Hair Loss

Hair loss and scalp conditions

The study and treatment of the hair and scalp.

 Joe’s Trichology Clinic is open every Tuesday and Thursday at The Hairdressers


Absolutely, it is definitely worth considering a visit to a trichologist if you are facing issues related to your hair or scalp. By undergoing a thorough consultation, a trichologist can carefully analyse, diagnose, and provide suitable treatment for your specific condition. In the event that they are unable to address your concerns, they can also refer you to other specialized healthcare professionals who may be able to assist you further. Hair loss can be emotionally distressing regardless of age, as it significantly impacts our overall well-being and can lead to heightened stress levels, exacerbating the condition even more.

When should you visit a trichologist?

It is recommended to schedule a visit to a trichologist in the following situations:

  1. If you notice signs of thinning hair, excessive shedding, or scalp irritations, it is advisable to seek a trichologist’s expertise promptly.
  1. When you have recently started or changed medication, or anticipate beginning a treatment that may potentially lead to hair thinning. Examples include thyroid medications, beta blockers, blood thinners, antidepressants, and cholesterol-lowering drugs.
  1. If you believe you are entering perimenopause, experiencing menopause, or have already gone through menopause. These life stages often coincide with hair thinning and scalp-related issues.
  1. In the case of a family history of hair thinning, if you wish to delay or prevent its effects, consulting a trichologist can be beneficial.
  1. Following pregnancy, surgical procedures, illness, or a course of strong medications, your hair may feel lifeless and require professional attention from a trichologist.


What causes hair loss?

Hair loss can be attributed to various factors, including:


  1. Genetics: Inherited genetic factors play a significant role in determining hair loss patterns.
  1. Illness: Certain medical conditions and illnesses can contribute to hair loss.
  1. Diet: Crash diets or inadequate nutrition can impact the health of your hair and lead to hair loss.
  1. Iron deficiency: Insufficient iron levels in the body, known as iron deficiency anaemia, can result in hair loss.
  1. Stress: Psychological and emotional stress can trigger temporary hair loss or exacerbate existing conditions.
  1. Environmental factors: Sun damage and exposure to harsh environmental conditions can weaken the hair and contribute to hair loss.
  1. Incorrect application of chemical treatments: Improper use of hair color, perming solutions, or relaxers can cause damage and hair loss.
  1. Medications: Some medications, such as certain antidepressants or blood thinners, may have hair loss as a side effect.
  1. Different stages of life: Hair loss can occur during various life stages, including puberty, pregnancy, menopause, and postpartum.
  1. Heat styling tools: Excessive use of heat styling tools, like flat irons or curling irons, can damage the hair and lead to breakage and thinning.
  1. Intense and prolonged physical exercise: Extreme physical activities or rigorous training routines can contribute to hair loss.
  1. Stages of hair growth: Hair growth follows a natural cycle, and during the shedding phase, some hair loss is normal. However, excessive or abnormal hair shedding may indicate an underlying issue.

    What happens when I make an appointment?

    When you schedule an appointment with us, your first consultation will last for one hour and will be with Joe, our resident trichologist with 40 years of experience in hairdressing. Joe herself has experienced hair loss due to an early forced menopause, so she truly understands the emotional impact it can have. During this in-depth consultation, Joe will take the time to get to know you, your medical history, your lifestyle, and the specific hair issues you are facing. She will utilize a handheld microscope and her expertise to analyse your hair and scalp, make a diagnosis, and recommend a personalized treatment plan.

    You will have your own personal file, ensuring compliance with GDP regulations, and Joe can also capture images of your hair and scalp to establish a baseline for comparison before and after treatment.

    Included in the price of your appointment is a 3-month secondary consultation/follow-up session, which lasts for half an hour. This session provides an opportunity to review your progress, make any necessary adjustments to your treatment plan, and address any questions or concerns you may have. Additionally, after the initial consultations, you are welcome to schedule maintenance consultations every 3-6 months. Some clients find these sessions helpful, as slight changes in the scalp and hair may require adjustments to the treatment regimen.

    It is advisable to make note of the names of any medications or supplements you are taking. If you have recently had a blood test, please bring the results with you to your appointment.



    How quickly will my treatment work?

    The effectiveness of your treatment will vary based on Joe’s assessment and the approach you choose to take. Since the turnover rate of skin cells and hair cells is unique to each individual, the products we use are designed to work in harmony with your body’s natural cycle. Results can be seen within a few weeks for some clients, while for others, it may take a few months. However, it’s important to note that a small percentage of clients may not experience any noticeable difference despite the treatment.

    What products are used?

    At our clinic, we utilize and endorse the use of La Biosthetique products. This product range was originally formulated in 1957 by Marcel Contier, a French chemist. The brand’s core principles are centred around the belief that healthy hair begins with a healthy scalp. La Biosthetique combines the power of natural ingredients, cutting-edge research, and a deep passion for beauty to create their exceptional product line.

    What do you have to do?

    When you choose Joe to administer your treatment, it is crucial to commit to using the prescribed treatments at home according to the instructions provided. Failure to adhere to the recommended product range and usage can result in suboptimal outcomes. As the treatment progresses, it may be necessary to transition to different products to advance to the next stage. Joe will provide you with comprehensive guidance on how to incorporate your new hair and scalp care regimen, accompanied by clear instructions. The La Biosthetique range is designed for ease of use, requiring minimal time for application.


    Menopause is no longer a topic whispered in hushed tones or considered taboo. Gone are the days of hearing the dismissive phrase, “In my day, we just got on with it.” Today, we have the power to take control, feel empowered, embrace this phase of life, and we are equipped with the necessary tools to do so.

    While the average age for women entering menopause is around 50, it’s important to note that some individuals may experience symptoms earlier during a phase called perimenopause. During this time, certain changes may become apparent in our hair. We may notice a decrease in hair growth, a slightly wider parting, thinner ponytails or plaits, or even slight recession in the front of our hairline.

    It’s worth mentioning that low ferritin levels (stored iron) can drop during this period, especially due to heavy or more frequent bleeding. This can contribute to excessive hair shedding. Therefore, it is crucial to have your iron levels checked by your general practitioner (GP).

    Let’s also acknowledge the male andropause, where fluctuating hormones can trigger the onset of male pattern hair loss (MPHL). Hormonal changes can affect both men and women during this transformative stage of life.


    FPHL (female pattern hair loss)

    FPHL Is noticeable more at the front and the crown, your parting may seem to get wider. Your hair is more noticeably see-through and your scalp may be visible. Hair is not lost at the sides and back and the hairline is retained.


    1. Age-related hair loss: FPHL can begin as early as puberty and may continue during peri-menopause, menopause, and post-menopause. Thinning of hair during post-menopause is often associated with a reduction in estrogen levels.
    2. Genetic predisposition: FPHL is commonly inherited from the maternal grandmother. Genetic factors play a significant role in its development.
    3. Increased sensitivity to testosterone: FPHL is linked to an increased sensitivity to the hormone testosterone, which can impact hair follicles and lead to hair thinning.


    Male Pattern Hair Loss (MPHL) is characterized by a receding hairline in the temple areas, thinning hair on the crown of the head, and a gradual recession of the hairline that eventually connects these areas.


    MPHL is typically inherited, often from the maternal grandmother. It is associated with an increased sensitivity to the hormone testosterone, leading to a condition known as Androgenetic Alopecia.

    Frontal Fibrosing Alopecia (Scarring Alopecia)

    Frontal Fibrosing Alopecia (Scarring Alopecia) is a type of hair loss characterized by scarring that primarily affects the frontal region of the scalp, including the forehead, temples, and sides. While it is more commonly observed in post-menopausal women, it can also occur in men and younger women. Unfortunately, there is currently no known cure for this condition, as the hair follicles are irreversibly damaged.


    Research suggests that Frontal Fibrosing Alopecia is an autoimmune condition, in which the immune system mistakenly attacks and destroys the hair follicles. The specific causes and triggers of this condition are not yet fully understood. However, it is believed that hormonal imbalances and environmental factors may play a role in its development.


    leogen Effluvium

    Telogen Effluvium is a condition characterized by excessive hair shedding. If you’re noticing an increased amount of hair in your hairbrush, shower tray, carpets, and furniture, along with a perceived decrease in hair density and fineness, it is often attributed to this condition. The good news is that Telogen Effluvium is easily treatable and does not result in scarring alopecia.


    Telogen Effluvium can be caused by various factors, including: 

    1. Post-pregnancy: Hormonal changes after giving birth can trigger hair shedding.
    2. Emotional stress: Significant emotional stress or trauma can disrupt the normal hair growth cycle.
    3. Viral infection: Certain viral infections can lead to temporary hair loss.
    4. Post-surgery: Hair shedding may occur following a surgical procedure.
    5. Diet change: Crash dieting or sudden dietary changes can impact hair health and result in shedding.

    Anagen effluvium

    Anagen Effluvium is a type of hair loss that can affect hair all over the body, including the scalp and face.


    Medical treatments such as chemotherapy, immunotherapy, and radiotherapy can often lead to Anagen Effluvium. It is important to note that this hair loss is typically temporary and hair will usually start regrowing once the treatment has been completed.


    Alopecia areata

    Alopecia Areata is a condition characterized by hair loss that manifests as patches on the scalp, and it can also occur in other areas of the body.


    In Alopecia Areata, the immune system mistakenly targets the hair follicles during their active growth phase (anagen) and prematurely pushes them into the resting phase (telogen). As a result, the affected hair is shed rapidly, leading to the development of bald patches. Alopecia Areata can occur at any stage of life.


    Alopecia Totalis

    Alopecia Totalis refers to the complete loss of hair on the scalp, while hair on other parts of the body remains unaffected.


    Similar to other forms of alopecia, Alopecia Totalis is an autoimmune condition in which the body’s immune system mistakenly attacks the hair follicles on the scalp. It is important to note that while the hair on the scalp is lost, the eyebrows may or may not be affected, and hair on other areas of the body typically remains intact.

    Alopecia Universalis

    Alopecia Universalis is a condition characterized by the complete loss of hair on both the scalp and the body.


    Similar to other forms of alopecia, Alopecia Universalis is an autoimmune condition. The immune system mistakenly targets and attacks the hair follicles, resulting in the loss of hair throughout the entire body.

    Alopecia Ophiasis

    Hair loss is identified by a pattern of hair loss that forms a band around the hairline, typically towards the back of the head, although it may not occur in every case.


    This type of hair loss is often attributed to an autoimmune condition. In autoimmune conditions, the body’s immune system mistakenly attacks its own hair follicles, resulting in hair loss.

    Alopecia Barbaeis

    Alopecia Barbae is a condition that primarily affects men and is characterized by patchy hair loss in the beard area. The hair loss can occur as a single patch or multiple patches.


    Alopecia Barbae is commonly attributed to an autoimmune condition. In this condition, the body’s immune system mistakenly attacks the hair follicles in the beard area, leading to hair loss.

    Alopecia Mucinosa

    Alopecia Mucinosa is a form of alopecia that leads to the development of scaly patches on the skin of the scalp.


    Alopecia Mucinosa is commonly associated with an autoimmune condition. In this condition, the immune system mistakenly targets the hair follicles, leading to inflammation and the formation of scaly patches on the scalp.

    Traumatic (traction) alopecia

    Traumatic (Traction) Alopecia occurs as a result of the excessive force applied to the hair, causing it to be forcefully extracted or the hair shaft to break due to friction, pressure, traction, or other forms of physical trauma.


    Traumatic Alopecia can be caused by certain cosmetic practices that involve pulling or manipulating the hair in a forceful manner. Additionally, a condition known as Trichotillomania, characterized by the irresistible urge to pull out one’s own hair, can also lead to traumatic hair loss.

    Common Scalp Conditions

    Seborrhoeic dermatitis

    Seborrheic Dermatitis is a common skin condition that primarily affects the scalp. It leads to the formation of patches of inflamed skin and stubborn dandruff. It can also affect other areas of the body, such as the face, sides of the nose, eyebrows, and chest.


    Dandruff is a prevalent skin condition that is not harmful and cannot be transmitted. It causes the appearance of white flakes on the scalp and in the hair. It may also cause dryness and itching of the scalp. 


    Psoriasis is a skin condition characterized by the development of flaky patches of skin that form scales. The patches can appear pink, red, white, silvery, purple, or dark brown depending on the individual’s skin tone. The severity of psoriasis varies from person to person. It is believed to be related to a problem with the immune system, as the skin cells are produced and replaced at an accelerated rate.

    Tinea Capitis

    Tinea Capitis is a rash caused by a fungal infection. It typically results in itchy, scaly, bald patches on the scalp. Although it is commonly referred to as ringworm, there is no actual involvement of worms. Tinea Capitis is contagious, and medical assistance should be sought.


    Folliculitis is a common skin condition often caused by a bacterial infection. It manifests as small pimples around the hair follicles, leading to itchiness, soreness, and embarrassment.

    Cradle cap

    Cradle Cap causes crusty, oily skin patches, commonly observed in infants. While it is not painful or itchy, it can result in the formation of thick white or yellow scales that are difficult to remove. Cradle Cap typically resolves on its own within a few weeks or months, and it is advised not to scratch off the affected areas.

    Scalp Hyperhidrosis

    Scalp Hyperhidrosis is a condition characterized by excessive sweating of the scalp. The accumulation of sweat and its associated salts and fats can clog hair follicles, creating an unfavourable environment for hair growth. This can lead to thinner hair strands and hair loss. Maintaining a clean and detoxed scalp is crucial for promoting healthy hair.


    1. Initial 1-hour consultation: £120 (includes a 30-minute follow-up consultation after 3 months)

       – In-depth face-to-face consultation, analysis, diagnosis, and treatment plan

       – Photos taken of your scalp and hair, stored in your private file

       – Full advice on how to use your treatment plan and any additional recommendations (e.g., referrals, diet)

       – Note: Hair will be gently dried without the use of irons or tongs to preserve treatment effects and protect your scalp and hair. This appointment is best avoided if you plan on going out immediately after, and swimming should be avoided for 48 hours post-treatment.

    1. Initial 1-hour 30-minute consultation and prescribed scalp treatment: £160 (includes a 30-minute follow-up consultation after 3 months)

       – In-depth face-to-face consultation, analysis, diagnosis, and treatment plan

       – Photos taken of your scalp and hair, stored in your private file

       – Full advice on how to use your treatment plan

       – Prescribed scalp treatment included

       – Additional recommendations such as referrals and diet advice

       – Note: Hair will be gently dried without the use of irons or tongs to preserve treatment effects and protect your scalp and hair. This appointment is best avoided if you plan on going out immediately after, and swimming should be avoided for 48 hours post-treatment.

    Follow-up consultation: 30 minutes – Free of charge (included in the first visit)

       – Consultation to review the progress of your treatment plan

       – Analysis of comparison photos

       – Additional advice or changes to your treatment plan, as needed

    A chance to review any changes and receive advice on your treatment plan.

    Maintenance Consultation – 30 minutes: £60

    Take the opportunity to review any changes and receive expert advice on your treatment plan.

    Treatment Session – 1 hour: £80

    Note: You must have already completed an initial consultation before scheduling this session.

    During your visit, our professional will administer your prescribed treatment, make any necessary adjustments, and discuss future plans with you.

    Please be aware that your hair will be gently dried by finger or soft drying techniques. No irons or tongs will be used to preserve the effectiveness of the treatment and protect your scalp and hair. Kindly refrain from planning any outings as styling products cannot be applied. We also recommend avoiding swimming for 48 hours following the treatment.

    Useful Tips

    1. Start by getting your ferritin levels checked, as it can affect your hair. Managing stress is also important, as it can impact your hair health.

    2. Wash your hair regularly with pH balanced and sulfate-free shampoos and conditioners. Taking care of your scalp is crucial for maintaining healthy hair.

    3. Minimize the use of heated styling tools to prevent breakage. If you must use them, remember to apply a heat protecting spray.

    4. Include protein-rich foods in your diet, such as fish, nuts, lean beef, eggs, and seeds. If you’re vegetarian or vegan, consider taking high-quality supplements.

    5. Treat your hair gently, especially the longer ends. They require extra care and attention, as they can be more damaged than the roots.

    6. Brush your hair before washing to prevent excessive stretching. When your hair is wet, use a specialized detangling comb or brush to avoid breakage.

    7. Clean your hair brushes regularly to remove any accumulated debris.

    8. Maintain your hairdryer by regularly removing lint from the filter to prevent overheating and loss of power.

    9. Avoid over-processing your hair or subjecting it to demanding chemical treatments.

    10. Protect your hair from sun damage by using sunscreen or wearing a hat, as hair lacks natural protection like melanin.

    11. Use hair masks and deep treatments when your hair feels dry or lifeless. Conditioners primarily work on the surface, while masks penetrate the hair for better nourishment.

    12. Apply styling products when your hair is 80% dry for optimal results.

    13. Schedule regular trims to prevent split ends and maintain hair health.

    For more information and product recommendations, visit our website at

    If it has been more than 3 months since your last maintenance visit or initial consultation with our Trichologist, please book an initial consultation. Our bodies and responses change over time, and we will provide expert opinions, a new treatment plan, and updated advice.

    A 25% reservation fee will be required at the time of booking, which will be redeemed against your appointment. While we understand unexpected circumstances, cancellations must be made at least 48 hours prior to the appointment to avoid forfeiting the reservation fee.