Three supportive scalp sessions — and the progress is already visible: new hairs have appeared in the focal areas, while both new and existing hair looks shinier, stronger, and silkier.

This case shows how esthetic care can be built into a broader dermatologist-guided plan.

The client's primary care was led by a dermatologist; Mariangel Hospedales performed the supportive scalp-care block:

Meet Mariangel Hospedales, Esthetician

This protocol was performed by Mariangel Hospedales — an esthetician with over 8 years of experience, specializing in acne-, melasma-, and hyperpigmentation-prone skin

Mariangel builds her protocols around skin analysis: what the skin is showing, what the client wants, and which sequence will deliver the most balanced visible result.

Condition & Goals of the Supportive Care Block
  • Client: female, 23 years old, Fitzpatrick III
  • Medical context: alopecia areata
  • Course: 3 sessions following an identical scheme (the client continued with an additional block of 3 sessions)
  • Visible result: a cleaner, healthier-looking scalp; hair looks shinier and stronger; new hairs were observed in the treated areas

Clinical context: an interdisciplinary treatment carried out in coordination with dermatologic care. The dermatologist leads the primary treatment with platelet-rich plasma (PRP) and additionally recommended LED light therapy and high frequency.

The Hair Growth Cycle: Why Visible Progress Follows a Timeline

The hair follicle is a dynamic structure that constantly transitions between different phases of activity.

The visible hair shaft is formed inside the follicle: in its lower portion, matrix cells participate in forming the new hair, while the dermal papilla is an important part of the follicle's regulatory system.

The cycle itself consists of four main phases:

Anagen

the active phase, during which the follicle forms the hair shaft.

Catagen

a brief period of regression and transition.

Telogen

 a phase of relative rest.

Exogen

shedding, when the formed hair detaches.

After this, the follicle can begin a new cycle.

Follicles on the scalp work asynchronously. Hairs in anagen, catagen, telogen, and exogen can sit side by side at the same time. That is why any visible hair-growth progress is best evaluated over time and in the context of the full treatment plan.

In this case, that matters especially: the appearance of new hairs was observed after three sessions and took place against the background of a comprehensive dermatologist-led plan with PRP.

In a supportive scalp protocol, the esthetician works with more than the hair visible above the surface.

An important part of the professional assessment is the condition of the scalp surface itself: sebum, flaking, corneocyte buildup, and the cleanliness of the follicular openings.

That is why hygiene preparation was the first task in this case.

A prepared scalp surface provides a cleaner working area for the technologies that follow and allows the treatment to be performed in partings more consistently and with more control.

1. Scalp Preparation

What was done: Serum with Salicylic Acid — Zemits SalicPure Pro was applied across the entire scalp. After the required exposure time, the product was removed and the surface was thoroughly dried with paper towels.

Why: to clear surface buildup from the scalp and create a clean, dry surface before the device-based steps.

What happens: salicylic acid supports surface exfoliation and helps remove excess oil and corneocyte buildup. In this protocol, SalicPure Pro worked as a preparation step, leaving the scalp clean and ready for the technologies that followed.

2. High Frequency

What was done: direct High Frequency application with the Zemits PureKio PRO across the entire scalp for 10 minutes.

Why: to add a direct High Frequency step after cleansing as part of professional scalp support.

What happens: the glass electrode forms a fine ozone layer near the surface — a care step for skin prone to oiliness and flaking that supports a neat, fresh-looking scalp.

3. Cold Plasma Technology

What was done: Cold Plasma on the Zemits EvoPlasm was used for 15 minutes across the entire scalp, followed by 5 additional minutes focused on the focal areas.

Why: to complete the care block with a non-contact step that supports a clean, calm surface in the treated areas.

What happens: the plasma field forms above the skin — with no contact heat or ablation. After the session, the surface looks clean, calm, and well cared for.

Professional care continued with a simple home routine:

  • a specialized shampoo prescribed by the dermatologist;
  • rosemary tonic by Dermachic Venezuela across the entire scalp as part of the daily routine.

Visible Progress After 3 Sessions

After the first block of three treatments, the esthetician observed:

  • the appearance and growth of new hairs in the focal areas;
  • a shinier look to both new and existing hair;
  • hair that looked stronger and silkier;
  • a client very pleased with the visible progress;
  • after the first course, she continued care with 3 more sessions.

Scalp care can be its own category of professional services — just as structured as facial protocols.
In this format, the service can be built around scalp preparation, balance, and technology support, for example:

Professional Scalp Reset

Scalp Balance & Clarity

Scalp Technology Support

This approach gives the esthetician another clear way to use device technologies in a logical multi-step workflow.

Zemits DermeLuxx PRO — HydroDiamond® Technology

Zemits EvoPlasm — Cold Plasma

Zemits VivaLumix — Blue LED 415 nm and Red LED 630 nm

Case inspiration provided by: @mhbeautyskincare

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