What Is Trichology?

What a Trichologist Does

A trichologist examines the hair and scalp using specialist microscopy and diagnostic techniques to identify the root cause of hair problems. They don't just look at what's happening on the surface; they consider the full picture: diet, hormones, medical history, stress levels and styling habits.

Treatment recommendations might include topical products, dietary changes, supplements, scalp treatments, or referral to a dermatologist or GP for issues that need medical attention.

Conditions They Treat

• Androgenetic alopecia: Male and female pattern hair loss
• Alopecia areata: Patchy hair loss caused by the immune system
• Telogen effluvium: Excessive shedding triggered by stress, illness or hormonal changes
• Scalp psoriasis and eczema: Inflammatory conditions affecting the scalp
• Seborrhoeic dermatitis: Flaky, itchy scalp (severe dandruff)
• Traction alopecia: Hair loss from tight hairstyles or extensions
• Nutritional deficiencies: Hair thinning linked to low iron, zinc, vitamin D or protein
• Post-partum hair loss: Shedding after pregnancy

What to Expect from a Consultation

A first appointment usually lasts 45 to 60 minutes and covers:

1. Medical and lifestyle history: Diet, medication, stress, family history of hair loss, styling habits.
2. Scalp examination: Using a trichoscope or dermascope (a magnified camera) to examine the scalp and hair follicles in detail.
3. Hair analysis: Assessing hair density, shaft diameter and growth patterns.
4. Diagnosis: Identifying the likely cause of your hair or scalp problem.
5. Treatment plan: Recommendations for products, lifestyle changes or referrals if medical treatment is needed.

Some trichologists may request blood tests (arranged through your GP) to check for deficiencies or hormonal imbalances.

Cost in the UK

• Initial consultation: £75 to £250
• Follow-up appointments: £50 to £150
• Scalp treatments (in-clinic): £50 to £100 per session

Trichology is primarily a private service. Some NHS hospitals have trichology departments, but availability is limited and waiting lists can be long.

Who Should See a Trichologist?

• Anyone experiencing unexplained hair loss or thinning
• People whose GP hasn't been able to identify the cause of their hair loss
• Anyone with persistent scalp problems (itching, flaking, soreness)
• People wanting a professional assessment before committing to a treatment
• Those who want to understand whether their hair loss is temporary or progressive

A trichologist is often the best first step if you don't know what's causing your hair loss. They can point you in the right direction before you spend money on treatments that may not address the underlying problem.

How to Find a Qualified Trichologist

• Institute of Trichologists (MIT): The main professional body in the UK. Members have completed accredited training and examinations.
• Trichological Society: Another recognised professional body with qualified members.
• Ask about qualifications. A qualified trichologist will have specific trichology credentials, not just general beauty or hairdressing qualifications.
• Check reviews. Google reviews from real clients give a good sense of the practitioner's approach and bedside manner.