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Dr. NüchelDermatology & Allergology

Hair consultation

With hair loss in women and men we first look for the cause. The treatment follows from the findings, and we monitor its course with the computer-assisted TrichoScan.

Overview

Hair loss in women and men can have many causes. In our hair consultation we look into the possible triggers: hormonal disorders, thyroid disease, autoimmune disease or a lack of vitamins and trace elements, for example. The aim is to find the cause and to match the treatment to it.

To follow the course we use the computer-assisted TrichoScan system. It objectively measures hair density and the ratio of hairs in the growth phase to those in the resting phase. That makes the course of the treatment comparable over time.

Areas of application

  • Hair loss in women and men
  • Diffuse hair loss (e.g. hormonal, from the thyroid or from deficiency states)
  • Hereditary hair loss (androgenetic alopecia)
  • Patchy hair loss (alopecia areata)
  • Following the course and the outcome of an ongoing therapy
  • Unclear changes of the hair and scalp

Procedure

  1. History-taking and looking for the cause

    In the consultation and while examining the scalp we look into possible causes: hormonal disorders, thyroid and autoimmune disease as well as a lack of vitamins and trace elements. Where needed we add laboratory tests.

  2. TrichoScan (objective monitoring over time)

    An area of about 1 cm² is shaved; three days later the regrown hairs are dyed and photographed with a digital camera at 20-fold magnification. The software analyses hair density as well as the ratio of anagen (growth phase) to telogen hairs (resting phase). After three to six months the examination is repeated in order to measure the outcome of the treatment.

  3. Therapy that follows the cause

    Depending on the cause, hair tonics as well as preparations containing vitamins and trace elements are used. Mesotherapy or PRP therapy can be added, in which active substances are introduced into the scalp. With patchy hair loss (alopecia areata) we additionally offer a topical immunotherapy (e.g. with diphenylcyclopropenone, DPCP) or treatment with the excimer laser.

  4. Monitoring over time

    At regular intervals we assess the course, objectified by the TrichoScan, and adjust the therapy where needed.

What to expect

  • For the TrichoScan a small area (approx. 1 cm²) is shaved; a meaningful comparison follows after three to six months.
  • Hair growth changes slowly; the outcome of a treatment can only be judged over several months.
  • The therapy follows the cause we have identified.
  • Injection treatments (mesotherapy, PRP) are as a rule given over several sessions.
  • TrichoScan, PRP and mesotherapy are as a rule self-pay or IGeL services; we discuss beforehand what is medically necessary in your case.

Risks & notes

  • After injections into the scalp (mesotherapy, PRP), temporary redness, swelling, tenderness or small bruises can occur; infections are rare.
  • The DPCP treatment deliberately triggers a controlled, medically supervised skin reaction that comes with itching and redness; it can also turn out more strongly (pronounced eczema, blisters, swollen lymph nodes in the neck and nape area) or leave temporary light or dark pigment spots. The dose is therefore increased step by step and under medical supervision.
  • After an excimer laser treatment, temporary redness is possible.
  • The outcome of the treatment differs from person to person and cannot be guaranteed; depending on the cause, hair loss can only be influenced to a limited extent.
  • For this application, PRP and mesotherapy as well as the DPCP treatment are not standard therapies approved under medicinal products law; they are carried out as an individual treatment attempt after detailed information, and the evidence for their efficacy differs from method to method.
  • We explain the risks relevant to your therapy to you in person beforehand.

Frequently asked questions

What can cause hair loss?
Very different things: hormonal disorders, thyroid or autoimmune disease, a lack of vitamins and trace elements, hereditary hair loss or patchy hair loss (alopecia areata). In the hair consultation we look for the cause.
What is the TrichoScan?
A computer-assisted method for following the course of treatment. It measures hair density and the ratio of growth-phase to resting-phase hairs. Comparing the results after three to six months allows the course to be judged objectively.
Which treatments do you offer?
Depending on the cause, hair tonics and preparations containing vitamins and trace elements, and in addition mesotherapy or PRP therapy. With patchy hair loss we also use DPCP or the excimer laser.
How quickly will I see a result?
Hair grows slowly; the outcome shows over several months. That is why the TrichoScan check is as a rule carried out after three to six months.
Are the treatments painful?
Injections into the scalp can be briefly uncomfortable, but they are usually well tolerated. We tell you beforehand how the respective treatment will run.