Bibbidi Bobbidi Bald: Two Hair-Raising Tales of Princess Package Hairstyles

April 2018 in “ Pediatric dermatology ”

Bree Zimmerman, Marta Ivars, Kelly M. Cordoro

localized alopecia Princess Package erythema scalp necrosis scarring alopecia pressure ischemia acute traction alopecia hair loss redness skin death scarred hair loss blood flow restriction hair pulling

TLDR Elaborate princess hairstyles at a theme park caused hair loss and scalp damage in young girls.

The document described two cases of localized alopecia in young girls following elaborate hairstyling known as the “Princess Package” at a major U.S. theme park. The alopecia was preceded by pain, erythema, and delayed crusting due to scalp necrosis. While most of the affected areas showed regrowth at follow-up, small areas of scarring alopecia persisted. The authors suggested that the alopecia was caused by a combination of pressure ischemia and acute traction alopecia.

View this study on onlinelibrary.wiley.com →

Discuss this study in the Community →

Research cited in this study

2 / 2 results

research Hair Care Practices and Their Association With Scalp and Hair Disorders in African American Girls

59 citations, August 2010 in “Journal of The American Academy of Dermatology”

Certain hairstyles and less hair oil use in African American girls can lead to scalp conditions like traction alopecia and seborrheic dermatitis.

research Hair Extensions: A Concerning Cause of Hair Disorders

34 citations, November 2008 in “British Journal of Dermatology”

Hair extensions can cause hair loss and scalp damage, and these problems might be more common than people realize.

Related Community Posts Join

6 / 139 results

community (Almost) 3 Year Hairline Update 33M: Minoxidil, Finasteride, Nizoral, and some Dermarolling

in Progress Pictures 231 upvotes 9 months ago

A user shared a nearly 3-year update on their hairline improvement using Minoxidil, Finasteride, Nizoral, and Dermarolling. Other users commented on the success and discussed their own experiences with similar treatments.

community scarring alopecia awareness in this community

in Chat 33 upvotes 2 years ago

Lichen Planopilaris (LPP), a form of permanent hair loss, which can be mistaken for seborrheic dermatitis and is characterized by scalp itching, burning, redness, and dandruff. Treatment options discussed include steroidal creams, finasteride, minoxidil, and RU58841.

community Hair repigmentation of poliosis circumscripta in androgenetic alopecia patient treated with exosomes and fractional picosecond laser

in Product 2 upvotes 8 months ago

Exosomes combined with fractional picosecond laser treatment were effective in treating androgenetic alopecia and promoting repigmentation in white hair patches. The role of exosomes in hair repigmentation, particularly in conditions like poliosis, is not well-studied.

community A concise, easy-to-understand post on Androgenic Alopecia theory and its practical applications

in Research/Science 92 upvotes 2 years ago

The mechanism of Androgenic Alopecia and practical applications of treatments like Minoxidil, Finasteride, RU58841, dermarolling, scalp massages, anti-fungals, progesterone, estrogen, PPAR-γ activators, reducing oxidative stress, and scalp exercises. It explains why DHT is important in AA and how other factors might be involved such as hypoxia, increased DKK-1 expression, morphological changes to the scalp, skull growth during childhood/puberty, and blood flow.

community My Theory Regarding a Cause and Cure for Androgenetic Alopecia

in Treatment 98 upvotes 4 years ago

Hair loss theory suggests imbalance between Vitamin D Receptor (VDR) and Androgen Receptor (AR) activation. Proposed treatment includes upregulating VDR, downregulating AR, and improving mitochondrial health.

community Cassiopea Announces Very Positive Interim Analysis Phase 2 Results for Breezula® (Clascoterone) in Treating Androgenetic Alopecia

64 upvotes 6 years ago

Breezula® (Clascoterone) showed promising results in a Phase 2 trial for treating hair loss, being as effective as Propecia with no serious side effects. It might be released between 2021-2022, and a related acne treatment with the same active ingredient could be used in the meantime.

Related Research

2 / 2 results

research Bold to Do — Bald to Be? Outcomes Decades After Harvesting the Scalp in Burned Children

5 citations, October 2018 in “Burns”

Most patients who had scalp skin removed for burns as children had normal hair growth and were satisfied years later.

research Incidental Syringomas of the Scalp in a Patient with Scarring Alopecia

4 citations, July 2015 in “Case Reports in Dermatology”

A woman with unexplained hair loss was found to have harmless skin tumors and a scarring hair loss condition, but the tumors didn't cause the hair loss.