ALOPECIA PROBLEMS
typology and solutions

What can TUPELUCA.COM offer you?

Each case of universal alopecia deserves a personalized approach. In our artisanal workshop, we offer: · 

 * Complete wigs made of 100% natural hair, adapted to the shape of the scalp ·        
 * Options with anti-slip base or special fastening systems, ideal for people with no hair ·
 * Customized design of the hairline, bangs, tone, volume, and hairstyle
 * Natural or semi-permanent false eyebrows and eyelashes to match the chosen style.
 * Aesthetic and emotional counseling throughout the process Additionally, we understand that many people desire absolute privacy and naturalness, so our wigs are designed to be imperceptible, even with ponytails, braids, or youthful styles. 

A condition that changes appearance, but not essence

Universal alopecia can radically transform the physical appearance, but it does not define identity, value, or true beauty.
Our goal is to accompany each person so that they can see themselves in the mirror with confidence, without giving up their style or life.

What is alopecia areata?

Alopecia areata is an autoimmune disease that causes hair loss in the form of well-defined rounded patches. In this condition, the body's immune system mistakenly attacks the hair follicles, causing the hair to weaken and fall out, forming bald areas that typically have the size of a coin, although they can vary in size.
The distinctive feature of alopecia areata is its patchy loss pattern, which can appear suddenly, often without previous symptoms such as itching or pain.
The scalp in the affected areas usually looks smooth, without signs of inflammation or scaling. In some cases, the hair on the edges of these patches may have an "exclamation mark" appearance, i.e., narrower at the base and wider at the tip, which is a diagnostic sign of this condition. 
Although it commonly affects the scalp, alopecia areata can also manifest in other areas with body hair, such as the beard, eyebrows, eyelashes, or limbs. 
The patches can remain isolated or multiply and merge, leading to more extensive forms of the disease

.Who does it affect?

Alopecia areata can affect people of any age, although approximately 60% of cases occur before the age of 20. It affects both men and women equally and does not discriminate by race or ethnicity. It is estimated that around 2% of the global population will experience this condition at some point in their lives, which is equivalent to around 147 million people. In Spain, approximately 700,000 people suffer from some form of alopecia areata.
Genetic factors play an important role in its development, with approximately 20% of patients having a family history of the disease. Additionally, people with alopecia areata are more likely to suffer from other autoimmune diseases such as Hashimoto's thyroiditis, vitiligo, psoriasis, systemic lupus erythematosus, or type 1 diabetes. Although it affects both men and women equally, the psychological and social impact can be different depending on gender due to social expectations related to appearance and hair.

Is there a cure?

Currently, there is no definitive cure for alopecia areata. However, unlike some other forms of alopecia, this condition has a promising feature: in approximately 50% of cases, the hair can regrow spontaneously within a year, even without treatment.
The available treatments are aimed at suppressing the abnormal immune response and stimulating hair growth:
Corticosteroids: They can be applied topically, through intralesional injections directly into the affected patches, or orally in severe cases. 
They are the most common and effective treatment for limited patches:
Minoxidil: This topical vasodilator can help stimulate hair growth when applied regularly to the affected areas, often in combination with other treatments.
Topical immunotherapy: It involves applying chemical substances such as diphencyprone (DPCP) or dibutyl ester of squaric acid (SADBE) that cause a mild contact dermatitis, redirecting the immune response.
JAK inhibitors: Medications such as tofacitinib, ruxolitinib, and baricitinib have shown promising results in recent studies, although their use for alopecia areata is still under investigation.
Phototherapy: Ultraviolet light therapy can be useful in some cases.

It is essential to note that the response to treatment varies significantly between individuals, and even after successful treatment, relapses can occur. 
The unpredictable nature of alopecia areata makes managing the condition a continuous process, with periods of hair loss and regrowth.

What can TUPELUCA.COM offer you?

We know that there are no two identical heads. That's why we create custom-made wigs and hair systems that adapt to the affected area and the type of hair loss.
We offer:
 * Partial wigs (type of hair prosthesis) if the hair loss is localized
 * Complete wigs made of 100% natural hair if the area is extensive
 * Fastening with clips, soft adhesives, or vacuum systems, depending on each case
 * Customized design in length, color, texture, and volume
 * Specific solutions for children, teenagers, and young women, without an artificial appearance
Additionally, if the hair begins to recover, we can adapt the wig or replace it with a lighter system. 

It's not just about covering, but about accompanying

Alopecia areata can change over time, both physically and emotionally. 
What we offer is not just a wig, but an aesthetic and human accompaniment process, with intimacy, respect, and honesty. 
Because your image also deserves special care, and we are here to help you.

What is female androgenetic alopecia?

Female androgenetic alopecia, also known as female pattern baldness, is the most common form of hair loss in women. Unlike the male version, which typically manifests with pronounced receding hairlines and baldness on the crown, the female pattern is characterized by a diffuse and progressive thinning of hair mainly on the top and central part of the scalp. 
The distinctive sign of this condition is the gradual widening of the hairline, creating a pattern that dermatologists often describe as an "inverted Christmas tree". The hair becomes increasingly fine (follicular miniaturization), losing volume and density, but rarely leads to complete baldness. An important feature is that the frontal hairline usually remains intact, although it may recede slightly. 
This condition is associated with hormonal factors, specifically the sensitivity of hair follicles to androgens (male hormones present in women). Dihydrotestosterone (DHT), a metabolite of testosterone, plays a crucial role in binding to receptors in sensitive hair follicles, causing their progressive miniaturization with each growth cycle.

Who does it affect?

Female androgenetic alopecia affects approximately 40% of women by the time they reach 50, and its prevalence increases after menopause, affecting up to 75% of women over 65. Although it is mainly associated with aging, it can begin as early as puberty or during the first years of the twenties.
Several factors influence its development:
Genetics: There is a strong hereditary predisposition, although the pattern of inheritance is complex and polygenic. Unlike the male version, it can be inherited from both paternal and maternal lines.
Hormonal imbalances: Conditions such as polycystic ovary syndrome, adrenal hyperplasia, or certain tumors that produce androgens can accelerate or worsen this alopecia.
Hormonal changes: Events such as pregnancy, postpartum, menopause, or the use of certain hormonal contraceptives can trigger or worsen the condition.
Medical factors: Thyroid disorders, nutritional deficiencies (especially iron and vitamin D), chronic stress, and certain medications can contribute to its appearance or progression.

It is essential to note that, unlike the male version, female androgenetic alopecia often coexists with other types of hair loss, such as telogen effluvium, complicating its diagnosis and treatment.

Is there a cure?

Currently, there is no definitive cure for female androgenetic alopecia, but there are treatments available that can slow its progression and stimulate some degree of regrowth in many patients.

The most effective treatments include:
Minoxidil topical: Available in 2% and 5% concentrations, it is the only treatment approved by the FDA specifically for women. It acts by prolonging the hair growth phase and increasing the size of miniaturized follicles. It must be used continuously to maintain results.
Anti-androgens: Medications such as spironolactone, cyproterone acetate, or flutamide can be effective in blocking the action of androgens on hair follicles. However, they are not specifically approved for this indication and require medical supervision due to their potential side effects.
Finasteride and dutasteride: These 5-alpha-reductase inhibitors can be effective in some postmenopausal women or in refractory cases, although their use in women is off-label and controversial due to their risks, especially in women of childbearing age.
Complementary therapies: Treatments such as platelet-rich plasma (PRP), low-level laser therapy (LLLT), and nutritional supplements (such as biotin, zinc, and iron) can offer additional benefits when used as a complement to primary treatments.

The best results are usually obtained with combined treatments started in the early stages of the condition. Treatment should be personalized according to the patient's age, the severity of the alopecia, coexisting medical conditions, and personal goals. It is essential to have realistic expectations: treatments are often more effective for stopping progression and achieving moderate regrowth than for completely restoring lost hair.

What can TUPELUCA.COM offer you?

Hair integration systems: ideal for adding volume only to the affected area, without covering the entire scalp
Partial wigs or invisible prosthesess that are placed on the crown and integrated with the rest of the hair
Complete wigs, if the case is more advanced, always in natural hair and with realistic design
Customized styles with strategic volume, bangs, waves, or cuts that disguise hair loss

Everything adapted to your real hair: color, density, head shape, age, style… and without the need to shave.

Having less hair should not mean having less freedom

Female androgenetic alopecia does not pose a risk to your health, but it can deeply affect your security, image, and daily life. That's why, from Oncological Wigs, we offer you real, discreet, and absolutely natural options that give you back what the mirror no longer shows you.
It's not just about "having hair". It's about feeling like yourself again.

What is frontal fibrosing alopecia?

Frontal fibrosing alopecia (FFA) is a relatively new type of scarring alopecia that was first described in 1994. 
It is characterized by a progressive and symmetrical recession of the frontal hairline, accompanied by the permanent destruction of hair follicles and their replacement by scar tissue (fibrosis).
The most distinctive sign of this condition is the retraction of the frontal hairline, which can recede several centimeters from its original position, creating a high forehead appearance. 
This recession is usually symmetrical and is accompanied by a band of pale, shiny, and slightly raised skin in the affected frontal area. A crucial feature is the almost complete loss of sideburns and frequently also of eyebrows (in approximately 80% of patients). Unlike other forms of alopecia, the affected area shows evident signs of inflammation: redness, scaling, and small papules (rashes) around the remaining hair follicles. 
On dermatoscopic examination, the absence of follicular openings and the presence of white scarred points are observed, indicating the permanent destruction of the follicle.
FFA is considered a variant of lichen planopilaris, an inflammatory disease that affects hair follicles, and is believed to have an autoimmune and inflammatory component in its development.

Who does it affect?

Frontal fibrosing alopecia predominantly affects postmenopausal women, with a mean age of onset between 55 and 65 years, although cases are increasingly being diagnosed in premenopausal women and even, rarely, in men. 
Its prevalence has increased significantly over the past two decades, changing from a rare condition to a relatively common form of scarring alopecia. 
This increase has led researchers to suggest possible environmental factors in its development, including:
Facial cosmetics: Some studies have found an association with prolonged use of certain facial care products and sunscreens, although the evidence is still preliminary.
Hormonal factors: The predominance in postmenopausal women suggests a possible relationship with hormonal changes, especially the decrease in estrogen.
Genetic predisposition: Family cases have been reported, suggesting a genetic component in its development.
Autoimmune factors: The frequent association with other autoimmune diseases indicates that this mechanism plays an important role in its pathogenesis.

Unlike other forms of alopecia, FFA seems to have a higher incidence in people with fair skin, although it can affect any ethnic group. No clear relationship has been established with specific socioeconomic or geographic factors

.Is there a cure?

Currently, there is no definitive cure for frontal fibrosing alopecia. As it is a scarring alopecia, the damage to hair follicles is permanent in already affected areas, which means that hair cannot regrow in areas where scar tissue has already formed.The primary goal of treatment is to stop or slow the progression of the disease, preserving the hair follicles that have not yet been affected. The most commonly used treatments include:
Corticosteroids: They can be applied topically or through intralesional injections to reduce inflammation. In severe cases, they can be administered orally, although for limited periods due to their side effects.
5-alpha-reductase inhibitors: Finasteride and dutasteride have shown some effectiveness in stopping the progression, especially when combined with other treatments.
Antimalarials: Medications such as hydroxychloroquine can be effective in controlling inflammation in some patients.
Immunosuppressants: Topical tacrolimus, oral cyclosporine, or mycophenolate mofetil are used in cases resistant to other treatments.
Minoxidil: Although it does not act on the inflammatory process, it can help improve hair density in non-scarred areas.
Experimental therapies: JAK inhibitors, low-level laser therapy, and hair transplantation (in stable phases of the disease) are being investigated with promising preliminary results.

It is essential to note that treatment must be personalized and regularly supervised by a specialized dermatologist. The response is variable, and the best results are obtained with early diagnosis and treatment, before significant hair loss and permanent scarring occur

.What can TUPELUCA.COM offer you?

In our artisanal workshop, we design lightweight, invisible, and fully customized systems to disguise or cover the affected area without the need to shave or use full wigs, unless the case requires it.
We can offer you:
Frontal integration systems
Made with natural hair, they simulate the birth of hair with absolute naturalness since they are made hair by hair, knotting one by one on the tulle, it is totally undetectable. The tulle is transparent, breathable, lightweight, and comfortable, you won't feel hot and you can put it on and take it off with ease.
Customized fronts or hairpieces for those who have lost only the frontal line. We say customized because we can make the size you need, you can contact us through a video call and we will show you how to measure your frontal line without hair.
We can also help you choose the color that is the same as yours and that your tulle piece integrates perfectly with your hair and, of course, clarify all your doubts such as fixation systems or maintenance.
Additionally, we adapt each piece to the exact shape of your forehead, skin tone, hair type, age, and personal style. We want it not to be noticed… nor for you to feel it.
Transparent human hair tulle piece for frontal balding areas, a very discreet and undetectable natural hair integration system, available in over 30 colors, 100% natural hair
Ultra-light and natural complete wigs if the loss is more extensive
False eyebrows another thing that worries a lot, we have not found any quality site where we can help you find them, but we can recommend some semi-permanent eyebrow pencil with very nice templates that will allow you to make a spectacular design and be very pretty there are many colors to match the color of your hair take a look at this link where you can buy them they sell them on Amazon: https://amzn.to/44prmWG

Self-care and practical tips

Soft cleaning: avoid aggressive soaps on the frontal line. See on Amazon: https://amzn.to/44uVUq5
Mineral sun protection SPF 50+ every 2 hours: scarred skin burns more. See on Amazon: https://amzn.to/3GkhBRw
Gentle scalp massages: improve microcirculation.
Anti-inflammatory diet: omega-3 (blue fish), antioxidants (red fruits). Progress record: monthly photos to measure progress and adherence to treatment.
Aesthetic solutions and recommended products.
We don't sell products, but what we like, we know or our clients give us good references, we recommend them 
ONC DERMOLOGY FACE CREAM Super special products for oncological use for skin care See on Amazon: https://amzn.to/3I6lrOL
How to attach the hair prosthesis? Hypoallergenic adhesive (Walker) we love this brand, water and sweat resistant hair adhesive See on Amazon: https://amzn.to/4khOZX8
Repair shampoo without sulfates Fragile scalp Without parabens Glossco Antioxidant Shampoo Frequent Use Rich in Vitamin C and E See on Amazon: https://amzn.to/44FQLMX
Repair shampoo for your hair prosthesis Protects the natural hair of the prosthesis See on Amazon: https://amzn.to/3GqFiaJ

What is diffuse alopecia (telogen effluvium)?

Known as telogen effluvium, it is a type of temporary hair loss characterized by a generalized and uniform thinning of the hair on the entire scalp. Unlike other forms of alopecia, it does not follow a specific pattern, but rather affects the hair density in a homogeneous way.
This condition occurs when an abnormally high number of hair follicles prematurely enter the telogen or resting phase of the hair cycle.
Under normal conditions, approximately 85-90% of hair is in the growth phase (anagen), while only 10-15% is in the telogen phase. In telogen effluvium, this balance is drastically altered, with up to 30-50% of follicles simultaneously entering the resting phase.
The result is excessive hair loss, usually noticed 2-4 months after the triggering event. 
Patient often describe a significant increase in hair on the brush, pillow, or shower drain, and may lose between 100-300 hairs daily (compared to the 50-100 considered normal). 
Despite this striking loss, it rarely leads to visible baldness, but rather a general reduction in hair volume.
A distinctive feature is that the fallen hair has a white bulb at the end, indicating that it has completed its normal growth cycle and has not been pulled out. Additionally, the scalp appears completely normal, without signs of inflammation, scaling, or scarring.

Who does it affect?

Diffuse alopecia can affect people of any age, sex, or ethnicity, although it is more commonly diagnosed in women due to specific hormonal factors that can trigger it. It is estimated that approximately 30% of the population will experience some episode of telogen effluvium throughout their lives.
The main triggering factors include:
Physical stress: Major surgeries, severe illnesses with high fever, severe infections, significant weight loss, or very restrictive diets can cause telogen effluvium.
Hormonal changes: The postpartum period is a common cause, affecting up to 50% of women (postpartum telogen effluvium). It can also occur when hormonal contraceptives are stopped or during thyroid imbalances.
Medications: Numerous drugs can trigger it, including anticoagulants, beta-blockers, antidepressants, anticonvulsants, retinoids, and some anti-inflammatory drugs.
Nutritional deficiencies: Deficiencies in iron, zinc, vitamin D, biotin, and proteins are frequent causes, especially in people with eating disorders, malabsorption syndromes, or vegetarians/vegans without a balanced diet.
Psychological stress: Traumatic events, grief, chronic anxiety, or depression can alter the hair cycle through neuroendocrine mechanisms.
It is essential to highlight that telogen effluvium can overlap or be confused with other forms of alopecia, such as androgenetic alopecia, especially in women, complicating its diagnosis and management.

Is there a cure?

The good news about diffuse alopecia is that, in most cases, it is a self-limiting and completely reversible condition, as long as the triggering factor is identified and eliminated. The overall prognosis is excellent, with complete recovery in most patients.
The therapeutic approach mainly consists of: Identification and treatment of the underlying cause: This may include adjustments in medication, nutritional supplementation, stress management, or treatment of underlying diseases.
Nutritional supplementation: In cases of deficiencies, supplementation with iron, zinc, biotin, and multivitamin complexes can accelerate recovery.
Topical minoxidil: Although not necessary in all cases, it can shorten the recovery period by stimulating the growth phase of the follicles.
Complementary therapies: Treatments such as platelet-rich plasma (PRP) and specific amino acid supplements can be beneficial, although scientific evidence is still limited.
The recovery process typically follows this pattern:
Stabilization: Excessive hair loss decreases gradually in the 3-6 months following the elimination of the triggering factor.
Regrowth: Appearance of new fine hairs (vellus) that gradually thicken and lengthen.
Complete recovery: Generally achieved between 6-12 months after the onset, although it may vary depending on the cause and duration of the effluvium.
In cases where the triggering factor persists or cannot be eliminated (such as in some chronic diseases), chronic telogen effluvium may develop, requiring long-term management and adaptation strategies

What can TUPELUCA.COM offer you?     

Ultralight systems that add density without covering the entire scalp
Natural hair wigs with natural volume and no artificial appearance
Customized styles that disguise and stylize
Private consultations and aesthetic follow-up according to evolution

Because having less hair shouldn't mean having less confidence.

What is scarring alopecia?

Scarring alopecia (or cicatricial alopecia) encompasses a diverse group of hair disorders characterized by the permanent destruction of the hair follicle and its replacement by scar tissue, resulting in irreversible hair loss.
Unlike other forms of alopecia where the follicles remain intact (although inactive), in scarring alopecias the follicles are completely destroyed by inflammatory or fibrotic processes.
The clinical distinctive feature of these alopecias is the loss of visible follicular openings in the affected areas. 
The scalp shows smooth, shiny areas, often with changes in pigmentation (lighter or darker areas), and may present signs of active inflammation such as redness, scaling, pustules, or crusts in the peripheral areas where the disease is progressing.
Scarring alopecias are mainly divided into two groups:
Primary: The hair follicle is the primary target of the destructive process. They include conditions such as lichen planopilaris, discoid lupus erythematosus of the scalp, folliculitis decalvans, and frontal fibrosing alopecia, among others.
Secondary: The hair follicle is destroyed as "collateral damage" in the course of a pathological process not specifically directed at it, such as deep infections, burns, radiation, tumor infiltration, or hereditary disorders such as scleroderma.
The progression can be slow and asymptomatic or rapid and painful, depending on the specific subtype. 
A warning sign is the presence of symptoms such as itching, burning, or pain in the scalp, which usually indicate active disease.

Who does it affect?
Scarring alopecias are relatively rare, representing only 3-7% of all alopecia cases seen in dermatological consultations. However, their impact can be devastating due to their permanent nature. The prevalence varies according to the specific subtype:
Lichen planopilaris: It is more common in women of middle age (40-60 years) and represents approximately 25% of all scarring alopecias.
Discoid lupus erythematosus: It affects predominantly women (ratio 3:1 regarding men), especially of African descent, and can manifest at any age, although it is more common between 20-40 years.
Folliculitis decalvans: More frequent in young and middle-aged adult men, representing approximately 10% of scarring alopecias.
Frontal fibrosing alopecia: It mainly affects postmenopausal women, although its incidence in premenopausal women has increased significantly in recent decades.
Risk factors include: 
Genetic predisposition: Especially important in conditions such as discoid lupus erythematosus.
Autoimmune diseases: Patients with other autoimmune conditions have a higher risk of developing some types of scarring alopecia.
Environmental factors: Associations have been proposed with various agents, from cosmetic products to pollutants, although evidence is still preliminary for many of them.
Chronic traumas: Hairstyles that exert constant traction on the hair can contribute to the development of traction scarring alopecia.

Is there a cure?

Currently, there is no definitive cure for scarring alopecias. Once the hair follicle has been destroyed and replaced by scar tissue, the hair loss is permanent and irreversible. However, early diagnosis and appropriate treatment can stop the progression of the disease, preserving the unaffected hair follicles.
Treatment objectives are:
To stop active inflammation to prevent the destruction of more follicles.
To control symptoms such as itching, burning, or pain.
To improve the aesthetic appearance of the affected areas.
Treatment options include:
Corticosteroids: They can be administered topically, through intralesional injections, or orally. They are the first line of treatment for many forms of scarring alopecia.
Immunosuppressants and immunomodulators: Drugs such as hydroxychloroquine, tacrolimus, cyclosporine, methotrexate, or mycophenolate mofetil are used in more severe or resistant cases.
Antibiotics: Especially important in neutrophilic forms such as folliculitis decalvans, where oral antibiotics such as doxycycline or rifampicin are used.
Retinoids: Acitretin or isotretinoin can be effective in some specific subtypes.
Emerging therapies: JAK inhibitors, biologic therapies, and low-level laser therapy are being investigated with promising preliminary results.
For already scarred areas, options include:
Hair transplantation: It can be considered in patients with stable disease for at least one year, although results are less predictable than in non-scarring alopecias.
Scalp micropigmentation : A cosmetic technique that can improve the appearance of small areas.
Prosthetic solutions: Wigs, hair prostheses, or high-quality hair integration systems represent an excellent option for many patients.
Optimal management requires accurate diagnosis (often through biopsy) and personalized treatment under the supervision of a dermatologist specialized in hair disorders.

What can TUPELUCA.COM offer you?

If the hair will not grow back, you can opt for a natural hair wig made to measure that:
Adapts to the exact shape and size of your head
Is lightweight and breathable (ideal for sensitive scalps)
Can be styled, cut, and dyed like your own hair
Returns your image, and with it, your confidence
And emotional support?
We know that each story is unique. That's why, in addition to wigs, we offer: Personalized attention
Consultation without commitment
Advice with empathy
Absolute privacy

Scarring alopecia doesn't have to take away your security or the joy of looking good.

At TUPELUCA.COM, we are here to help you recover your image, comfort, and tranquility.

What is trichotillomania?

Trichotillomania is an impulse control disorder characterized by the recurrent and irresistible urge to pull out one's own hair. Unlike other forms of alopecia that have physical or autoimmune causes, trichotillomania has a primarily psychological origin, classified within obsessive-compulsive disorders according to the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders).
Individuals with trichotillomania experience increasing tension before pulling out their hair and a sense of relief or gratification during and after the act. This behavior can be conscious and focused, performed during periods of stress or anxiety, or automatic and unconscious, occurring during sedentary activities such as watching television or reading.
The pattern of hair loss in trichotillomania is very characteristic: irregular areas of alopecia with poorly defined borders and hairs of different lengths within the same area. Often, the most affected areas are the scalp (especially the crown and frontal line), eyebrows, and eyelashes, although it can affect any body area with hair. 
A distinctive feature is that the underlying scalp appears completely normal, without inflammation, scaling, or scarring, unlike other forms of alopecia.
Many people with trichotillomania develop associated behaviors such as examining the pulled-out hair closely, playing with it, rubbing it against the lips or face, and even ingesting it (trichophagia), which can lead to medical complications such as the formation of trichobezoars (hairballs in the stomach).

Who does it affect?

Trichotillomania can affect people of any age, but it usually begins in early childhood or adolescence, between 9 and 13 years old. Epidemiological studies suggest a prevalence of approximately 1-2% in the general population, although it is likely underdiagnosed due to the stigma and concealment associated with it.
Although it can affect both sexes, there is an interesting gender distribution:
In young children, the prevalence is similar in both sexes, and the condition tends to be transient and have a good prognosis.
In adolescents and adults, the ratio leans significantly towards women (7:1), where the disorder tends to be more chronic.
Various factors contribute to its development:
Genetic factors: There is a higher incidence in first-degree relatives of affected individuals.
Neurobiological factors: Alterations have been identified in brain circuits related to impulse control and the reward system.
Psychological factors: It is often associated with anxiety, depression, obsessive-compulsive disorder, and traumatic experiences. It can function as an emotional regulation mechanism or response to stress.
Environmental factors: Stressful situations can trigger or exacerbate symptoms.

Trichotillomania has a significant impact on the quality of life of those who suffer from it, causing shame, low self-esteem, social isolation, and deterioration in academic or work performance. Many people hide their condition for years and avoid social situations or activities that could expose their hair loss.

Is there a cure?

Trichotillomania is a complex disorder that can be effectively treated, although the therapeutic approach must be comprehensive and personalized. It is not considered "curable" in the traditional sense, but rather manageable, with periods of remission and possible relapses, especially in situations of high stress.
The most effective therapeutic approaches include:
Cognitive-behavioral therapy (CBT): Particularly the habit reversal technique, which teaches patients to recognize situations that trigger the urge to pull out their hair and to develop alternative behaviors.
Acceptance and Commitment Therapy (ACT): Helps to accept the impulses without acting on them, developing greater mindfulness.
Pharmacological treatment: Some medications have shown variable efficacy, including:
Selective serotonin reuptake inhibitors (SSRIs)
N-acetylcysteine, an antioxidant that modulates glutamate
Atypical antipsychotics in some resistant cases
Naltrexone, an opioid antagonist

Complementary therapies: Biofeedback, hypnosis, and stress reduction techniques can be useful as a complement to main treatments.
It is essential to note that treatment must address not only the behavior of pulling out hair but also underlying conditions such as anxiety, depression, or trauma, if present. A multidisciplinary approach that includes psychotherapy, pharmacotherapy, and, when necessary, dermatology and trichology, usually offers the best results.
Hair generally grows back once the behavior of pulling it out is stopped, although in very chronic and severe cases, where the behavior has been maintained for many years, permanent damage to the hair follicles may result in areas of scarring alopecia.
For aesthetic consequences while working on psychological treatment, cosmetic solutions such as wigs, hair prostheses, extensions, micropigmentation, or camouflage techniques can be of great help in improving appearance and self-esteem.
Family support and support groups for people with the same condition also play a crucial role in recovery, reducing isolation and shame associated with this disorder

.What can TUPELUCA.COM offer you?

We know that the solution is not just "covering the problem". But while working on the emotional part, it is possible to recover the security and personal image with adapted hair systems:
Natural hair patches from TUL TRANSPARENT to your measure It's natural hair knotted hair by hair natural in an extra-fine transparent tul with which we achieve a realistic and undetectable effect, there are over 30 colors and since it's 100% human hair, you can dye it whenever you want, always with the experience of a professional in the postiche sector.
They are lightweight, breathable, comfortable, and the best part, they don't give off heat, you can stick them on the bald area or attach them with clips, watch the video: "HOW TO COVER A BALD SPOT on our scalp"
How do we do it?
1. Measure with a flexible tape measure the contour of the bald spot. Leave 2 mm extra: the tul fits better.
2. Choose the hair color like your original one. We help you quietly, contact us (video call) or you can see available colors in the online store.
3. Cut your measure we deliver it to you pre-cut following your template. and what is that template? It's the measurement and shape that your bald spot has, you draw it on a piece of paper if it's small, and if it's big, depending on the area where it is, you can watch this demonstrative video that will help you do it at home.
4. Adhere or stick can be liquid glue or double-sided adhesive tape use good quality adhesive we don't sell adhesives but we can advise you a well-known brand, it's a laboratory specialized in adhesives for skin and wig use, it's sold on Amazon liquid glue click here: https://amzn.to/4lgMTYwwhere to buy double-sided adhesive tape for wigs it's sold on Amazon: https://amzn.to/45N1Z3fDuration approx. depending on the skin: 3-7 days - Resistant to water and sweat - We recommend that you do a 24-hour patch test and follow the manufacturer's instructions.
Tul maintenance: clean the tul with great care, it's very delicate and you can break it easily use good products the key is hydration, we don't sell maintenance products but we can advise you the brand that we use and the only one we would recommend, GLOSSCO brand Repairing Shampoo for Damaged Hair: https://amzn.to/4kefywg
Perfect Repair mask without rinsing without ammonia or parabens: https://amzn.to/4ewDd9Y
All products from the brand are sold on Amazon: https://amzn.to/4khxrdB
Each tul patch lasts ~20 uses with care.
Can I swim with the TUL HAIR PATCH?
Yes. Wait 24 hours after application, remember that it will depend on the adhesive you use that it is specific and resistant to water, remember to put a protector on the hair since it is 100% natural and you have to treat it as if it were your hair, putting solar protectors and if you swim in a pool, collect it so that the chlorine doesn't damage it and use a silicone cap if you dive.
How do I remove the adhesive without damaging the skin? With a specific solvent, we recommend Walker Tape hypoallergenic liquid, find it on Amazon: https://amzn.to/46iWpFVdo it at night with care and apply a repairing cream on your scalp
Does it itch at first?
It shouldn't. Check the adhesive instructions that's why we insist on using good adhesives with good references, hypoallergenic, high quality. If there is irritation, stop quickly and consult. Your skin is in command.
Don't forget to protect your skin Mineral sun protector SPF 50+ every 2 hours. The tul lets UV rays pass through. Avoid: alcohols, perfumes, physical exfoliants, potent essential oils Finally, another option is to use partial wigs or volumizing hair prostheses, etc...
They are larger sizes that you can use if your bald spot is very large or you have several scattered throughout your head, then we recommend visiting the universal alopecia or fibrosing alopecia space.

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