The scalp microbiome refers to the surface of the scalp, which comprises good and bad bacteria, its own unique pH balance, a protective layer known as the acid mantle, and skin cells, says New York trichologist Shab Caspara, founder of hair growth platform for women, leona.co. “Similar to the gut microbiome, the scalp microbiome plays a critical role, helping to regulate the scalp environment, which affects everything from hair growth to scalp health,” explains New York dermatologist Michelle Henry, MD.
“This microbial community acts as a defense system to shield hair follicles from potential threats such as irritation, toxins, infections, and damage,” says Miami dermatologist Dr. Deborah Longwill. Ultimately, a well-balanced microbiome “can help protect against pathogens, reduce inflammation, and even change sebum production,” adds Dr. Henry.
Featured Experts
- Dr. Deborah Longwill is a board-certified dermatologist in Miami
- Jody Levine, MD is a board-certified dermatologist in New York City
- Dr. Matthew Elias is a board-certified dermatologist in Fort Lauderdale, FL
- Shab Caspara is a trichologist in New York City and founder of leona.co
Throwing off the microbiome
The delicate balance of the scalp microbiome can be thrown off by many things. Some are in our control; others are just out of reach. Caspara says, “Harsh cleansing agents in shampoos, improper and infrequent shampooing, an accumulation of scalp buildup, environmental debris, dry heat, sensitizing ingredients like concentrated essential oils, and even diet can negatively impact the microbiome’s pH.”
The microbiome is sensitive, and even slight changes to its status quo can trigger noticeable differences in your hair. Certain medications like antibiotics, poor nutrition, pollution, extreme weather, UV damage, and hormonal changes, especially during pregnancy or menopause, can disrupt the balance, explains Dr. Henry. Other little things like washing your hair too often, high stress levels, environmental changes, and tight ponytails can also throw things out of whack, says Dr. Longwill.
When something goes wrong
An off-kilter scalp microbiome is no joke. “As a defense mechanism, an imbalanced microbiome can overproduce sebum and lead to irritation and inflammation or scalp conditions like seborrheic dermatitis and psoriasis,” says Caspara. Signs of an unhealthy microbiome include oily hair the same day you wash it; a sensitive, itchy, smelly scalp; redness; flaking; and a tight, dry scalp. Dr. Longwill warns that hair loss, hair thinning and decreased hair growth can occur in the wake of an imbalanced microbiome. “This imbalance can impact the appearance of the hair, causing it to look dull and damaged,” New York dermatologist Jody Levine, MD explains. Like probiotics can be used in the gut to promote a healthy GI system, there’s a unique interaction between good skin flora and bad skin flora in the hair follicle that can promote or limit scalp inflammation, says Fort Lauderdale, FL dermatologist Dr. Matthew Elias.
Maintaining the microbiome
Because the microbiome is so fickle, it’s important to maintain homeostasis as best you can so your scalp and hair stay healthy and happy. Avoid doing the actions known to throw off the microbiome and opt for gentle, regular hair washing, a balanced diet, hydration, stress management, and sun protection, suggests Dr. Longwill. She also recommends taking probiotics and prebiotics, avoiding excessive heat tool use and getting regular haircuts. Dr. Henry says supplements like Nutrafol can be helpful too, as they contain ingredients to support a healthy scalp.
“Given the significant influence of genetics, lifestyle and overall health, individuals may experience diverse reactions to the state of their hair microbiome, varying between those with a healthy microbiome and those with an unhealthy one,” Dr. Longwill says. “I highly advise individuals facing persistent hair or scalp issues to consult with a local dermatologist. Seeking professional guidance ensures a thorough understanding of the root cause of their issues and facilitates the creation of a personalized and effective treatment plan.”
Did you know?
The scalp microbiome is unique to each individual, much like a fingerprint,” says Dr. Levine. “Factors such as genetics, age and overall health contribute to its specific composition. The understanding of this uniqueness guides board-certified dermatologists to develop personalized hair-care routines for optimal scalp health for each patient.”
Scalp Solutions
Try these scalp health–boosting products to bring your microbiome back to homeostasis.
