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Scalp: Anatomy, Microbiome, and a Comprehensive Routine for a Healthy Scalp

The scalp is skin in its own right: anatomy, microbiome, 4 profiles, and a complete routine (scrub, shampoo, serum) to restore its natural balance.

Madame d’AlexisHair expertise 9-minute read
Scalp: anatomy, microbiome, and complete routine for a healthy scalp Madame d'Alexis
Skincare for Hair

Scalp: Anatomy, Microbiome, and a Complete Skincare Routine

The scalp isn’t just a surface. It’s living, well-supplied skin, home to a microbiome, and responsible for much of your hair’s beauty. Understanding this means you can finally choose the right care routine.

100,000 to 150,000hair follicles on average on the scalp.
pH 4.5 to 5.5the ideal range for the skin barrier.
3 stepsExfoliate, gently cleanse, and treat overnight.
3 to 4 weeksto feel more comfortable.

Key takeaways

  • The scalp is skin in its own right, with an epidermis, dermis, hair follicles, sebaceous glands, and a microbiome.
  • Dandruff, itching, hair loss, and oily roots often start on the scalp itself, not just on the hair shaft.
  • A balanced microbiome depends on sebum, pH, the hydrolipid film, and the gentleness of skincare products.
  • The ideal routine: Exfoliate every 10 to 15 days, use a gentle shampoo 2 to 3 times a week, and apply a night serum to the scalp.
"The Right Instinct," by Madame d’Alexis

Before trying to add shine to the lengths, start by restoring balance. A healthy scalp results in hair that is more supple, more lustrous, and more resilient over time.

The Scalp Care Trio

The three key steps to remove buildup, cleanse without stripping, and support the scalp’s natural balance.

What Is the Scalp? Anatomy and Physiology

The scalp is the portion of skin that covers the skull, from the forehead to the nape of the neck. Like the rest of the skin, it consists of three layers: the epidermis, the dermis, and the hypodermis.

This area has an impressive density: between 150 and 300 hair follicles per cm², depending on hair type and ethnicity, for a total of 100,000 to 150,000 hairs on average.

To better understand the anatomy and physiology of the scalp, think of the hair follicle as a small factory: it produces hair, receives sebum, interacts with the microbiome, and depends on microcirculation.

01Epidermis

The visible barrier, which is directly exposed to shampoo, hard water, friction, and styling products.

02Dermis

The active area: blood vessels, nerve endings, hair follicles, and sebaceous glands.

03Hypodermis

The deeper, fattier layer that helps support the skin on the scalp.

The pilosebaceous follicle, the basic unit of the scalp

Each hair grows from a pilosebaceous follicle, a structure composed of the hair follicle, the sebaceous gland, and the arrector muscle. This structure explains why an unbalanced scalp directly affects hair quality.

The hair cycle: anagen, catagen, telogen

Phase Average duration What's Going On Why It's Important
Anagen Ages 2 to 6 Active growth phase. The longer it lasts, the longer and denser the fiber can be.
Catagen 2 to 3 weeks During the transition phase, the follicle retracts. The hair is preparing to leave its active phase.
Telogen About 3 months Rest phase, followed by a natural decline. You can lose 50 to 100 hairs a day without even noticing.

The Scalp Microbiome: The Invisible Balance That Changes Everything

The scalp is home to its own microbiome: an ecosystem of bacteria and yeasts that exists in balance with the skin’s sebum and pH. It is this invisible environment that influences comfort, dandruff, irritation, and the quality of the hair growth cycle.

MMalassezia

A lipid-loving yeast that feeds on sebum. It becomes a problem when it overgrows.

CCutibacterium acnes

A bacterium that helps maintain a protective acidic pH.

SStaphylococcus epidermidis

A beneficial microorganism that helps control certain unwanted germs.

pH: The Conductor of Balance

A healthy scalp has an acidic pH, between 4.5 and 5.5. As soon as the pH rises above 6—often due to a shampoo that is too alkaline or hard water—Malassezia proliferates more easily, sebum oxidizes, and discomfort may increase.

Sebum and the microbiome: a two-way relationship

Sebum isn't the enemy. It's food for the beneficial microbiome. The problem arises when there's too much or too little of it. In both cases, microbial diversity declines and opportunistic species take over.

That’s the whole concept behind our formulas based on active organic hydrosols: to cleanse and moisturize without stripping the scalp, in order to preserve the hydrolipidic film and support the scalp’s natural balance.

The 4 types of scalp: oily, dry, sensitive, normal

Before choosing a routine, you need to know what type of person you're dealing with. Here's how to tell them apart quickly.

01Oily Scalp

Hair that gets oily again within 24 to 48 hours, flat roots, and a greasy appearance as early as the day after shampooing.

02Dry scalp

Tightness, small flakes of dry dandruff, dull or brittle ends.

03Sensitive or Reactive Scalp

Itching, tingling, redness along the part, reactions to certain products.

04Normal Scalp

It doesn't get oily quickly, nor does it get dry; there's no particular discomfort. The goal is to maintain this balance.

Here’s a simple test: examine your scalp 48 hours after washing your hair with a mild shampoo and without using any styling products. If it’s shiny and sticks to your fingers, it’s oily. If it feels tight and flakes off in fine particles, it’s dry.

Common problems: dandruff, itching, irritation, hair loss

01Dandruff

Dandruff and scalp imbalances are often caused by an overgrowth of Malassezia, which converts sebum into irritating compounds.

02Itching and irritation

They are often linked to an imbalanced pH, a compromised skin barrier, or an intolerance to sulfates, silicones, or synthetic fragrances.

03Hair Loss

A chronically imbalanced scalp microbiome can contribute to local inflammation and discomfort, which weakens the environment necessary for hair growth.

A Complete Routine for a Healthy Scalp

An effective routine follows a simple logic: remove buildup, gently cleanse, and then deliver targeted active ingredients to the hair shaft and scalp, without ever disrupting the pH balance or the microbiome.

Step 1 - Detoxifying Scalp Scrub

A scalp scrub removes dead skin cells, oxidized sebum, and buildup from styling products without irritating the scalp.

Frequency: every 10 to 15 days, as needed.

Step 2 - Sulfate-Free Shampoo with Hydrosols

The cleanser should be gentle without stripping the skin. The goal is to cleanse the scalp, not to strip it of its hydrolipidic film.

Frequency: 2 to 3 shampoos per week, up to 4 for oily scalps if the formula is gentle.

Step 3 - Targeted Night Serum

This is the step that many routines overlook: a leave-in treatment applied strand by strand, directly to the scalp.

Frequency: daily or 3 to 4 evenings a week, as needed.

The principle that changes everything: the scrub exfoliates, the shampoo cleanses, and the serum helps maintain balance. It is this synergy—not a single “miracle” product—that restores the scalp’s ability to regulate itself.

Mistakes That Disrupt the Scalp's Balance

Certain habits, though very common, disrupt the scalp’s balance without us even realizing it.

Washing your hair every day with a formula that's too harsh.
Rinsing with very hot water, which irritates the scalp and weakens the skin barrier.
Using shampoos containing harsh sulfates, such as sodium lauryl sulfate.
Brushing too hard or on wet hair, especially when the hair shaft is already weakened.
Apply conditioner or a nourishing oil directly to the roots.
Do not use chlorine or very hard water without proper rinsing.

When to See a Dermatologist

Even a well-designed skincare routine has its limits. Certain signs should prompt you to see a dermatologist or doctor right away.

!Sudden or patchy snowfall

Hair loss that significantly exceeds 100 hairs per day over several weeks, or bald patches, requires medical attention.

!Redness, scabs, thick scales

These symptoms may indicate seborrheic dermatitis, psoriasis, or another scalp condition.

!Intense itching

If the discomfort does not improve after 3 to 4 weeks of gentle exercise, you should seek medical attention.

!Pain or injuries

A painful or damaged scalp is not just a cosmetic issue.

FAQ - Your Questions About the Scalp

What is the scalp?
This is the skin that covers the skull; like the rest of the skin, it consists of an epidermis, a dermis, and a hypodermis. It contains the hair follicles from which hair grows.
How big is the scalp?
On average, the scalp covers between 600 and 700 cm², depending on the shape of the skull, with a density of 150 to 300 hair follicles per cm².
What is the scalp microbiome?
This refers to the collection of bacteria and yeasts—such as Malassezia, Cutibacterium acnes, and Staphylococcus epidermidis—that naturally live on the scalp. Its balance depends, in particular, on sebum, pH, and the gentleness of the products used.
Oily or dry scalp: How can you tell the difference?
Check your hair 48 hours after using a mild shampoo: if it’s shiny and sticky, it’s oily; if it feels tight, flakes off in fine particles, and the ends are dry, it’s dry.
Why does my scalp get oily so quickly?
Most often, this is caused by over-washing, using a shampoo that’s too harsh, hormonal stress, or applying a product that’s too rich to the roots. The goal isn’t to dry out the hair, but to gradually restore its balance.
Is dandruff contagious?
No. Malassezia yeast is naturally present on everyone’s scalp. Dandruff occurs when the local balance is disrupted and the inflammatory reaction becomes visible.
What is the difference between dandruff and seborrheic dermatitis?
Dandruff consists of dry or oily flakes without significant inflammation. Seborrheic dermatitis often involves redness, patches, itching, and visible inflammation, and frequently requires a dermatologist’s evaluation.
How often should you exfoliate your scalp?
Every 10 to 15 days is sufficient for most people. For oily or very thick scalps, the frequency can be adjusted as needed, but always with a gentle massage.
Is sebum bad for the scalp?
No. Sebum protects the skin, nourishes part of the beneficial microbiome, and lubricates the hair shaft. The problem stems from an excess, a deficiency, or the oxidation of sebum—not from its presence.
When does hair loss become a cause for concern?
When hair loss significantly exceeds 100 hairs per day over several weeks, occurs in patches, or is accompanied by redness, pain, scabs, or lesions.

Sources

  • Medical Encyclopedia - Hair Follicle, Wikipedia: fr.wikipedia.org/wiki/Follicule_pileux
  • French Society of Dermatology - Skin Structure and Appendages: sfdermato.org
  • ORBi University of Liège - Scaly Scalp Conditions and Dandruff: orbi.uliege.be
  • PubMed - Comparison of the Microbiomes of Healthy and Dandruff-Prone Scalps Reveals the Role of Commensals in Scalp Health: pubmed.ncbi.nlm.nih.gov/30338244
  • PubMed - The pH of the skin surface and its impact on the barrier function: pubmed.ncbi.nlm.nih.gov/16864974
  • EUR-Lex - Regulation (EC) No. 1223/2009 on cosmetic products.