Hair & Scalp Concerns
Male & Female Patterned Hair Loss
Genetic hair loss (androgenetic alopecia) is the most common form of hair loss affecting around 50% of males and females. It is hereditary, caused by sensitivity of hair follicles to androgens. Male pattern loss typically starts with recession at the temples and crown thinning. Female pattern loss presents as diffuse thinning over the crown area. A trichologist can help identify the stage and recommend effective treatments to slow progression and improve hair density.
Contact CarolinePost Partum Hair Loss
During pregnancy, elevated oestrogen levels keep hair in the anagen (growing) phase longer than usual, resulting in thicker, fuller hair. After delivery, as hormone levels normalise, a large number of hairs enter the telogen (shedding) phase simultaneously. This noticeable shedding typically begins 2–4 months after birth and can last several months. While alarming, it is temporary and the hair growth cycle usually recovers fully within 6–12 months.
Contact CarolineHair shedding/thinning (Telogen Effluvium)
Telogen Effluvium is a common form of diffuse hair shedding triggered by a disruption to the hair growth cycle. Causes can include iron deficiency, nutritional imbalance, stress, hormonal changes, thyroid dysfunction, and endocrine disruptors. In most cases, Telogen Effluvium is reversible once the underlying cause is identified and addressed. Chronic cases lasting more than 6 months require thorough investigation.
Contact CarolineAlopecia Areata
Alopecia Areata is an autoimmune condition causing patchy hair loss. There are several types including Alopecia Areata (patches), Alopecia Totalis (total scalp loss), Alopecia Universalis (total body loss), Alopecia Incognito, Alopecia Barbae (beard area), and Ophiasic Alopecia (band pattern). The condition occurs when the immune system mistakenly attacks hair follicles, causing inflammation and hair loss.
Contact CarolineAge related hair loss
As we age, changes to the hair growth cycle are natural. Hair may become finer, growth rate may slow, and the duration of the anagen phase may shorten. Hormonal changes associated with ageing, particularly during and after menopause, can accelerate hair thinning. A trichologist can help distinguish between normal age-related changes and treatable conditions.
Contact CarolineCicatricial Alopecias
Cicatricial (scarring) alopecias are a group of conditions that destroy hair follicles and replace them with scar tissue, resulting in permanent hair loss. These include Frontal Fibrosing Alopecia (FFA), Lichen Planopilaris, and Central Centrifugal Cicatricial Alopecia. Early diagnosis and treatment are critical to prevent further progression.
Contact CarolineHair shaft abnormalities
Hair shaft disorders affect the structure and integrity of the hair fibre itself. These can be inherited or acquired through damage from chemical treatments, heat styling, or environmental factors. Conditions include Trichorrhexis Nodosa, Monilethrix, and other structural anomalies that cause hair to break easily or appear abnormal.
Contact CarolineHair in poor condition and split ends
Hair that is dry, brittle, dull, or prone to split ends may be suffering from damage caused by chemical treatments, excessive heat styling, environmental exposure, or nutritional deficiency. A trichologist can examine the hair shaft under magnification to assess the extent of damage and recommend appropriate treatments and care regimen changes.
Contact CarolineScalp irritation
Scalp irritation can manifest as itching, redness, tenderness, or a burning sensation. It may be caused by contact dermatitis from hair products, allergic reactions, stress, or underlying skin conditions. Identifying and eliminating the trigger is essential for relief.
Contact CarolineDandruff – Persistent flaky scalp
Persistent dandruff (Pityriasis Capitis) causes white or yellowish flakes to shed from the scalp. It is often linked to an overgrowth of Malassezia yeast on the scalp. Effective treatment involves using targeted antifungal and keratolytic cleansers to control the condition and restore scalp health.
Contact CarolineSeborrheic Dermatitis
Seborrheic Dermatitis is a chronic inflammatory skin condition causing red, scaly, greasy patches on the scalp. It is more severe than simple dandruff and may also affect the face and other areas. Treatment typically involves medicated shampoos and topical treatments to manage symptoms.
Contact CarolineScalp Psoriasis
Scalp psoriasis causes raised, reddish patches covered with silvery-white scales. It can extend beyond the hairline to the forehead, neck, and around the ears. While there is no cure, symptoms can be managed effectively with appropriate topical treatments and lifestyle modifications.
Contact CarolineScalp Pimples (Folliculitis)
Folliculitis is an infection or inflammation of hair follicles, appearing as small red bumps or pimples on the scalp. It can be caused by bacteria, fungi, or irritation from shaving or tight hairstyles. Treatment depends on the underlying cause and may include topical or oral medications.
Contact CarolineTraction Alopecia
Traction Alopecia is hair loss caused by sustained pulling or tension on hair follicles from tight hairstyles such as braids, ponytails, extensions, or weaves. Over time, the constant tension damages follicles and can lead to permanent hair loss if not addressed. Early intervention by changing styling habits is key to recovery.
Contact CarolineTrichotillomania
Trichotillomania is a hair-pulling disorder classified as an impulse control condition. Individuals feel compelled to pull out their own hair, often from the scalp, eyebrows, or eyelashes. Treatment typically involves behavioural therapy alongside trichological support to help restore hair growth in affected areas.
Contact CarolineConcerned about your hair or scalp?
Book a consultation to discuss your concerns with Caroline.
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