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What Is Trichology?

What Is Trichology?

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What would prompt you to see a trichologist?

Trichology is a clinical discipline that involves diagnosing and treating disorders of the hair and scalp, including hair loss, hair breakage, and common scalp problems like psoriasis and seborrheic dermatitis. If you’re experiencing problems with your hair and/or scalp, a qualified trichologist can diagnose the problem and discuss a range of treatments to resolve it.

Executive summary

Here, you’ll learn when to see a trichologist, which hair and scalp conditions they diagnose, and which treatments they can recommend. Additionally, discover how trichologists differ from dermatologists, and what happens during a trichology consultation. You’ll also discover how the Wimpole Clinic supports those with expert hair loss assessment and treatment.

Key takeaways

  • Consult a trichologist if you experience persistent, painful, or unexplained hair and/or scalp symptoms, including sudden hair loss, scalp discomfort, scaling, or unexplained hair damage.
  • Trichologists diagnose and advise on a wide range of conditions, including female and male pattern baldness, alopecia areata, telogen effluvium, scalp psoriasis, seborrhoeic dermatitis, and hair shaft disorders.
  • Trichologists provide expert assessments, identify potential underlying causes, recommend evidence-based treatments, and refer patients to dermatologists or doctors when specialist medical care is required.
  • Unlike dermatologists, trichologists focus exclusively on hair and scalp health. While they can’t always prescribe medication, specialist clinics may combine trichology with medical expertise to offer broader treatment options.
  • The Wimpole Clinic’s trichology team is available to help patients experiencing a range of hair and/or scalp symptoms, including hair loss, scalp soreness, and excessive hair breakage.

When should you consult a trichologist?

You should consult a trichologist if you start to experience any hair and/or scalp symptoms that are unusual, painful, or longstanding, especially if they haven’t been medically assessed before. These might include:

  • Stinging, burning, or pain on the scalp
  • Sudden or unexplained hair loss
  • Hair breakage or damage without a known cause
  • Plaques or scales developing on the scalp
  • Excessive unwanted hair growth (hypertrichosis)

Ultimately you can consult a trichologist if you’re experiencing any kind of hair or scalp problem. If they’re unable to help, they can refer you to a dermatologist or doctor for further assessment.

What conditions does a trichologist deal with?

Trichologists deal with hundreds of different conditions, from all types of alopecia to various scalp conditions. The lists below aren’t exhaustive, but include many of the most common ailments trichologists tackle every day.

Trichological hair loss problems

Scalp conditions

Hair problems

  • Trichorrhexis nodosa
  • Trichonodosis
  • Bubble hair
  • Pili torti
  • Monilethrix
  • Pili annulati
  • Loose anagen hair syndrome
  • Uncombable hair syndrome

What treatments and advice can a trichologist provide?

Your trichologist can advise you on the most likely causes of your hair and/or scalp problems, and explore a variety of treatments available to help tackle them. They can recommend over-the-counter and in-clinic therapies that may help (such as minoxidil or platelet-rich plasma therapy for hair loss).

Trichologists aren’t generally medically qualified, and therefore can’t prescribe medications that are only available on prescription (such as finasteride or off-label drugs). However, at specialist hair and scalp facilities like the Wimpole Clinic, trichologists often liaise with prescribing physicians on-site to ensure you get the treatment you need.

Some trichologists may also be qualified doctors, in which case they’re sometimes known as trichiatrists [1]. Trichiatrists can prescribe off-label and prescription medications themselves.

What’s the difference between a trichologist vs dermatologist?

There is some crossover between trichology and dermatology, as both fields deal with skin disorders. However, trichologists deal exclusively with conditions affecting the hair and scalp, while dermatologists deal with skin problems affecting the whole body.

Conditions like psoriasis, eczema, and ringworm can be tackled by a trichologist or a dermatologist when they affect the scalp. If conditions spread to other areas, it’s best to seek advice from a dermatologist. Any kind of hair problem should be treated by a trichologist.

What happens during a trichology consultation?

Booking a consultation with a trichologist might feel daunting if you don’t know what to expect. But when you choose diagnosis and treatment at the Wimpole Clinic, our trichology team will put you completely at ease. Here, you’ll get:

  • A personalised initial consultation with a qualified trichologist
  • Hair and scalp examination under a dermascope
  • Lifestyle assessment to uncover any underlying contributing factors
  • Discussion of your long-term hair and scalp-related goals and exploration of how you can meet these
Nerea
I was super happy with the help I received from Marie-Royce Book concerning my hair . About three weeks ago a massive bald patch appeared at the top of my head , you can imagine what that does to a woman. I have been having health issues and this pretty much top it for me. Marie was amazing though, she is a senior trichologist, and from the moment I walk into her clinic , I felt at ease , she has a calming energy. She ask me lots of questions , mapped exactly when and why this happened to me, showed me my follicles were still alive, honestly that was such a relieve. She also advised me on what next to do, took me step by step into the plan needed to get my hair back , I am going for polynucleotide injections with her on my next visit, she was very thorough with me and told me also to get referred to a dermatologist asap, she literally spots things before anyone else does, I am so happy that my hair journey back will be in the care of Marie-Royce, she is awesome 🙂
Roman Orros
I had such a great experience getting my hair transplant at Wimpole Clinic. The whole process was smooth and professional, and the quality of care was amazing. I felt completely informed at every stage, before and after the procedure, and my surgeon did an incredible job, the results are exactly what I wanted and look fantastic. A special shout-out to my Trichologist and Patient Advisor, Marie Royce, who was brilliant throughout. She made sure I understood everything from the consultation to the aftercare, and even months later she still checks in to see how things are going. I honestly couldn’t recommend Wimpole Clinic enough — you won’t regret going here!

Book a trichology consultation at the Wimpole Clinic

The Wimpole Clinic is an award-winning hair transplant clinic that’s also home to a highly qualified and experienced trichology team. With headquarters on Harley Street in London’s premier medical district, our trichologists have helped diagnose and treat hair and scalp problems in thousands of patients.

If you’re worried about symptoms of hair loss or your scalp feels sore and tender, we can help. Book a consultation with our trichology team for a thorough consultation, diagnosis, and treatment.

What Is Trichology?, Wimpole Clinic

FAQs

Learn more about trichology and what to look for in a trichologist in these frequently asked questions.

It’s often advisable to consult with your GP before seeking private medical care, as NHS GP appointments are free for qualifying patients.

However, treatments for pattern baldness and certain other types of hair loss aren’t generally available on the NHS. These conditions are considered cosmetic issues rather than health conditions, so the NHS won’t provide or fund treatment for these. A private trichologist can provide advice and treatment for these conditions.

No, but you may be able to see a dermatologist. Dermatologists treat skin conditions (including those on the scalp). They won’t generally treat hair loss conditions unless they relate to skin disorders.

No. Unlike hairdressing and hairstyling, trichology involves examining and diagnosing hair problems and conditions. A hair stylist may suggest seeing a doctor or trichologist if they notice specific changes or symptoms in your hair, but they aren’t usually qualified to diagnose the problem themselves. Most trichologists aren’t qualified to cut or style your hair (unless they have separate hairdressing training).

Qualified trichologists have undertaken at least one specialist training programme that gives them the knowledge and skills to diagnose and advise on hair and scalp disorders. In the UK, these courses are offered by the Institute of Trichologists and select universities and colleges.

Recognised qualifications include a Level 5 Diploma in Clinical Trichology and PgCert in Trichology and Hair Sciences.

Yes — if they’re qualified. A qualified trichologist can offer invaluable advice and insight into hair and scalp disorders, helping you treat your condition and reduce further physical or emotional discomfort.

However, trichology isn’t a well-regulated industry, even in the UK [2]. So make sure the trichologist you choose has at least one recognised trichology qualification, and works out of a reputable hair loss clinic.

Sources:
  1. Trüeb, R. M., Vañó-Galván, S., Kopera, D., Jolliffe, V. M. L., Ioannides, D., Gavazzoni Dias, M. F. R., Macpherson, M., Ruíz Ávila, J., Gadzhigoroeva, A., Ovcharenko, J., Lee, W. S., Murugusundram, S., Kurata, S., Chang, M., & Tanglertsampan, C. (2018). Trichologist, Dermatotrichologist, or Trichiatrist? A Global Perspective on a Strictly Medical Discipline. Skin appendage disorders, 4(4), 202–207. https://doi.org/10.1159/000488544.
  2. Mason, J. (2002). The role of the trichologist. Clinical and Experimental Dermatology, 27(5), 422–425. https://doi.org/10.1046/j.1365-2230.2002.01081.x.

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