Trichology is the science that studies the diagnosis and treatment of problems with hair, scalp, and hair follicles, which can lead to symptoms of dandruff, texture problems, hair loss, and other serious conditions. No matter the process, as with all para-medical consultations, trichologists will work with your GP to ensure that you receive the right treatment.
Who is a Trichologist?
Defined as the branch of medical and cosmetic study and practice concerned with the hair and scalp. A Trichologist studies hair growth, hair damage, hair breakage, hair follicles, and conditions affected by factors such as stress, hormonal imbalances, and vitamin and mineral deficiencies.
Embarking on a career as a Trichologist involves a comprehensive education in various scientific disciplines and practical clinical training. Aspiring Trichologists study human biology, chemistry, physics, basic genetics, and the anatomy and physiology of the hair and scalp. They also learn about nutrition, hair loss conditions, hair fibre disorders, and scalp disorders. Proficiency in microscopy and analysing blood test results is essential. In addition to theoretical knowledge, hands-on clinical training hours are required to ensure they can diagnose and treat a wide range of hair and scalp issues effectively. This holistic approach prepares Trichologists to provide expert care and support to their clients.
To become a Trichologist, one must study:
- Human biology, chemistry and physics.
- Basic genetics
- Anatomy and physiology of hair and scalp
- Nutrition
- Hair loss conditions (alopecia areata, androgenetic alopecia, anagen and telogen effluvium, cicatricial alopecias, trichotillomania)
- Hair fibre disorders (traction alopecia, genetic conditions)
- Scalp Disorders (folliculitis, seborrhoeic dermatitis)
- Microscopy
- Reading and analysing blood test results
- Treatments
Common Conditions Treated by Trichologists
A Trichologist commonly treats a variety of conditions related to hair and scalp health, including:
Hair Loss Conditions:
- Alopecia areata
- Androgenetic alopecia (male and female pattern baldness)
- Anagen and telogen effluvium
- Cicatricial alopecias (scarring hair loss)
- Trichotillomania (hair-pulling disorder)
Hair Fiber Disorders
- Traction alopecia
- Genetic hair fibre conditions
Scalp Disorders
- Folliculitis
- Seborrhoeic dermatitis
- Psoriasis
- Dandruff
- Scalp infections
Nutritional Deficiencies and Imbalances
- Impacting hair and scalp health
By addressing these conditions, Trichologists help improve the overall health and appearance of their clients’ hair and scalp.
How Does a Trichologist Reach a Diagnosis?
A Trichologist diagnoses hair and scalp conditions through a combination of methods:
Patient History:
Collecting detailed information about the patient’s medical history, family history, diet, lifestyle, and hair care routine. Discussing symptoms, duration of the problem, and any potential triggers or stressors.
Visual and Physical Examination:
Conducting a thorough examination of the scalp and hair, looking for signs of inflammation, redness, scaling, and hair density.
Microscopy:
Using a microscope to examine hair shafts and scalp samples, identifying abnormalities in hair structure or scalp skin.
Pull Test:
Gently pulling a small amount of hair to see how many hairs come out, assessing hair strength and shedding patterns.
Trichoscopy:
Employing a handheld device called a dermatoscope to closely inspect the scalp and hair follicles. Detecting signs of hair and scalp disorders.
Blood Tests:
Ordering blood tests to check for underlying health issues, nutritional deficiencies, or hormonal imbalances that could affect hair health. Analysing results to inform diagnosis and treatment plans.
By combining these diagnostic methods, Trichologists can accurately identify a wide range of hair and scalp conditions and tailor treatment plans to their patients’ individual needs.
When to Consult a Trichologist
- If you observe sudden or gradual hair loss/alopecia.
- Patches of balding.
- An increase in hair shedding while combing or washing.
- Persistent scalp itching, redness or discomfort.
- Excessive oily scalp.
- Loss of eyebrows.
- Hair thinning.
- Flakey scalp (dry or oily)
- Burning sensation on scalp
These symptoms could indicate inflammatory scalp conditions or skin infections. Addressing hair loss early can lead to more effective treatments and better outcomes.
What to Expect During a Consultation
Almost every trichology appointment includes an in-depth hair and scalp analysis by a trained professional. They will check for structural damage, fungal concerns, dandruff, flaky scalp, blocked follicles, and more. At times, a blood test is recommended for a deeper look at the issue. A trichologist consultation can take up to 60 minutes. During it, your full medical history will be reviewed, and various aspects of your lifestyle, including diet, stress levels, medications, and scalp issues, will be discussed.
The condition of your hair can reflect your lifestyle. Full and shiny hair often indicates a healthy lifestyle, while dull and lifeless hair can suggest stress or poor health. A thorough scalp examination will be conducted, potentially including photographs, hair samples, and a magnified inspection of your scalp. Blood tests might also be requested.
Your trichologist will provide a preliminary diagnosis and suggest possible reasons for your hair loss. They will recommend a treatment plan based on the discussed factors. If an underlying medical issue is suspected, they will advise you to consult your GP.
Not everyone who consults a trichologist has a hair problem. Some seek advice to maintain their hair and scalp health to prevent future issues, which can be cost-effective in the long run. Alternatively, you can consult your GP, who can examine your hair and suggest treatments, though their consultation may not be as detailed as that of a trained trichologist.
Alternative Hair Care Professionals
Trichology vs. Dermatology
When addressing hair and scalp issues, it’s important to understand the differences between Trichologists and Dermatologists.
Trichologists focus exclusively on hair and scalp health. They perform thorough examinations, obtaining a complete hair history and using microscopes to analyse scalp health. Trichologists adopt a holistic approach, utilising a variety of treatments, including nutritional supplements, scalp therapy products, low-level laser therapy, and traditional medical treatments like minoxidil. Initial consultations typically last at least an hour.
Dermatologists are medical doctors specialising in the skin, hair, nails, and adjacent mucous membranes. They manage both benign and malignant disorders and may not always conduct detailed scalp examinations. Treatments often include medical therapies such as minoxidil, steroids, or antifungal creams. Dermatologists might perform biopsies to diagnose alopecia, but consultations are usually shorter, around five minutes.
Trichologists often work alongside medical doctors to provide comprehensive hair loss treatments and might refer patients for blood tests to identify underlying causes.
For a detailed understanding of hair loss, a Trichologist may be more suitable. However, collaborating practices with both Trichologists and Dermatologists offer a complete range of treatment options. It’s crucial to ensure that the professional you consult is a specialist in hair loss and related issues.
Do You Need a Trichologist?
A trichologist is a specialist focused on diagnosing and treating hair and scalp issues through a comprehensive approach that includes understanding your medical history, lifestyle, and specific hair and scalp conditions. Unlike Dermatologists, who treat a broad range of skin-related issues, Trichologists offer a detailed and holistic approach to hair health. If you’re experiencing hair loss, scalp discomfort, or other related symptoms, consulting a Trichologist can provide you with a thorough diagnosis and tailored treatment plan.
Don’t wait to address your hair and scalp concerns. Schedule a consultation with a Trichologist today to start your journey toward healthier hair and scalp. If you have underlying health issues, they will collaborate with your GP to ensure you receive the best possible care. Take the first step to reclaiming your hair health now!
