Scalp concerns
Hair and scalp problems come in many forms – androgenetic alopecia, telogen effluvium, alopecia areata, scarring alopecia, dandruff, oily or itchy scalp, psoriasis, folliculitis and more – and each one needs its own diagnosis, not a generic fix. Below you’ll find guidance on the most common concerns, what may be causing them and the right first step to take.
Not sure which applies to you? Start with a trichological consultation.
Male / Female Hair Loss
Female and male pattern hair loss, also known as androgenetic alopecia,is the most common type of hair loss in both women and men. However, it can sometimes be overdiagnosed or confused with other conditions that look similar.
A proper assessment should exclude scalp disorders, medical conditions and nutritional deficiencies that may worsen hair loss. Different types of hair loss can also occur together, so addressing every contributing factor is essential for achieving the best long-term results.
Many clients with androgenetic alopecia may be suitable for a hair transplant, but not everyone is ready immediately. Some require scalp preparation, advanced treatment protocols or tailored home care, while others may not be suitable for surgery.
Book an assessment to find out which group you are in.
Pre and post hair transplant assessment
A hair transplant should not always be the first option. An independent trichological assessment helps determine whether you are a suitable candidate, identify factors contributing to hair loss and check whether your scalp requires preparation before surgery.
Improving scalp health and managing inflammation may support healing, reduce complications and create better conditions for transplanted grafts. In some cases, stabilising hair loss before surgery may also reduce the number of grafts required.
Post-transplant care is equally important. Ongoing assessment helps monitor the scalp, support new and existing hair and identify any problems early.
Start with an independent trichological consultation to make an informed decision and follow the right treatment pathway.
Tellogren Effluvium
Telogen effluvium is a common type of excessive hair shedding. It may be triggered by nutritional deficiencies, restrictive diets, illness, stress, hormonal changes, new medications or rapid weight loss.
Finding the underlying cause is essential. A trichological consultation, detailed health history and appropriate blood tests can help identify the factors contributing to hair loss. For some clients, the cause is found quickly; for others, investigation and recovery may take several months.
Avoid taking random hair-loss supplements without proper assessment. Biotin deficiency is uncommon, and biotin supplements will not help when the real cause lies elsewhere.
Start with a trichological consultation to identify the possible cause and create a safe, personalised treatment plan.
Scaring alopecia
Scarring alopecia is a group of hair-loss conditions that can permanently damage hair follicles. It includes Lichen Planopilaris, Frontal Fibrosing Alopecia, Folliculitis Decalvans, Discoid Lupus Erythematosus and traction alopecia.
These conditions may be difficult to recognise and can sometimes occur alongside androgenetic alopecia. Symptoms such as persistent itching, burning, redness, tenderness, scaling or smooth areas without visible follicles should not be ignored.
Early diagnosis is essential because treatment aims to control inflammation and prevent further permanent hair loss. Traction alopecia is different, as it is usually caused by repeated pulling from tight hairstyles, extensions or heavy hairpieces.
Book a specialist trichological assessment if your symptoms are persistent or getting worse.
Alopecia areata
Alopecia areata is an autoimmune condition that usually causes sudden, well-defined patches of hair loss. However, several scalp disorders can look similar, so an accurate diagnosis is essential before starting treatment.
During the active stage, the priority is to control the immune and inflammatory process—not simply stimulate hair growth. Injectable or stimulating treatments should never be performed without confirming the diagnosis and assessing whether the condition is active. Medical treatments, including corticosteroids, should be provided only by an appropriately qualified medical professional.
A bald patch does not automatically mean you are suitable for mesotherapy, PRP or other popular injectable treatments.
Book a specialist assessment to identify the condition and choose the safest treatment pathway.
Postpartum hair loss
Postpartum hair loss is common, but it does not affect every woman. During pregnancy, hormone levels rise and help keep more hairs in the growth phase. After childbirth, these hormones can drop rapidly, causing increased shedding—usually around three months after delivery.
In many cases, shedding improves within a few months. However, if hair loss continues, becomes more severe or does not begin to settle, additional factors such as nutritional deficiencies, stress, thyroid imbalance or ongoing telogen effluvium may be involved.
Do not wait too long to seek help. Early assessment can identify the cause and support a faster, healthier recovery.
Menopousal hair loss
Menopausal hair loss does not affect every woman. Hormonal changes may influence the hair-growth cycle, but lifestyle, genetics, follicle sensitivity, stress, nutrition and accompanying medical conditions can also play an important role.
Menopause can be a challenging time, but professional support is available. A detailed assessment can help identify the factors contributing to hair loss and guide a personalised plan, which may include tailored home care, light therapy, oxygen infusion or injectable treatments where appropriate.
Do not wait until hair loss becomes advanced. Early support can help protect the scalp, strengthen existing hair and improve long-term results.
Itchy or sensitive hair scalp
An itchy or sensitive scalp is a symptom, not a diagnosis. It may be linked to dandruff, psoriasis, fungal infection, dryness, inflammation or certain types of scarring alopecia.
During a trichological consultation, the scalp is examined under a trichoscope to assess scaling, redness, inflammation around the follicles, vascular patterns, dehydration and other changes that may not be visible to the naked eye.
A detailed consultation and trichoscopic assessment are essential to identify the possible cause and choose the correct treatment. Treating itch without understanding the underlying problem may only provide temporary relief.
Weak, thin or slow-growing hair
Weak, thinning or slow-growing hair is increasingly common. Restrictive diets, rapid weight loss, weight-loss medications, stress and poor nutrient intake may all affect hair quality and growth.
Hair-producing cells divide very quickly, but hair is not essential for survival. When the body does not receive enough energy, protein or nutrients, it prioritises vital organs and reduces support for hair growth. Hair may then become finer, weaker, drier and more prone to shedding or breakage.
Restoring healthy growth can take time, so early professional support is important. A trichological consultation can help identify the possible causes and create a personalised plan to support your hair from within and improve scalp care.
Oily scalp
An oily scalp is common and can usually be managed with the right products, home care and daily habits. An oily scalp may require daily washing, while excessive sebum production can make the hair feel greasy again only a few hours after washing. It may also occur alongside oily facial skin or acne.
Although sebaceous glands cannot be permanently switched off, excess oil can be controlled. Proper scalp care helps reduce sebum build-up and lowers the risk of greasy dandruff, inflammation and seborrhoeic dermatitis.
A trichoscopic assessment can identify the condition of the scalp and guide the correct cleansing routine and treatment plan. Consistent hygiene and early management are essential for maintaining a healthy scalp and supporting healthy hair growth.
Dandruff
Dandruff is extremely common, and most people will experience it at some point. It is associated with an imbalance involving Malassezia, a yeast naturally present in the scalp microbiome. Infrequent washing, leaving the scalp wet, excess sebum, product build-up and unsuitable haircare may allow symptoms to develop or worsen.
Common signs include visible flakes, itching, irritation and an oily or dry-feeling scalp. With the correct diagnosis, washing routine, home care and professional guidance, dandruff can usually be controlled effectively.
Because dandruff may return, consistent scalp care is essential. Book a trichological consultation to identify the type of dandruff and create the right management plan.
Seborrhoeic dermatitis
Seborrhoeic dermatitis is a common, chronic inflammatory scalp condition. It may cause persistent flaking, redness, itching, excess oil and irritation, with symptoms often improving and returning over time.
Stress, hormonal changes, lifestyle, excess sebum and changes within the scalp microbiome may all contribute to flare-ups. Because the condition varies from person to person, random products may irritate the scalp or fail to control the symptoms.
A professional trichological assessment can identify the severity of the condition and guide a tailored home-care routine. In more advanced cases, professional scalp-cleansing treatments may also help remove build-up and support better symptom management.
Book a consultation to find the most suitable approach for your scalp.
Scalp psoriasis
Psoriasis is a chronic inflammatory condition that can affect the scalp in different ways. Symptoms may include persistent scaling, redness, itching, dryness and thickened plaques.
A trichological consultation helps assess the type and severity of the condition and create a personalised scalp-care plan. Professional support may include suitable home care, gentle cleansing, lifestyle guidance and coordination with medical treatment where necessary.
Because psoriasis is a long-term condition, consistent and individualised management is essential. Book a consultation to find the most suitable approach for your scalp.
Scalp folliculitis
Scalp folliculitis is a common inflammatory condition, particularly in men. It may cause recurring spots, pustules, tenderness, itching and irritation around the hair follicles. The condition can persist for years and may be influenced by bacteria, yeast, excess sebum, friction, hygiene habits or other underlying factors.
Because folliculitis has different possible causes, one product or appointment is rarely enough. A trichological assessment can help identify contributing factors and create a tailored plan that may include appropriate home care, scalp hygiene, professional cleansing treatments and medical referral when required.
Do not treat persistent folliculitis by trial and error. Book a consultation to understand the condition and learn how to manage it safely and effectively.
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