Hair Loss Diagnosis & Trichoscopy


Accurate Diagnosis Starts Here

Hair loss and thinning can be emotionally and physically distressing. Understanding why your hair is falling out is the first and most crucial step toward effective treatment. Our advanced diagnostic approach combines a detailed clinical assessment with trichoscopy — a non-invasive, magnified scalp and hair examination that reveals what’s happening beneath the surface.

What Is Trichoscopy?

Trichoscopy is a specialised form of scalp dermoscopy that allows clinicians to visualise the hair follicles, shafts, and scalp skin at high magnification. Unlike a routine visual exam, this method reveals subtle diagnostic features not visible to the naked eye, including:

  • Follicular openings and abnormalities

  • Hair shaft characteristics

  • Pigment and vascular patterns

  • Signs of inflammation, miniaturisation, or scarring

This detailed view supports rapid and accurate classification of hair loss types, empowering personalised care plans tailored to your condition.

How the Diagnostic Process Works

1. Comprehensive Consultation

Every patient begins with a detailed discussion about:

  • Duration and pattern of hair loss

  • Family history and medical factors

  • Recent stressors, medications, and lifestyle influences

Understanding your history guides our focus during the examination.

2. Trichoscopic Evaluation

Using specialised dermoscopy equipment, we examine regions of the scalp — frontal, temporal, and occipital — capturing high-resolution images for analysis. These images allow us to detect:

  • Hair diameter diversity (anisotrichosis)

  • Broken or dystrophic hairs

  • Yellow or black dots

  • Perifollicular scaling and inflammation

These features help distinguish between different causes such as androgenetic alopecia, telogen effluvium, alopecia areata, and scarring alopecias.

3. Diagnosis & Recommendations

After reviewing trichoscopic findings in conjunction with your history, we provide a clear diagnosis and discuss the most effective treatment options for your specific condition.

Why Trichoscopy Matters

Non-Invasive & Painless

Trichoscopy is entirely non-invasive — no biopsies, no discomfort, and no need for sedation. The examination typically takes around 20–30 minutes and can be performed safely on adults and children alike.

Precision You Can Trust

By magnifying hair and scalp structures, trichoscopy enhances diagnostic confidence, and allows us to:

  • Differentiate scarring vs non-scarring hair loss

  • Detect early signs before thinning becomes visually obvious

  • Monitor progression and response to treatment over time

High-quality imaging also provides documentation you can compare at follow-up visits.

 

Perfect For

Treatment Journey

  • comprehensive hair loss consultation and scalp assessment including trichoscopy imaging with Dr Marco Nicoloso, London

    CONSULTATION & SCALP ASSESSMENT

    Your first visit includes a full medical review and trichoscopic scalp analysis. This gives us the insight we need to recommend the best next steps for your hair goals.

  • personalised hair and scalp treatment plan tailored to diagnosis results after trichoscopy

    PERSONALISED HAIRCARE PLAN

    We build a treatment plan that may include compounded solutions, topical therapies, and ongoing monitoring tailored to your condition.

  • follow-up monitoring and support to track hair and scalp health and adjust treatment as needed, North London

    Ongoing Support & Monitoring

    Hair restoration is a journey — we work with you to monitor progress, adjust treatments as needed, and support long-term hair and scalp health.

FREQUENTLY ASKED QUESTIONS

A person holding a smartphone and standing outdoors in front of a tree

“Dermoscopic imaging of my hair and scalp (a trichoscopy) showed a significant increase of average hair density, a significant increase of average hair shaft thickness, and a significant decrease of thin hair count. Basically, the hair density around my crown has already improved, as has the coverage. I was mighty pleased.”


CLIENT TESTIMONIAL