When should I see a trichologist?
It is worth seeing a trichologist when your hair or scalp has been bothering you for more than a few weeks and you would like someone to look closely and talk it through: more shedding than usual, thinning, an itchy or flaky scalp, or hair that is breaking. A trichologist is a specialist in hair and scalp care, not a doctor, so if you have sudden patchy loss, a sore or scarred scalp, or you feel unwell, see your GP first.
Good reasons to book a trichologist
- Shedding that has gone on a while. Losing more hair than usual for several weeks, rather than a day or two.
- Gradual thinning. A wider parting, a smaller ponytail or a receding hairline.
- An itchy, flaky or oily scalp. Especially if shampoos from the chemist haven't settled it.
- Hair that breaks easily. Dry, brittle or damaged hair where you are not sure why.
- You want to understand what is going on. Many people simply want someone with time to look and explain.
What happens at a first visit
Expect a conversation first, often 15 to 20 minutes, about your hair history, health, diet, stress, medicines, and the products and styling you use. Then the trichologist looks closely at your hair and scalp, often with a magnifying camera. They will explain what they see, suggest a care plan, and may recommend further checks such as blood tests through your GP. A good trichologist will tell you if another route is better first.
Or see someone: find trichologists near you
Search the Practitioner directory by town or postcode for trichologists near you.
Or by what you would like help with: hair loss and thinning · Also: nutritionists
When to see your GP first
Please see your GP before, or alongside, a trichologist if you have sudden or patchy hair loss, a scalp that is painful, red, scaly, blistered or scarred, hair loss with tiredness, weight change or other symptoms, or hair loss that started after new medicine, childbirth or illness. Hair loss can have medical causes, such as thyroid problems or low iron, that a GP can check with tests. A trichologist does not replace medical care, so please don't stop or change any medicine on the strength of a visit.
How many visits will I need?
Many people have an initial consultation and then a few follow-ups a month or two apart, because hair grows slowly and changes take time to show. Some are happy after one visit with a plan to follow at home. It is fair to ask at the start how many visits they would expect.
Roughly what does it cost?
A first trichology consultation in the UK is commonly from £60, and often more in big cities. Follow-up visits are often a little less. Check what the price includes, such as scalp analysis, and whether any products are suggested, before you book.
Trichologist, dermatologist or GP?
A GP is the usual first stop for a medical cause, and can refer you to a dermatologist, who is a doctor specialising in skin, hair and nails. A trichologist focuses on hair and scalp health and everyday care, and can work alongside your GP. Trichologist is not a legally protected title in the UK, so ask about their training and whether they belong to a professional body.
This page is general information, not medical advice. If you have symptoms that haven't been checked, or you are under medical care, please talk to your GP as well.
More questions
Do I need a GP referral to see a trichologist?
No, you can book directly. If your hair loss is sudden, patchy or comes with other symptoms, it is sensible to see your GP first.
Can a trichologist tell me why I am losing hair?
They can look at patterns, history and your scalp and share what they think is likely. Some causes need blood tests or a doctor, and a good trichologist will say so.
Is it normal to lose some hair every day?
Yes. Most people shed some hair daily as part of the natural cycle. It is worth getting advice when it seems much more than usual or goes on for weeks.
Should I stop my shampoo before I go?
Usually not. Bring a list of what you use, and let your trichologist know about any treatments or medicines you take.
Can stress affect my hair?
Many people notice more shedding a few months after a stressful time or illness. A trichologist or your GP can talk through whether that fits your situation.