2.4 Anatomy & Physiology - Hair & Nails
Key Takeaways
The hair shaft has three layers: cuticle (outer protective), cortex (strength and color), medulla (inner core).
Hair growth cycle has three phases: anagen (growth, 2-7 years), catagen (transition, 2-3 weeks), telogen (rest, 3-4 months).
The nail matrix is the origin of the nail plate and, if damaged, causes permanent nail deformity.
The lunula is the visible white crescent at the nail base - part of the matrix.
Normal hair shedding is 50-100 hairs per day from telogen phase follicles.
Understanding hair and nail structure, growth cycles, and disorders is fundamental knowledge for cosmetologists. This section covers the anatomy you need for the NIC exam.
Part 1: Hair Anatomy
Hair Structure Overview
Hair is composed primarily of keratin, the same protein found in skin and nails. Each hair consists of two main parts:
- Hair Follicle: Living structure below the skin surface
- Hair Shaft: Nonliving visible portion above the skin
The Hair Shaft - Three Layers
| Layer | Location | Composition | Function |
|---|---|---|---|
| Cuticle | Outermost | Overlapping scales (like roof shingles) | Protection, determines shine and texture |
| Cortex | Middle (90% of hair) | Elongated cells, melanin, keratin | Strength, elasticity, color |
| Medulla | Innermost core | Air spaces and cells | Insulation (may be absent in fine hair) |
The Cuticle:
- Transparent, colorless layer
- Scales point away from the scalp (root to tip)
- Healthy cuticle = smooth, shiny hair
- Damaged cuticle = dull, rough, tangled hair
- Chemical services open and affect the cuticle
The Cortex:
- Contains the majority of the hair's structure
- Location of melanin (pigment)
- Responsible for:
- Hair color
- Strength and elasticity
- Texture (straight, wavy, curly)
- Target of permanent color, perms, and relaxers
The Medulla:
- Central core of the hair
- May be continuous, fragmented, or absent
- More common in coarse, thick hair
- Often absent in fine, vellus hair
- Function not fully understood
The Hair Follicle
| Structure | Description | Function |
|---|---|---|
| Hair Bulb | Club-shaped base of follicle | Contains cells for growth |
| Dermal Papilla | Cone-shaped elevation at bulb base | Blood supply and nutrients |
| Arrector Pili | Tiny muscle attached to follicle | Creates "goosebumps" |
| Sebaceous Gland | Oil gland connected to follicle | Lubricates hair and skin |
Hair Growth Cycle
Hair grows in a continuous cycle with three distinct phases:
Phase 1: Anagen (Growth Phase)
- Duration: 2-7 years (determines maximum hair length)
- Percentage: 85% of scalp hair is in anagen
- Activity: Active cell division at the hair bulb
- Characteristics:
- Hair grows approximately 0.5 inches per month
- Longer anagen = longer potential hair length
- Affected by genetics, age, health, and hormones
Phase 2: Catagen (Transition Phase)
- Duration: 2-3 weeks
- Percentage: 1-2% of scalp hair
- Activity: Growth stops, follicle shrinks
- Characteristics:
- Hair detaches from dermal papilla
- Follicle shrinks to about 1/6 of original length
- Signals the end of active growth
Phase 3: Telogen (Resting Phase)
- Duration: 3-4 months
- Percentage: 10-14% of scalp hair
- Activity: Follicle is dormant
- Characteristics:
- Hair remains in follicle but is not growing
- New hair begins to form beneath
- At end of telogen, old hair sheds
Exogen (Shedding)
- Old hair is released from the follicle
- Normal shedding: 50-100 hairs per day
- New anagen hair pushes out old telogen hair
- Excessive shedding may indicate disorder
Hair Disorders
Types of Alopecia (Hair Loss)
| Condition | Cause | Characteristics | Treatment |
|---|---|---|---|
| Androgenic Alopecia | Genetics, hormones (DHT) | Male/female pattern baldness | Minoxidil, finasteride |
| Alopecia Areata | Autoimmune | Patchy, round bald spots | May regrow spontaneously |
| Telogen Effluvium | Stress, illness, childbirth | Diffuse shedding | Treat underlying cause |
| Traction Alopecia | Tight hairstyles | Hair loss at hairline/temples | Change styling practices |
| Anagen Effluvium | Chemotherapy | Rapid, widespread loss | Hair regrows after treatment |
Scalp Disorders
| Condition | Description | Action |
|---|---|---|
| Dandruff (Pityriasis) | Flaky scalp, dry or oily | Can perform service with medicated shampoo |
| Seborrheic Dermatitis | Severe dandruff, oily scales | Refer to dermatologist if severe |
| Psoriasis | Thick silvery scales | Can service if mild; refer if severe |
| Pediculosis (Head Lice) | Parasitic infestation | DO NOT perform service; refer to physician |
| Tinea Capitis | Fungal ringworm | DO NOT perform service; refer to physician |
Hair Shaft Disorders
| Disorder | Description |
|---|---|
| Trichorrhexis Nodosa | Weak points causing breakage |
| Trichoptilosis | Split ends |
| Monilethrix | Beaded hair shaft |
| Canities | Gray/white hair (natural aging) |
| Ringed Hair | Alternating light and dark bands |
Part 2: Nail Anatomy
Key Nail Structures
| Structure | Description | Function |
|---|---|---|
| Nail Matrix | Origin of nail (under proximal fold) | Produces nail plate cells |
| Lunula | Visible white half-moon | Visible part of matrix |
| Nail Plate | Visible, hardened nail | Protection |
| Nail Bed | Skin beneath nail plate | Supplies nutrients |
| Free Edge | Part extending past fingertip | Functional edge |
| Hyponychium | Skin under free edge | Protects nail bed |
| Eponychium | Living skin at nail base | Protects matrix |
| Cuticle | Dead tissue attached to plate | Seals eponychium to plate |
| Lateral Nail Folds | Skin on sides of nail | Protection, guidance |
The Nail Matrix - Critical Structure
The nail matrix is the most important structure:
- Origin of all nail plate cells
- Located beneath the proximal nail fold
- The lunula is the visible portion of the matrix
- If the matrix is damaged, the nail will be permanently deformed
- Matrix cells produce keratin that hardens into nail plate
Nail Growth
- Rate: Approximately 0.1mm per day (3mm per month)
- Fingernails: Replace completely in 4-6 months
- Toenails: Replace completely in 12-18 months
- Factors affecting growth: age, health, nutrition, season
Nail Disorders and Diseases
Nail Disorders (Can Usually Service)
| Disorder | Description | Cause |
|---|---|---|
| Leukonychia | White spots | Minor trauma to matrix |
| Onychorrhexis | Brittle, splitting nails | Age, chemicals, dryness |
| Beau's Lines | Horizontal ridges | Illness, stress, trauma |
| Hangnails | Torn cuticle/skin | Dryness, nail biting |
| Ridges | Vertical lines | Aging, normal variation |
| Eggshell Nails | Thin, flexible nails | Illness, malnutrition |
Nail Diseases (DO NOT Service)
| Disease | Description | Action |
|---|---|---|
| Onychomycosis | Fungal infection; thick, discolored | Refer to physician |
| Paronychia | Infection around nail fold | Refer to physician |
| Onychia | Inflammation with pus | Refer to physician |
| Pseudomonas (Greenies) | Green/black bacterial infection | Refer to physician |
| Onycholysis | Nail separating from bed | May indicate underlying condition |
| Tinea Pedis (Athlete's Foot) | Fungal skin infection | Refer if active |
When to Refuse Nail Service
Never perform nail services on clients with:
- Signs of infection (redness, swelling, pus, pain)
- Fungal infections (discolored, thick, crumbly nails)
- Open wounds or cuts around the nail
- Visible bacterial infections (green/black discoloration)
- Any condition that appears contagious
Which layer of the hair shaft contains melanin and is responsible for hair color?
Cuticle
Cortex
Medulla
Papilla
During which phase of the hair growth cycle is the hair actively growing?
Telogen
Catagen
Anagen
Exogen
The nail matrix is critical because:
It determines nail color
It forms the free edge
It controls nail growth rate only
If damaged, the nail will be permanently deformed
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