Fast Track Enquiry

Request consultation

Hair Loss

Specialist diagnosis and treatment

Hair loss or hair thinning is a common problem, and it can have a huge impact on a person’s life. Generally speaking, it is normal to lose 100-150 strands of hair a day. However, when hair thinning or hair loss becomes a problem, this is when we start to lose more than the normal amount of hair loss a day. The commonest causes for hair loss are alopecia areata, male pattern and female pattern hair loss.

A range of factors can affect hair growth, and these are hormonal changes, genetic background, medications, stress, diet and illnesses such as thyroid disorders and anaemia.

Dr Nicole has an interest in hair disorders and runs a tertiary referral specialist hair disorders clinic in the NHS. She will perform a detailed history and thorough examination including dermoscopy of your hair follicles to determine the cause of your hair loss. A range of medical treatments including hair care treatments and prescribed medications will be discussed according to your condition and individual needs. Dr Nicole does not perform hair transplant surgery but can recommend you to an appropriate transplant surgeon depending on your type of hair loss and when your hair condition is stable. Not all types of hair loss are suitable for hair transplant surgery.

  • Assessment and treatment by a Consultant Dermatologist with a specialist interest in hair disorders
  • A comprehensive hair assessment to determine the underlying cause of your hair loss problem
  • Investigations such as blood tests and skin biopsy available
  • No GP referral required

About Dr Nicole

Find Out More About Your Experienced Consultant Dermatologist

Frequently Asked Questions

About Hair Loss Treatment
    • What are the most common reasons for hair loss?

      The common reasons for hair loss are:

      Male pattern hair loss – Male pattern hair loss is a common pattern of hair loss that is seen in men with age. This pattern of hair loss usually causes a receding hairline and baldness to the top and front of the head.

      Female pattern hair loss – Female pattern hair loss is a pattern of hair loss that is seen in women with age. Around 40% of women have some hair thinning by the age of 50 years. Female pattern hair loss usually causes increased hair falling and thinning especially from the top of the head. This pattern of hair loss is related to hormones and genes (often running in families).

      Alopecia areata – Alopecia areata is common type of hair loss that causes round, bald patches on the scalp. It can sometimes progress to cause baldness of the entire scalp or affect both the scalp and body. Generally speaking, there is a good chance of recovery if there are only a few bald patches.

      Other causes – There are many other causes for hair loss. Generally, if there is inflammation in the scalp, hair growth can be affected. It is therefore important to treat the inflammation in the scalp. There are also some hair loss conditions which can cause scarring on the scalp, and regrowth can be difficult to achieve with these types of hair loss. The aim of treatment would be to prevent further hair loss.

    • What are the effective treatments for female pattern hair loss?

      Topical minoxidil (Regaine®) has been shown to be effective in clinical studies for female pattern hair loss. The treatment is applied directly onto the scalp and works by stimulating inactive hair follicles to regrow thicker hair. The treatment takes 3-4 months to work, and needs to be continued to maintain the results achieved. It works best in the early stages of hair loss.

      Oral medications which block excessive male hormones can be used when topical creams are not effective or deemed not practical. These treatments are not to be taken by women who are pregnant or breastfeeding, or planning to become pregnant.

      Specialised hair care and supplements can be used to provide the body with the ingredients to promote healthy hair growth and reduce hair loss.

      Hair transplantation surgery is another treatment option where some hairs are moved from the back of the scalp to the affected areas. You will need some have some healthy hairs on the scalp to have hair transplantation. Not all hair disorders are suitable to be treated with hair transplant surgery. Dr Nicole can advise you on this at the consultation after carrying out an assessment of your condition.

    • What are the effective treatments for male pattern hair loss?

      Topical minoxidil (Regaine®) has been shown to be effective in clinical studies for male pattern hair loss. The treatment is applied directly onto the scalp and works by stimulating inactive hair follicles to regrow thicker hair. The treatment takes 3-4 months to work, and needs to be continued to maintain the results achieved. The treatment works best in the early stages of hair loss.

      Oral hormanal treatments can be used when topical treatments have failed to work, or deeemd not practical. The treatment takes about 3-4 months to work, and needs to be continued to maintain the results achieved.

      Specialised hair care treatments and supplements can be used to provide the body with the ingredients to promote healthy hair growth and reduce hair loss.

      Hair transplantation surgery is another treatment option where some hairs are moved from the back of the scalp to the affected areas. You will need some have some healthy hairs on the scalp to have hair transplantation. Not all hair disorders are suitable to be treated with hair transplant surgery. Dr Nicole can advise you on this at the consultation after carrying out an assessment of your condition.

    • What are Dr Nicole’s top tips for stopping hair loss?
      1. Handle your hair gently and with care to avoid excessive shedding
      2. Avoid hair dye, excessive combing, heat-styling, hot comb and tight weaves
      3. Identify the type and cause of hair loss
      4. Treat any inflammation in the scalp
      5. Boost the hair growth environment with specialist hair care products and treatments
    • Do I need any tests to find out the cause of my hair loss?

      The common causes of hair loss such as male/female pattern hair loss and alopecia areata can be diagnosed based on the clinical appearance of the hair loss pattern, and a skin biopsy (taking a small sample of skin to check under the microscope) is not usually required.

      Sometimes, certain blood tests are recommended as hair growth can be affected by illnesses and hormonal problems.

    • What if I want to consider hair transplantation?

      Not all hair disorders are suitable to be treated with hair transplant surgery. Dr Nicole can advise you on this at the consultation after carrying out an assessment of your condition. Dr Nicole does not perform hair transplant surgery, but can discuss this treatment option with you. Dr Nicole can also recommend an appropriate hair transplant surgeon if this is suitable for your condition.

1 Consultation

At consultation, a detailed history and thorough examination with the use of dermoscopy will be carried out to assess the condition of your hair and scalp. It would be helpful to bring with you a picture of yourself before your hair loss problem started.

Sometimes, when the cause of hair loss is not clear-cut, a skin biopsy (taking a small specimen of skin, including follicle) from the scalp can help to clarify the underlying cause or to exclude any serious cause.

Getting the diagnosis right from the beginning is important to determine the appropriate treatment plan.

2 The Treatment

A range of treatment options including medical prescription and hair care treatments will be discussed to improve your hair loss condition.

The treatment options will be individualized to your specific cause of hair loss and this will include:

  • Topical treatments
  • Oral medications
  • Injected treatments
  • Specialist hair care and supplements
  • If appropriate, you can be referred for hair transplantation

3 Aftercare

A follow-up appointment is generally recommended when a medical treatment is prescribed.

Good aftercare is important to monitor your treatment response and whether you need any changes to your treatment regime.