The decision should explain why and what other options may be considered.
Crown
The area toward the top and back of the head, often centered around a hair whorl.
Hair changes direction around the whorl, making coverage sensitive to lighting and styling. A crown transplant requires a distribution suited to that pattern. The size of the area and the donor reserve must be considered together.
Dandruff
Visible flakes shed from the scalp.
They describe a visible finding but do not identify every cause of scaling. Marked redness, pain, or broken hairs may point to a different condition. Care therefore depends on the underlying skin condition too.
Dermatoscope
An illuminated magnifying device used to examine skin and scalp.
The device reveals details that are difficult to see with the naked eye. Its use on hair and scalp is called trichoscopy. The image is part of an examination, not an automatic diagnosis generated by the device.
DHT
Short for dihydrotestosterone, an androgen involved in pattern hair loss.
Not all follicles respond to this hormone in the same way. In pattern hair loss, local sensitivity matters alongside the hormonal context. Hair loss alone therefore does not establish an abnormal blood DHT level.
Diffuse hair loss
Thinning spread across much of the scalp, without implying a single cause.
“Diffuse” describes a distribution, not a specific diagnosis. Shedding, miniaturization, or several mechanisms together can produce this appearance. Examining the donor area also helps avoid an unsuitable transplant plan.
Discoid lupus erythematosus
A form of cutaneous lupus that can cause scarring and permanent hair loss when it affects the scalp.
On the scalp, inflammatory lesions can change the skin and destroy follicles. Distinguishing an active lesion from an old scar is important. Dermatologic care comes before any discussion of hair restoration.
Donor area
The area from which grafts are harvested. Its characteristics limit the amount that can be taken.
Its suitability is not based only on visible hair count. Diameter, distribution, scalp condition, and follicular stability also matter. Excessive harvesting can leave this region permanently thin.
Donor reserve
The donor area's resources to preserve when planning a transplant.
This resource is limited and should be considered over time, including possible future loss. Taking more now may reduce future options. A reasonable strategy balances recipient coverage with preservation of the back of the scalp.
Donor strip
A strip of scalp removed during FUT and divided into grafts.
This involves removing skin, unlike simply shaving a strip of hair. The donor site is closed afterward and leaves a linear scar. It should not be confused with the narrow shaved areas used in partial shaving.
Drug-induced hair loss
Hair loss that may be related to a medication. Do not stop treatment without discussing it with the prescriber.
The timing of treatment and shedding can be informative without proving a connection. The prescriber assesses other causes and possible adjustments. Stopping medication independently may pose a greater risk than the shedding.
Edema
Swelling caused by fluid accumulating in tissues.
Swelling can temporarily change an area's appearance after a procedure. Context and progression matter more than a single photograph. Significant or painful swelling, or swelling with other symptoms, should be reported to the team.
Erythema
Skin redness, whose cause depends on the clinical context.
Redness can follow irritation or a procedure, or occur with a skin condition. Its intensity, duration, and accompanying signs guide assessment. Persistent or worsening redness should not be interpreted solely from a distance.
Family history
Information about health conditions or hair loss in a person's family.
A family history of hair loss may suggest susceptibility, but it cannot predict your exact progression. Information from both sides of the family can be useful. An individual examination is still needed to interpret that history.
Ferritin
An iron-storage protein that may be measured as part of a targeted assessment.
The result is interpreted with the clinical context and other tests when needed. One value cannot establish a single cause of shedding. Iron supplementation should follow an appropriate assessment rather than an arbitrary “ideal” hair-related target.
Finasteride
A medication that reduces conversion of testosterone to DHT. Its use and risks require medical assessment.
Its use is discussed for specific indications, alongside contraindications and possible adverse effects. It is not suitable for every person or cause of hair loss. The prescriber should guide the decision, monitoring, and any treatment change.
Follicular extraction
Removing follicles from a donor area for transplantation.
Harvesting should protect the grafts and distribute removals across a suitable donor area. The number taken is not based only on the area to cover. The remaining appearance of the harvested region also matters.
Follicular unit
A small natural group of follicles that emerge together from the scalp.
Several hairs may emerge from the same natural group. In transplantation, this organization helps guide graft distribution. The number of follicular units should therefore not be confused with the total number of hairs.
Folliculitis
Inflammation of a hair follicle, sometimes with small bumps or pustules.
The term describes follicular inflammation, which can have different causes and levels of severity. It is not automatically folliculitis decalvans. Painful, recurring, or spreading lesions need assessment to guide care.
Folliculitis decalvans
An inflammatory scalp disorder that can cause scarring hair loss.
It can involve inflammation, pustules, crusts, and areas of scarring loss. Controlling the disease and assessing activity come first. A transplant does not treat that inflammation and is not considered in the same way as for ordinary pattern baldness.
Frontal fibrosing alopecia
A scarring alopecia that can cause a receding hairline and eyebrow loss.
It may appear as band-like recession of the frontal hairline, sometimes with eyebrow loss. It needs to be distinguished from a purely cosmetic hairline change. Disease activity is a key consideration before any surgical discussion.
FUE
A method of harvesting follicular units individually using a circular instrument.
FUE primarily describes harvesting, not every step of the procedure. It leaves small dot-like scars in the donor area. Planning quality also depends on patient selection, harvesting technique, and implantation.
FUT
A transplant technique involving removal of a strip of scalp from the donor area.
After the strip is removed, it is divided into grafts and the donor site is closed. The linear scar differs from the small marks associated with FUE. Choosing between methods requires assessment of the patient and discussion of practical limitations.
Graft
A piece of tissue harvested for transplantation. A hair graft may contain more than one hair.
Counting grafts means counting transferred tissue units, not individual hairs. Some contain one hair and others several. Their composition and distribution help explain why the same graft count does not always produce the same coverage.
Graft hydration
Keeping grafts in suitable conditions to prevent drying.
Drying can compromise delicate tissue during handling. Hydration is therefore part of graft storage alongside other surgical conditions. It is different from moisturizing care used later on the scalp.
Graft storage
The conditions in which grafts are kept between harvesting and implantation.
Grafts remain delicate while outside the body. Handling, hydration, and the organization of surgical time are part of the protocol. An advertised graft count alone does not describe the quality of this care.
Hair assessment
An assessment of the hair and scalp in the context of the patient's history.
It brings together the pattern of loss, hair characteristics, scalp condition, and the person's goals. Additional tests are used when they address a specific question. The assessment may lead to monitoring, treatment, or a discussion about transplantation.
Hair bulb
The enlarged base of the follicle where the hair fiber forms.
The bulb lies beneath the skin within the follicle. It is not the same as the small pale tip sometimes seen on a shed hair. Seeing that tip does not mean the entire follicle has been pulled out.
Hair density
The number of hairs in a given area, distinct from the thickness of each hair.
Density may be expressed as hairs or follicular units per square centimeter; these measurements are not interchangeable. Visible fullness also depends on strand thickness and length. One number alone cannot predict a cosmetic result.
Hair diameter
The thickness of an individual hair fiber, which contributes to the appearance of coverage.
Two heads of hair with the same hair count can look very different when individual strands differ in thickness. Diameter therefore matters when assessing coverage. It is considered alongside density, texture, and contrast between hair and skin.
Hair fibers
A cosmetic product that adheres to hair to make thinning areas less noticeable.
They change the appearance of hair without increasing follicle numbers. Their effect depends on existing hairs to which they can adhere. When comparing photographs or examining the scalp, it helps to know whether they were used.
Hair follicle
The structure within the skin from which a hair grows.
The follicle is a living structure within the skin; the visible hair is the fiber it produces. A hair can shed while its follicle remains intact. This distinction helps explain why regrowth is possible in some types of loss but not others.
Hair growth cycle
The sequence of growth, transition, and resting phases of a hair follicle.
Follicles do not all cycle at the same time, allowing continuous renewal. An event can disturb this balance and make shedding more noticeable. A change in the cycle does not necessarily mean the follicle has been destroyed.
Hair regrowth
The appearance and lengthening of hair over time.
After transplantation, visible hairs may shed before new fibers grow. Length, thickness, and coverage then change gradually. Comparing standardized photographs at agreed intervals is more useful than daily inspection.
Hair shaft
The portion of the hair fiber that emerges from the skin.
This is the part that is cut, styled, or colored. A broken fiber and a hair shed from its follicle are different phenomena. Distinguishing them helps guide assessment when length or volume decreases.
Hair whorl
A pattern in which hair grows in different directions around a central point.
The growth pattern may reveal some scalp at the center, especially in direct light. This alone neither establishes nor rules out hair loss. Gradual thinning around a whorl is best assessed by comparison over time.
Hairline
The boundary between the forehead and the hair-bearing scalp.
The hairline frames the face and is considered alongside the temples, facial proportions, and age. Its design should also account for possible future loss. The aim is not to reproduce one standard hairline for everyone.
Healing
The process by which tissue repairs itself after an injury or procedure.
Skin changes gradually after a procedure; its immediate appearance is not the final result. The care team's instructions help protect healing tissue. Increasing pain, drainage, or spreading redness are reasons to contact the team.
Hippocratic wreath
A term for the band of hair that remains at the sides and back in some advanced patterns of hair loss.
This band is not automatically an entirely usable donor supply. Its density, size, and hair stability need assessment. Harvesting is planned to preserve an even appearance at the back and sides.
Hypoesthesia
Reduced sensation in an area of skin.
An area may feel less sensitive after a procedure, but its course should be monitored. Reduced sensation differs from pain, burning, or tingling. If it persists or comes with other symptoms, the team should be informed.
Implantation
Placement of grafts in the recipient area.
Placement considers depth, direction, and graft distribution. It should fit the existing hair and agreed design. Implantation is separate from harvesting, even when both are described under a single method name.
Implantation angle
The angle of a graft relative to the surface of the scalp.
Hair rarely grows perpendicular to the skin. Following neighboring hairs helps create a coherent pattern, especially at the hairline and crown. Angle is one part of the overall plan, alongside direction and graft distribution.
Informed consent
Agreement given after understandable information about a procedure, its alternatives, and its risks.
Understanding the expected benefit is only one part of the decision. Limitations, recovery, alternatives, and the option of no procedure should also be discussed. There should be time for questions; a signed document supports that conversation rather than replacing it.
Iron deficiency
Insufficient iron that may contribute to shedding. Testing and any supplementation should be tailored to the individual.
Testing for deficiency depends on context, including diet, blood loss, and other symptoms. Correcting a confirmed deficiency does not mean it caused all the shedding. Assessment also helps avoid unnecessary supplementation.
Itching
A sensation that creates an urge to scratch.
It is a symptom, not a diagnosis. It may accompany irritation, inflammation, or other scalp problems. Duration, products used, and visible skin changes help identify the cause.
Keratin
A family of structural proteins that make up the hair fiber, among other tissues.
The visible fiber is largely made of keratin and is not living tissue that repairs itself like skin. Cosmetic products can improve its feel or appearance. That does not mean they create follicles or treat the cause of alopecia.
Lichen planopilaris
An inflammatory follicular disorder that can cause scarring hair loss.
Inflammation can permanently damage follicles and may cause itching or burning. Diagnosis requires dermatologic assessment, sometimes including a biopsy. The aim is to limit progression rather than promise regrowth over scar tissue.
Local anesthesia
Numbing a limited area of the body during a procedure.
It aims to reduce pain in the treated area while the person remains awake. Pressure or movement may still be felt. Previous medical conditions and any past reaction to anesthesia should be discussed before the procedure.
Ludwig scale
A descriptive classification of certain patterns of female hair loss.
It describes the extent of thinning over the top of the scalp. It supports communication and follow-up but does not summarize the cause or personal impact. Not every pattern of female hair loss fits this classification.
Medical history
A discussion of health history, medications, and concerns to inform a medical assessment.
The clinician asks when changes began, what has recently changed, and whether other symptoms are present. A medication list and older photographs can help establish the timeline. This conversation guides the examination rather than simply completing a checklist.
Micro-incision
A small incision made during a procedure; the term does not mean scar-free.
“Micro” indicates small size without independently describing quality or recovery. Every incision involves healing. Understanding a technique requires knowing where and why these openings are made.
Miniaturization
A progressive decrease in the thickness of certain hairs over successive growth cycles.
A miniaturized hair becomes finer and contributes less coverage. Magnified examination can reveal differences in strand diameter. This finding is interpreted alongside its distribution and the history of loss, rather than from one photograph.
Minoxidil
A medication used for certain types of hair loss. The formulation and indication should be discussed medically.
Topical and oral forms are not interchangeable and do not carry the same precautions. Choice depends on the indication, medical context, and planned monitoring. A familiar name does not mean a treatment suits every type of hair loss.
Native hair
A hair already present in an area before transplantation.
It can continue to change after a transplant, independently of implanted follicles. Planning therefore considers its density and vulnerability. The result is assessed as a combination of existing and transplanted hair.
Nonscarring alopecia
Hair loss without scarring destruction of the follicles.
The follicle is not replaced by scar tissue, but that does not guarantee full recovery. Regrowth depends on the cause and course. This group includes very different conditions that do not all respond to the same care.
Norwood-Hamilton scale
A classification of male-pattern baldness progression.
It describes patterns of frontal recession and crown loss. It helps characterize a situation without predicting exact future stages. Two people at the same stage may have very different donor supplies and needs.
Partial shaving
Shaving limited areas to prepare for a procedure when appropriate.
This means shortening hairs in a selected area without removing a strip of skin. Surrounding hair may cover the shaved region, depending on its length and density. The expected appearance should be shown and discussed beforehand.
Pattern hair loss
Hair loss associated with genetic susceptibility and the sensitivity of follicles to androgens.
Hair gradually becomes finer in certain areas, without all of it necessarily shedding at once. The pattern and speed of progression vary. A transplant can redistribute follicles, but it does not by itself stop changes in the surrounding, nontransplanted hair.
Postoperative crusts
Dried material that may form over small wounds after a procedure.
They can occur as small wounds heal, but should not be picked off to speed up the final appearance. Care should follow the team's instructions. One photograph alone cannot establish whether their evolution is normal.
Postoperative follow-up
Monitoring and communication with the care team after a procedure.
Follow-up addresses questions, monitors healing, and assesses regrowth. Photographs can support communication without replacing an examination when needed. Instructions and contact information should be clear before going home.
Punch
A small circular instrument used to harvest follicular units in FUE.
Instrument choice depends in part on the follicles and skin. A very small advertised diameter alone does not establish harvesting quality. Protecting graft integrity and the donor area remains essential.
Recipient area
The area selected to receive the grafts.
The plan identifies the areas to treat and their relative priorities. Surface area, remaining hair, and donor availability guide distribution. A large area cannot always receive the same density throughout.
Recipient incision
A small opening prepared in the skin to receive a graft.
Preparation considers graft size and the intended hair direction. Direction and depth are planned alongside overall distribution. The precision of the technique matters more than an instrument name on its own.
Sapphire FUE
FUE harvesting combined with sapphire blades used to create recipient sites.
“Sapphire” refers to the blade material used for recipient sites. It does not change the follicles themselves or independently guarantee density or growth. Design, technique, and follow-up remain important when evaluating a treatment plan.
Scales
Fragments shed from the outermost layer of skin.
They may be thin or thick, dry or oily. Their appearance is interpreted alongside redness, itching, and location. Removing them mechanically does not necessarily address the cause of their recurrence.
Scalp
The skin covering the head that contains hair follicles.
It contains follicles, sebaceous glands, blood vessels, and nerves. Hair loss may occur alongside skin changes such as scaling or inflammation. Examining the skin is therefore as important as looking at the hair.
Scalp biopsy
Removal of a small skin sample for microscopic examination.
It may be considered when examination alone does not clarify the cause, particularly in some inflammatory alopecias. Choosing the sampling site matters. It is not a routine requirement before every transplant.
Scalp psoriasis
An inflammatory disease that can cause plaques and scaling on the scalp.
Plaques may extend beyond the hairline and flare over time. Scaling alone does not distinguish it from other conditions. A transplant plan needs to consider skin condition and ongoing care.
Scarring alopecia
Hair loss in which follicles are destroyed and replaced by scar tissue.
Scar tissue replaces the structures that produce hair, so spontaneous regrowth is not expected where follicles have been destroyed. Medical care focuses on identifying and controlling the underlying disease. Redness, pain, or an enlarging area should be assessed before considering a transplant.
Seborrheic dermatitis
An inflammatory condition that can cause redness and scaling, including on the scalp.
It can flare with scaling and itching. It does not mean poor hygiene, and it does not automatically explain all associated hair loss. Scalp condition and symptom control should be discussed before a transplant.
Sebum
An oily substance produced by the skin's sebaceous glands.
It contributes to the skin's oily film and can make hair look greasier. Its presence does not establish the cause of hair loss. Cleansing and care depend on scalp tolerance and accompanying symptoms.
Shedding after physiological stress
Illness, surgery, or another physically stressful event may precede telogen effluvium.
Shedding may appear weeks or months after an event as more hairs reach the end of their cycle. This delay can make the trigger less obvious. Persistent or unusual shedding deserves assessment rather than being automatically attributed to stress.
Shock loss
A term for hair shedding that may occur after a procedure.
This shedding can involve hairs around the treated area and is not the same as losing a graft. Its course depends partly on the condition of the hair before surgery. A density change should be discussed with the team rather than assumed to be a failed transplant.
Single-hair graft
A graft containing one hair, distinct from a graft containing several hairs.
It allows delicate placement where a soft transition is desired, particularly at the front. This does not mean every graft should contain one hair. Selection depends on the intended effect in each region.
Standardized photographs
Photos taken under comparable conditions to support visual follow-up.
Using the same angle, lighting, distance, and hairstyle makes comparisons more reliable. Wet hair or camouflage fibers can greatly change perceived density. A consistent series helps separate real changes from differences in photography.
Systemic lupus erythematosus
An autoimmune disease that can affect several organs and be accompanied by diffuse hair loss, particularly during flares.
Hair loss may be influenced by disease activity and other associated factors. Hair loss alone cannot establish this diagnosis. Care should be coordinated with the clinicians managing the systemic condition.
Telogen effluvium
Diffuse shedding associated with an increased number of hairs entering the resting phase.
Shedding often starts after a delay following a trigger, making the connection less obvious. Hair tends to shed diffusely rather than from one isolated patch. Identifying the cause and monitoring changes help distinguish it from other forms of hair loss.
Telogen phase
The resting phase of the follicle in the hair growth cycle.
Hair is no longer actively lengthening during this period. Shedding and replacement are part of follicular renewal. When more follicles shift toward rest together, shedding may become more noticeable.
Temporal recessions
Areas on either side of the frontal hairline near the temples.
Their shape naturally varies and may change with hair loss. Restoring them involves considering facial balance and the future hairline. A very low or tightly closed hairline is not automatically the most suitable choice.
Terminal hair
A thick, pigmented hair, as opposed to fine vellus hair.
Its thickness and pigmentation contribute to visible coverage. During miniaturization, some hairs become finer and provide less coverage. Comparing these characteristics helps assess changes in the hair.
Thyroid disorders
A thyroid disorder can be associated with thinning hair. Hair loss alone cannot establish the diagnosis.
Diffuse loss may accompany some thyroid disorders, but many other causes look similar. General symptoms and examination guide the need for blood tests. Any treatment addresses the identified disorder, not only the appearance of the hair.
Tinea capitis
A fungal infection that can cause patches of broken or missing hair with scaling. It requires medical assessment.
It can resemble other causes of patches or scaling, but its infectious origin requires appropriate care. It may be contagious. Medical advice is needed rather than treating it as ordinary dandruff.
Traction alopecia
Hair loss caused by repeated pulling on the roots, including from certain hairstyles.
Tension can come from tight hairstyles, extensions, or repeated pulling. The most stressed areas are often affected. Reducing traction is essential: early changes may be reversible, while prolonged tension can lead to permanent loss.
Transection
Accidental cutting of a follicle during harvesting.
Cutting a follicle may compromise a graft and its growth potential. Risk depends partly on follicular anatomy and harvesting technique. It is a technical consideration alongside graft integrity, not just the advertised count.
Trichodynia
Scalp pain or discomfort sometimes associated with hair shedding.
The scalp may feel tender, tight, or sensitive when hair moves. This sensation alone does not establish the cause of hair loss. Examination can look for irritation or another associated condition.
Trichoscopy
Examination of the scalp and hair using a magnifying device.
It allows inspection of variation in hair diameter, follicular openings, and certain skin signs. These findings complement the clinical examination. They help guide diagnosis but must be interpreted alongside symptoms and the person's history.
Trichotillomania
A disorder involving repeated pulling out of one's own hair.
Affected areas may contain broken hairs of different lengths. This is not simply a bad habit for which someone should be blamed. Appropriate support, including psychological care, can address the behavior and its impact.
Vellus hair
Fine, short, lightly pigmented hairs.
Vellus hair naturally occurs in certain areas. On the scalp, very fine hairs need to be interpreted alongside other findings. Their presence alone does not establish full regrowth or a transplant result.
Zinc deficiency
Insufficient zinc that may be associated with hair loss. Shedding alone does not justify supplementation.
Zinc supports many biological processes, but hair loss does not automatically indicate deficiency. Assessment considers diet and conditions affecting absorption, among other factors. Taking a supplement without an indication does not guarantee hair improvement.
What about your hair?
Every situation deserves an individual response.