Trichologist

A trichologist diagnoses and treats different forms of hair loss, hair growth disorders and scalp diseases.

A trichologist's scope includes:

• hair loss;
• hair thinning;
• alopecia;
• androgenetic alopecia;
• alopecia areata;
• diffuse hair loss;
• telogen effluvium;
• scarring alopecia;
• hair breakage;
• scalp itching;
• dandruff;
• scalp redness;
• scalp flaking;
• seborrhoeic dermatitis;
• scalp psoriasis;
• scalp fungal infection;
• folliculitis;
• other hair and scalp diseases.

You can also see a trichologist if you do not know your diagnosis and have only noticed increased hair shedding, a decline in hair quality or changes to the scalp.

Our clinic also treats severe cases of alopecia areata, including cases in which hair fell out several years ago and has not grown back since.

It is advisable to see a trichologist if you have hair loss, thinning or breakage, slower hair growth, scalp itching, dandruff, redness, flaking, pain, crusting, inflammation or other unusual changes to the hair and scalp.

One symptom may be linked to several entirely different causes, so establishing a diagnosis matters more than simply relieving the symptom.

Yes. Patients do not need to diagnose themselves.

A trichologist assesses the pattern of hair loss, scalp condition, medical history, medications, test results and other factors that may help identify the cause.

Yes. Hair loss and scalp diseases can affect both women and men.

The most common causes, pattern of hair loss and necessary treatment may differ, so therapy is chosen individually.

Hair and scalp problems can also occur in children, but the most suitable specialist depends on the child's age and the problem.

Some daily hair shedding is physiological: between 30 and 150 hairs fall out each day. A trichologist consultation is recommended if shedding becomes much heavier than before, continues for a long time, visible thinning develops or distinct bald patches appear.

Changes in hair density and the pattern of shedding matter, not just the number of hairs lost each day.

If there is a genetic predisposition to hair loss, the TrichoTest™ genetic test may be performed. It helps identify specific genetic and metabolic mechanisms that may be associated with hair loss and assess which treatment methods could be most effective for the patient.

In many cases, yes. Hair loss may be related to genetics, hormones, an autoimmune process, a scalp disease, stress, a previous illness, medications, a nutrient deficiency or other factors.

The trichologist considers all the information together and, if necessary, orders additional tests.

Yes. Because of the hair growth cycle, increased shedding may only become noticeable several weeks or months after physical strain, illness, surgery, childbirth, significant stress or another trigger.

It is therefore important to tell the trichologist not only about your current health but also about significant events during the past six months, and to list all medications and supplements you take.

Yes. Hormonal factors can play a role in different forms of hair loss.

For example, androgenetic alopecia is associated with genetic factors and increased sensitivity of hair follicles to androgens. In women, hair changes may also be related to pregnancy, the postpartum period, menopause or other hormonal conditions.

Yes. In some cases, insufficient iron, protein or other nutrients can contribute to hair loss.

However, taking large doses of supplements for a long time based on your own assumptions is not recommended. First, it is necessary to establish whether a particular deficiency exists and whether it is linked to the hair loss.

Yes. Severe stress, or moderate but prolonged physical or emotional stress, can affect the hair growth cycle and contribute to hair loss.

However, stress should not automatically be assumed to be the only cause without considering other possibilities.

Yes. Androgenetic alopecia is often associated with a genetic predisposition and can affect both men and women.

If marked hair thinning or baldness runs in your family, tell the trichologist.

Yes. Dandruff and scalp itching may be associated with seborrhoeic dermatitis, psoriasis, a fungal infection, skin irritation or another scalp condition.

If the problem recurs or does not resolve with routine hair care, it is important to identify its cause.

Yes. Scalp psoriasis and seborrhoeic dermatitis can cause redness, itching, flaking and other changes that may also affect the hair.

A trichologist assesses the scalp and determines the most suitable treatment.

A dermatologist diagnoses and treats a wide range of skin, hair and nail diseases.

A trichologist is a dermatologist who specialises in diagnosing and treating scalp diseases and hair loss. A specialised method called trichoscopy is used to examine the scalp and hair.

If your main concern is hair loss, hair thinning, changes in hair growth or a scalp problem, a trichologist is an appropriate specialist.

If you also have wider skin, nail or other dermatological problems elsewhere on the body, a dermatologist consultation may be more suitable.

Hair loss can sometimes be related not only to the scalp but also to hormonal, nutritional, gynaecological or other health factors.

Depending on the situation, a dermatologist, gynaecologist, gastroenterologist, nutrition specialist or another appropriate doctor may be involved in treatment.

If you are unsure which specialist to see, it is advisable to clarify this before booking to avoid extra time and costs.

Med Art's administration can help by phone and suggest the most suitable specialist based on your description of the problem. You can then book through the Med Art website, where online booking may offer more favourable terms.

Google or AI tools may help you initially understand symptoms, but should not be used for self-diagnosis.

It is advisable to see a trichologist if hair shedding increases, persists for more than two months, the hair becomes visibly thinner or less dense, bald patches appear, or the scalp becomes itchy, red, flaky or inflamed.

The earlier the cause of hair loss is identified, the sooner targeted treatment can begin.

Yes, if the changes are progressive or long-lasting.

Hair density often decreases gradually, and a person may notice it only after some hairs have already become thinner. Early diagnosis allows a more objective assessment of the situation and treatment options.

Yes. Sudden or rapidly progressing hair loss is a reason to consult a specialist promptly.

Assessment is particularly important if completely bald patches, scalp inflammation, pain, crusting or other symptoms appear at the same time.

Yes, and it is often worth seeing a specialist before trying various products for a long time.

Hair loss can have very different causes, so poorly chosen shampoos, serums, supplements or medicines may create unnecessary costs without solving the problem.

The key is to identify the likely cause before choosing treatment.

Try to prepare as accurate a history as possible of changes to your hair and health:

• when the hair loss or other problem began;
• whether the hair loss began suddenly or gradually;
• how it has changed over time;
• whether there has been illness, surgery, significant stress, weight change, pregnancy or childbirth in recent months;
• which medicines and supplements you take;
• which treatments you have already tried;
• results of previous tests and examinations, if available;
• information about similar hair problems in the family.

If trichoscopy is planned, it is advisable not to wash your hair or use styling products for one to two days beforehand. More detailed preparation advice is available in Med Art's trichoscopy section.

If scalp assessment by trichoscopy is planned, Med Art recommends not washing your hair for one to two days before the visit and, ideally, not brushing it either.

This allows a more objective assessment of the scalp and hair.

If a hair and scalp assessment is planned, it is best to avoid hairspray, gel, mousse, dry shampoo and other styling products that may make the scalp harder to assess.

Yes, if you have recently had tests or examinations that may be relevant to hair loss.

It is important for the trichologist to evaluate test results together with symptoms, medical history and the pattern of hair loss, rather than looking at individual numbers alone.

The trichologist first asks about the patient's concerns, when hair loss began and how it has progressed, previous illnesses, medications, lifestyle and other possible factors.

The hair and scalp are then assessed. If necessary, additional tests are ordered and an individual treatment plan is developed.

The length of a consultation depends on the complexity of the problem, the diagnostics needed and communication with the patient.

It is important that the patient understands the possible diagnosis, necessary tests and treatment plan and can ask any remaining questions before the visit ends.

In some cases, an experienced trichologist can considerably narrow down the possible diagnoses after discussing symptoms, examining the pattern of hair loss and assessing the scalp.

The specialist's experience also helps connect hair changes with previous medical history and test results.

If there is not enough information, further tests are needed to clarify the diagnosis.

The tests depend on the specific problem. Trichoscopy, blood tests, a fungal examination, a microbiological examination, TrihoTest or another diagnostic test may be needed.

Not every patient needs the same set of tests; diagnostics should be targeted.

Trichoscopy is one method for diagnosing hair and scalp problems. The clinic's practice is to use it during the first consultation.

More information about the method, preparation and procedure is available in Med Art's separate Trichoscopy section.

Treatment depends on the identified cause of hair loss.

A trichologist may prescribe a topical treatment, prescription medicine, injection therapy, PRP therapy, PRF therapy, dietary or lifestyle changes, or other methods suitable for the diagnosis.

Treatment is often planned as a course, with results assessed over a defined period.

If the trichologist providing the consultation is a doctor, prescription medicines may be prescribed when needed.

A specific treatment is chosen only after assessing the diagnosis and the patient's health.

The hair growth cycle is slow, so treatment results usually cannot be assessed objectively after just a few days or weeks.

When results appear depends on the diagnosis, the hair growth cycle, how long the condition has been present and the treatment chosen. Patience and adherence to the treatment plan are therefore especially important in trichology.

Results are usually assessed after 12–18 months. A reduction in hair shedding may be expected after three months.

No. The possibility of regrowth depends on the cause of hair loss and the condition of the hair follicles.

In some types of hair loss, the follicles remain and growth can be restored or improved. With a scarring process, however, some follicles may be irreversibly damaged.

That is why assessment of persistent or progressive hair loss should not be postponed.

Not always, but follow-up visits are often needed during hair treatment.

A follow-up may be a planned part of treatment to review test results, the course of hair loss and the treatment's effect, and to adjust therapy if necessary.

Because hair grows slowly, results often need to be assessed over a longer period.

Med Art's booking system also offers remote appointments.

However, hair loss and scalp problems often require an in-person examination or trichoscopy, so not every situation can be fully assessed remotely.

A first trichologist consultation at Med Art currently costs EUR 60, while the price for Med Art clinic clients is EUR 57.

Additional diagnostics or procedures may be charged separately. Check the current prices on the Med Art website before booking.

That depends on the service booked.

If the appointment is for a trichologist consultation, additional diagnostics or procedures may be charged separately. Trichoscopy and TrihoTest are currently listed as separate services on Med Art's trichologist page.

The total cost of the visit consists of the consultation and any additional services needed in the particular situation.

That depends on the terms of the particular health insurance policy.

After payment, Med Art provides proof of payment that the patient can submit to their insurer in accordance with the policy terms.

Med Art is a private clinic and does not offer state-funded trichologist services.

Patients can access paid trichologist consultations, diagnostics and an individually tailored treatment plan.