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Trichoscopy, first step for hair loss treatment

hair loss

Hair is an important characteristic of the individual’s appearance. In case of hair loss, the psychological impact is really great, as it affects scalp and hair.

There are two kinds of hair loss; the natural hair loss that happens because of natural hair growing process, and the pathological hair loss which involves a large number of hair lost, not replaced by the growth of new hair. The second kind of hair loss leads to a progressive hair thinning (alopecia).

The diverse and many factors that cause hair loss make a diagnosis and the choice of the applicable treatment a really challenging process. The treatment can provide correct results, scientifically documented, only when the appropriate procedure is followed, as well as the monitoring is applied during the period of the whole treatment’s procedure.


Trichoscopy must be considered as the initial, crusial step for a hair loss treatment.

Hair thinning happens gradually and in most cases it is not visible from the very first time, even from the person who has this medical condition. Whether hair loss will be stable or not, it is difficult for someone to understand it or compare and evaluate its progress.

Therefore, a thorough and detailed study of hair and scalp is absolutely needed before applying the appropriate treatment.

Trichoscopy is a diagnostic support tool of scalp disorders, like dermoscopy, focusing on scalp and hair using a polarized-light video microscope or a hand-held dermoscope. The complete recording of follicular units number, hair thickness and quality (every 3 or 6 months) allows an objective measurement for the treatment’s efficacy, as it helps us to document the scalp’s surface per square centimetre, before and after the treatment.

Trichoscopy offers important data after the examination and recording stage:

  • The number of
    • follicular units &
    • hair correspondingly
  • Thickness of hair
  • The number of hair follicles existed on the scalp

The digital images that are created together with the diagnosis constitute a point of reference. The images are stored in a file for each individual and help us in monitoring and comparing the results to be able to reliably and objectively assess the outcome.

Trichoscopy has the following main advantages:

  • Provides clear diagnosis, scientifically documented, of the hair loss type.
  • Is an excellent criterion for the assessment of the effectiveness of pharmacological treatment of hair loss.
  • Trichoscopy’s role is valuable in monitoring any type of treatment for hair loss over time.
  • Allows the accurate calculation of available hair follicles in the donor area, which can be transferred in case of hair transplantation.

The detailed file of the patient included all dermoscopic examinations is electronically archived to be always available in order to allow a continuous and proper monitoring of the treatment’s progress and hair loss, too.

The initial step, important for the hair loss treatment, has just been made.

About the author:

Christofer Tzermias

Specialised in the UK (Oxford & London) and in North America (New York & San Diego) in the field of LASER Dermatology, Dr Tzermias, has been providing dermatological state-of-the-art treatments using cutting-edge LASER and Energy based Devices for over 20 years. He has been Director of Interventional and LASER Dermatology Department at the Athens Medical Center for over 18 years and for the last 9 years is the Scientific Director of IQ - Intensive Quality Dermatology & Cosmetic Surgery Clinics, which at the 2017 Healthcare Awards won the ‘Innovation Award for Innovative Services’ for their pioneering contributions. Since 2018, IQ Dermatology & Cosmetic Surgery Clinics has also been operating in London, UK and in Muscat, Oman. Dr Tzermias is a Fellow of the world-renowned American Society for LASER Medicine and Surgery (ASLMS), a Founder Member of the European Society LASER Dermatology (ESLD), the Vice President of the ‘Open Health Alliance’ and he is also on the Board of Directors of Elitour - Greek Medical Tourism Council.

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