Many people think that skin problems, including scalp problems, are strictly treated by dermatologists. Indeed, to some extent that’s correct. However, apart from the dermatological clinics there are also trichological clinics that specialise in the aforementioned issues. The dermatologist usually deal with skin problems in general, whereas a trichologists will take into consideration all sorts of skin/hair diseases. So don’t be led by common misconceptions, and make a visit to a trichologist – they will be able to provide you with truly good solutions for your problems, especially if hair loss, seborrhoea or psoriasis of the scalp are involved.
It’s definitely recommended that people who have a serious problem with hair loss should visit a trichologist. The signs of hair loss can be vast, but we should certainly be more precautious if: our ponytail gets thinner, bald patches emerge on the head, or our receding hairline spreads rapidly. But minor issues can also be a good excuse to visit a trichologist; excessively oily hair, seborrhoea or dandruff could all be good means for a consultation. Furthermore, any inflammation on your scalp should also be supervised.
The first visit to a trichologist will tend to begin with a thorough interview. The trychologist must listen to and note down all of the patient’s relevant history. Sometimes it can be very short – i.e. the hair/skin problem only just appeared, and the patient immediately came to consult this issue. Other times, the conversation can be very long and complex, especially if there isn’t a known cause for the emergance of the problem. Or when the patient has many relapses and periods of re-emergence of the disease, as well as history with dealing with multiple doctors and various methods of treatment.
After the interview, the trichologist commences the examination. Such examination must assess the condition of the scalp and the patient’s hair. It is important to quickly diagnose what kind of disorder we are dealing with; how much hair falls out and in what growth cycle phase are the hair that bravely stick to the head.
Skin and hair examination is most often performed using a special microscope with a micrograph. The trichologist tends to take a hair sample for examination (from various places on the head) and inspect them at up to two-hundred-scale magnification. He also uses the microscope during skin testing. This allows for an accurate assessment of the condition of follicles, hair strands and blood vessels.
Sometimes, apart from the microscopic examination, a hair elemental analysis and blood laboratory tests are also necessary, and they’re highly recommended. It is only on the basis of these results that can be determined whether the scalp/hair needs to be nourished, cleansed, moisturised, restored or healed. Only once this is discovered, you’ll be able to choose the appropriate external or internal treatments. Sometimes peeling, thickening treatments and prolonging process are the most useful solution.
Based on the results of the vast studies that can be undergone, the trichologist will be able to assess whether the patient’s healing process has showed progress, and whether he/she requires other treatments e.g. the hormonal treatment. If so, then an additional consultation with another doctor (involving unique expertise), will be necessary.