Virtual clinics are available for those who are unable to attend an appointment in clinic. Virtual clinics require an examination to be booked at a later date, so a complete assessment and diagnosis can be made. To request a virtual consultation please get in touch with us here.
If you are a new patient suffering with hair loss and/or a scalp issue, or you are an existing patient with a new concern, you will need to book a Full consultation with our Trichologist. A full consultation may take up to 1 – 1.5 hours, this is because hair loss can be a very complex issue with many possible causes. It’s quite common to see numerous factors contributing to one hair loss case! (particularly in women), so more time is required to investigate these issues thoroughly and to establish a possible root cause/causes.
Please be aware that Trichology is a private health care service which is currently not available through the NHS. However, many hair loss issues are the result of other underlying health conditions which can be treated by your GP.
You can book online here, or alternatively you can contact us using the details in the form at the bottom of the page. Upon booking you will receive a confirmation email which includes links to pay your booking fee (if you have not booked online), and to complete a pre-consultation form.
*a 50% booking fee is required to secure all appointments.
Appointments can be rescheduled with 24 hour’s notice.
Cancellations made with less than 24 hour’s notice or non-attendance will result in losing your booking fee.
You will receive a link to complete a pre-consultation form upon booking. As well as saving valuable time on your consultation day, this information also allows us to be more familiar with your case, so your consultation is more productive and addresses your individual needs more successfully. Please be as detailed as you can.
In most cases hair loss is symptom of another underlying health issue (particularly with female hair loss), so some up to date blood tests can be extremely useful in identifying what may be causing your hair problem. I am always happy to write to your GP to request blood tests following your consultation, but if I have some blood tests in front of me at the time of your appointment, I can put together a suitable management plan for you much sooner. Most GPs will run some blood tests if you are experiencing hair loss, so contacting your GP is a good place to start. Ideally, this should include:
- Complete Blood Count
- Ferritin (stored iron)
- CRP or ESR (inflammation)
- TSH (thyroid stimulating hormone)
- FT4 (thyroid hormone)
- Vitamin B12 – especially if you have a restricted or poor diet. B12 can also be affected by medications such as metformin and antacid medication.
- Vitamin D (if available) – vitamin D is heavily involved in hair regeneration and cycling and is often found to be low with hair loss.
If it is not possible to obtain any blood tests through your GP, we can arrange some privately for you. This can be done as a normal venous blood test at one of the Medichecks partner clinics, or with a finger prick capillary test done at home.
- A venous blood test with one of our partner clinics (preferred) is £129.99, this includes all the tests recommended above along with diabetes and a full iron status.
- A capillary finger prick test (done at home) is £69.99, this includes all tests listed above with the exception of a complete blood count.
Additional hormone panel blood tests are available, if your symptoms suggest an underlying hormonal issue may be contributing to your hair loss. This would be arranged following your consultation if deemed necessary. If you require a private blood test, please get in touch using the contact details at the bottom of the page
What happens in a consultation?
The consultation process will generally include the following:
- Case history – It’s important we have a clear understanding of the issues you are/have been experiencing with your hair/scalp. There are many different types of hair loss and scalp conditions, when we know the specifics of your symptoms and how the condition started and progressed, can provide the first clues towards an accurate diagnosis.
- General Health and medical history – Hair is frequently affected by underlying health issues, so it’s important for us to know how you are! This will include details of diagnosed health conditions, ongoing illnesses, hospital treatment, past and present medications, as well as your overall general health and lifestyle habits.
- Diet – There’s no getting away from it……. hair and scalp health is inextricably linked with nutrition. We will look at the what, when and how you eat, as well as any digestive issues which may be affecting nutrient absorption.
- Hair Care Practices -We will need to know what you do with your hair, including washing, styling, salon treatments and the types of products you use.
- Examination – A thorough examination of your hair and scalp is performed. We also use Trichoscopy in clinic (digital magnifying device), which allows us to see the hair and scalp at around 50 x magnification. This is extremely useful for confirming diagnosis, as well as providing a basis for measuring treatment response at follow up appointments. We may also take hair samples to asses under a light microscope if we feel this is necessary.
- Diagnosis – A preliminary diagnosis can be made in most cases on the day. Sometimes further investigation is required to confirm a diagnosis and probable cause of the issue. This may involve referral for blood testing, either through your GP or we can arrange this privately for an additional cost. Sometimes a referral to a dermatologist is required for further testing and treatment. Written documentation for medical referrals is provided as part of our consultation service.
- Proposed Treatment plan – We provide a written assessment of your case, which includes information about your hair/scalp condition, likely causes and triggers (pending any further investigations needed), and an initial treatment plan. We only provide advice and treatment for hair and scalp conditions which is scientifically and/or medically proven to be effective.
Follow Up Consultation
Recommended within 12 months from an initial consultation. Evaluation of your treatment plan. During a follow up consultation we can measure progress, and make suitable adjustments to a treatment plan. Follow up appointments can be very useful in determining response to treatment. Not all progress is immediately visible to the naked eye, but with the use of Trichoscopy we can clearly identify improvements on a much smaller scale.
Trichology ConsultationA full consultation to address hair loss and scalp symptoms.
Follow up reviewRecommended within 12 months of an initial consultation
Scalp Health ConsultationA consultation focused purely on scalp issues to determine which scalp condition you are experiencing, and how best to treat/manage the problem.
Scalp Health Consultation (including a scalp treatment)A consultation focused on problamatic scalp issues with an additional scalp treatment suitable for your specific issue.
Descaling and Purifying Scalp TreatmentIdeal for persistent dandruff, psoriasis, seborrheic dermatitis, and eczema. This treatment removes and regulates scale build up. Soothes red and sensitive areas of the scalp. Anti-inflammatory and anti-fungal. Gentle steam is used to help soften scale build up and increase penetration of the treatment.
Regulating Scalp TreatmentIdeal for those oily scalps, and scalps prone to spots and acne. Removes any build up of sebum, dirt, and dead skin cells from the scalp. Deep cleansing without being drying to the hair. Anti-bacterial and anti-inflammatory.
Microneedling (course of 3)
Microneedling single session
How to prepare for your consultation
- Do not wash your hair on the day of your appointment (48 hours prior is ideal).
- Please do not apply any camouflage products (fibres/sprays), or dry shampoo before your appointment.
- Hair should be washed at least twice following a colour application.
- Please bring with you a copy of any blood tests done in the last 6 months (a print off can be obtained from your GP).