Scalp Explained: Meaning, Structure, and Purpose

Medically reviewedby Dr. Amy Revene M.B.B.S.
WrittenbyLiza Schermann
Last updated

The scalp is an essential part of the body, yet most people don’t pay much attention to it until they experience problems like dandruff, hair loss, or irritation. 

However, the scalp plays a crucial role in protecting the skull, regulating temperature, and supporting hair growth.

Understanding the anatomy, functions, and common conditions of the scalp can help in maintaining its health. 

This article will explain what the scalp is, how it works, and the best ways to care for it in simple terms.

What is scalp?

The scalp is the skin and soft tissue covering the top of your head, protecting the skull and supporting hair growth. It consists of multiple layers, including skin, connective tissue, muscles, blood vessels, and nerves, all working together to keep the scalp healthy.

Unlike other parts of the body, the scalp has a higher number of sebaceous (oil) glands and hair follicles, making it more prone to oil buildup, dandruff, and irritation. It also has a dense blood supply, which is why scalp injuries often bleed more than injuries to other areas.

The scalp is also highly sensitive due to the presence of numerous nerve endings. This is why scalp massages feel relaxing and why conditions like dryness, inflammation, or infections can cause discomfort. Taking care of your scalp is just as important as caring for your skin and hair.

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Anatomy of the scalp

The scalp consists of five layers, which can be remembered using the mnemonic “SCALP”:

  • Skin – The outermost layer containing hair follicles, sweat glands, and sebaceous (oil) glands.
  • Connective tissue – A dense layer filled with blood vessels and nerves that supply oxygen and nutrients to the scalp and hair.
  • Aponeurosis (Galea Aponeurotica) – A strong, fibrous layer that connects the scalp muscles.
  • Loose areolar tissue – A soft, flexible layer that allows scalp movement but can also be a site for infections to spread.
  • Pericranium – The deepest layer, which covers and protects the skull bones.

Skin

The skin is the outermost layer of the scalp and is where hair grows. It contains:

  • Hair follicles – Tiny structures responsible for hair growth.
  • Sebaceous (oil) glands – Produce sebum, a natural oil that helps keep the scalp moisturized.
  • Sweat glands – Help regulate temperature and remove toxins.

This layer also contains melanocytes, which produce melanin—the pigment responsible for hair color. As we age, melanocytes slow down, leading to gray or white hair.

A healthy scalp should have a balanced amount of oil. Too much oil can lead to dandruff and clogged follicles, while too little can cause dryness and irritation.

Connective tissue

This layer is rich in blood vessels and nerves, making it vital for hair growth. The blood supply brings oxygen and nutrients to the hair follicles, helping them stay strong and healthy.

Because the blood vessels in this layer are tightly attached to the connective tissue, scalp wounds tend to bleed a lot and heal quickly. However, poor circulation or scalp conditions can weaken the follicles, leading to hair thinning or shedding.

Aponeurosis (Galea Aponeurotica)

This fibrous tissue layer connects the front and back muscles of the scalp, helping with facial expressions. When you raise your eyebrows or frown, this layer is involved in the movement.

It acts as a tough protective shield, preventing excessive stretching of the scalp and keeping its shape intact.

Loose areolar tissue

This layer allows the scalp to move over the skull, making it possible for the scalp to shift slightly when massaged. However, this layer is also known as the "danger zone" because it contains small veins (emissary veins) that connect to the brain.

If an infection reaches this layer, bacteria can spread quickly to deeper areas, increasing the risk of severe infections like meningitis.

Pericranium

The pericranium is the deepest layer, covering and protecting the skull bones. It doesn’t directly affect hair growth but is important for bone repair and scalp reconstruction after injuries.

If trauma reaches this layer, medical attention is usually required, as it can affect the underlying skull.

Blood supply and lymphatic drainage

The scalp has an extensive network of arteries and veins, which explains why head wounds bleed heavily.

Arterial supply:

  • Superficial temporal artery – Supplies the sides of the scalp.
  • Occipital artery – Supplies the back of the scalp.
  • Posterior auricular artery – Supplies the area near the ears.

Venous drainage:

  • Superficial temporal and occipital veins – Drain blood from the scalp.
  • Emissary veins – Connect the scalp to the brain’s blood circulation, which can increase the risk of spreading infections.

Lymphatic drainage:

  • Lymph from the front of the scalp drains into the parotid nodes.
  • Lymph from the back drains into the occipital and mastoid nodes.

Nerve supply of the scalp

The scalp has a rich nerve supply, making it very sensitive to touch, pain, and temperature changes.

Front and sides:

  • Supraorbital and supratrochlear nerves – Supply the forehead and front scalp.
  • Auriculotemporal nerve – Supplies the temple area.

Back of the scalp:

  • Greater occipital nerve – Supplies the back of the head.
  • Lesser occipital nerve – Supplies the area behind the ears.

Functions of the scalp

The scalp does more than just hold hair. It has several important functions, including:

  • Protecting the skull – The scalp acts as a cushion, protecting the bones underneath from injuries.
  • Regulating temperature – It helps keep the head warm in cold weather and cool in hot weather by controlling blood flow and sweat production.
  • Supporting hair growth – The scalp contains hair follicles that produce hair, which can provide extra protection from the sun and cold.
  • Providing sensory feedback – The scalp is full of nerve endings, making it sensitive to touch, temperature, and pain.

Common scalp conditions

Many people experience scalp problems at some point in their lives. Some conditions cause itchiness, flaking, or hair loss, while others may result in pain or irritation. Below are some of the most common scalp conditions and their causes.

Dandruff (Seborrheic dermatitis)

Dandruff is one of the most common scalp conditions, affecting over 50% of adults worldwide. It causes flaky, white or yellowish skin to shed from the scalp, often leading to itchiness.

Causes:

  • Excess oil production – Overactive sebaceous glands create a buildup of oil, leading to flaking.
  • Malassezia fungus – A yeast-like fungus naturally found on the scalp that can grow out of control, irritating the skin.
  • Dry skin – Can also cause dandruff, especially in colder months.

Treatment:

Scalp psoriasis

Psoriasis is an autoimmune condition that causes thick, scaly patches on the skin, including the scalp. According to the National Psoriasis Foundation, about 50% of people with psoriasis develop scalp psoriasis.

Causes:

  • The immune system triggers an overproduction of skin cells, causing red, scaly patches.
  • Genetics play a role; if a family member has psoriasis, there’s a higher chance of developing it.
  • Stress, infections, and certain medications can trigger flare-ups.

Treatment:

  • Topical treatments like corticosteroid creams, salicylic acid, or coal tar shampoos.
  • Phototherapy (UV light therapy) for severe cases.
  • Lifestyle changes like reducing stress and avoiding harsh hair products.

Alopecia (Hair loss)

Alopecia is a condition that causes hair loss, which can happen gradually or suddenly. The most common form is androgenetic alopecia (male and female pattern baldness), affecting up to 50% of men and women by age 50.

Types of alopecia:

  • Androgenetic alopecia – Genetic hair loss that occurs over time.
  • Alopecia areata – An autoimmune condition where the body attacks hair follicles, causing patchy bald spots.
  • Telogen effluvium – Temporary hair shedding due to stress, illness, or hormonal changes.

Treatment:

Scalp folliculitis

Scalp folliculitis is a bacterial or fungal infection of the hair follicles, leading to red bumps, itching, and sometimes pus-filled sores.

Causes:

  • Bacterial infections (often Staphylococcus aureus).
  • Fungal infections (like tinea capitis or ringworm).
  • Excess oil and sweat blocking hair follicles.

Treatment:

  • Antibacterial or antifungal shampoos with ingredients like tea tree oil or ketoconazole.
  • Oral antibiotics for severe cases.
  • Avoiding tight hairstyles that trap heat and bacteria.

Scalp care practices

A healthy scalp is the foundation for healthy hair. Keeping the scalp clean and balanced can prevent common problems like dandruff, irritation, and hair thinning.

  • Wash your hair regularly (but not too often) – Washing removes oil, dirt, and product buildup. However, overwashing can strip natural oils, leading to dryness. Most people should wash 2-4 times per week, depending on their scalp type.
  • Use a gentle, sulfate-free shampoo – Harsh sulfates can irritate the scalp and cause dryness or excess oil production as the scalp tries to compensate.
  • Moisturize the scalp – Just like skin, the scalp needs hydration. Oils like jojoba, argan, or coconut oil help lock in moisture. For those with oily scalps, lightweight serums work better.
  • Exfoliate the scalp – A buildup of dead skin cells and product residue can clog hair follicles. Using a scalp scrub or a brush once a week can improve circulation and keep the scalp fresh.
  • Avoid harsh chemicals – Hair dyes, relaxers, and certain styling products can cause scalp irritation and long-term damage. Look for natural or low-chemical alternatives.
  • Protect from sun damage – The scalp is often exposed to the sun and can burn easily. Wearing a hat or using a UV-protectant spray can help prevent sun damage.
  • Massage your scalp regularly – Massaging for 5-10 minutes a day improves blood circulation, which helps with hair growth and relaxation.

Recent trends in scalp care

Scalp care is becoming as important as skincare, with new treatments and products focused on scalp health. Below are some of the latest trends in scalp care.

Scalp "skinification"

The "skinification" of hair care means treating the scalp like facial skin—using serums, exfoliants, and hydration treatments. Many people now use:

  • Scalp serums – Lightweight, nutrient-rich formulas to soothe dryness and irritation.
  • Scalp masks – Deep treatments to hydrate and balance oil production.
  • Pre-wash oils – Oils like rosemary and peppermint oil, which stimulate hair growth and reduce inflammation.

Scalp microbiome balance

Recent studies show that a healthy balance of bacteria and fungi on the scalp (the scalp microbiome) is key to preventing dandruff and irritation (source: Journal of Investigative Dermatology).

Brands are now creating probiotic scalp treatments to support a healthy microbiome and reduce flaking, itching, and hair loss.

Scalp exfoliation treatments

Just like exfoliating the skin, exfoliating the scalp helps remove dead skin cells, oil buildup, and dandruff. Popular exfoliating methods include:

  • Scalp scrubs – Containing salicylic acid, glycolic acid, or natural scrubbing particles.
  • Chemical peels – Scalp treatments using AHA (alpha hydroxy acid) or BHA (beta hydroxy acid) to unclog follicles and stimulate growth.

Professional scalp facials

Scalp facials are salon or clinic treatments designed to deeply cleanse, hydrate, and exfoliate the scalp. They typically involve:

  • Deep cleansing shampoos to remove buildup.
  • Steam treatments to open hair follicles.
  • Scalp massages to boost circulation.
  • Nutrient-rich serums to promote healthy hair growth.

Conclusion

The scalp is more than just the skin on your head—it plays a big role in protecting your skull, regulating temperature, and helping your hair grow. Keeping your scalp healthy is important for strong, thick hair and can help prevent problems like dandruff, irritation, and hair loss.

Knowing how the different layers of the scalp work helps us understand why certain issues happen and how to treat them. Common scalp problems like dandruff, psoriasis, and hair thinning can often be managed with the right care and treatments.

Taking care of your scalp doesn’t have to be complicated. Washing regularly, keeping it moisturized, exfoliating to remove buildup, and protecting it from the sun and harsh chemicals can go a long way in keeping it healthy. 

With more people focusing on scalp care like they do skincare, products like scalp serums, gentle exfoliants, and microbiome-friendly treatments are becoming more popular for maintaining a clean and balanced scalp.

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References:

  1. https://www.ncbi.nlm.nih.gov/books/NBK430924/

  2. https://pmc.ncbi.nlm.nih.gov/articles/PMC6369642/

  3. https://www.sciencedirect.com/science/article/pii/S0022202X15525852

  4. https://pmc.ncbi.nlm.nih.gov/articles/PMC5551307/