What does a trichologist do?

What is a Trichologist?

Trichologists specialize in the diagnosis, treatment, and management of hair and scalp conditions, particularly hair loss. While they are not doctors, trichologists have in-depth knowledge of hair and scalp anatomy, physiology, and pathology. They understand the cycles of hair growth, how healthy hair grows both on the chemical and mechanical level, and how hair health operates on a holistic level, starting from the outside in.

What does a Trichologist do?

Trichologists help people with issues such as hair loss, hair breakage, dandruff, oily scalp, and scalp psoriasis. Some trichologists can also treat problems related to conditions like alopecia, a disease that happens when the immune system attacks hair follicles and causes hair loss, and trichotillomania, or hair-pulling disorder.

Trichologists examine the hair and scalp to diagnose and recommend treatment for these conditions and their severity. They sometimes conduct hair analysis to check for structural damage or the presence of lice or fungal infection. However, since trichologists are not physicians, they cannot prescribe drugs or perform medical or surgical procedures.

Here is a snapshot of the wide range of hair and scalp conditions treated by trichologists:

Male and Female Hair Loss (Pattern Baldness)
Pattern baldness is a common form of hair loss, or alopecia, in men and women. For men, hair is lost in a well-defined pattern, starting above both temples, eventually receding to form a characteristic ‘M’ shape. Women are more likely to experience overall hair thinning without a receding hairline.

In addition to the emotional aspects of hair loss, pattern baldness in men has been associated with several serious medical conditions, including coronary heart disease, enlargement of the prostate, diabetes, and high blood pressure.

Hair loss in women is associated with an elevated risk of polycystic ovary syndrome (PCOS), a hormonal imbalance that can cause irregular menstruation, acne, and weight gain.

Hair Shedding
Hair shedding, or telogen effluvium, occurs when large sections of hair fall detach from the scalp. This can be caused by several conditions, including stress, surgery, high fevers, blood loss, hormonal change, and childbirth. Hair shedding is a common side effect of some chemotherapy drugs.

Scarring Alopecia
Scarring alopecia, or cicatricial alopecia, is a condition where hair follicles are destroyed, which leads to irreversible hair loss. It is caused by inflammatory disorders, chemicals like hair relaxers, and several fungal conditions. If scarring alopecia is treated early, patients can sometimes regrow hair. In other cases, the hair loss is permanent.

Excessive Hair Growth in Women
Women who experience excessive hair growth, or hirsutism, may notice excess hair growth on their body or face. Often, women experience hair growth in places where men typically have hair, but women don’t, including the upper lip, chin, chest, and back. Hirsutism is caused by an excess of the male hormone androgen.

Polycystic ovary syndrome (PCOS) often causes hirsutism in women. It can also result from disorders of the pituitary, adrenal, or thyroid gland, or medication side effects. A trichologist may be able to treat the condition or help guide patients to the right physician to get a diagnosis, depending on its root cause.

To diagnose and treat the conditions described above, trichologists start by conducting a thorough examination and detailed evaluation of the patient’s scalp, hair follicles, and hair quality. They may ask several questions regarding the patient’s medical history, family history, nutrition, lifestyle, and hair care routine, including washing, brushing, and styling techniques. The patient’s answers to these questions can help the trichologist determine how to treat them or whether they should be referred to a different specialist or physician.

Treatment plans may involve medications, topical creams or lotions, lifestyle modifications, nutritional recommendations, or low-level laser therapy. In cases where the trichologist identifies a need for a specialized consultation or procedure, they will refer the patient to another practitioner. This may be a primary care physician (often for a blood test), a dermatologist, an endocrinologist, an immunologist, a hair transplant surgeon, or a nutritionist. If a patient’s condition seems to be stress-related, they may be referred to a mental healthcare professional.

Also part of the trichologist's responsibilities are handling administrative tasks, including managing patient records, documenting treatment plans and progress, scheduling appointments and follow-ups.

Types of Trichologists
Within the realm of trichology, there are different types of trichologists with varying levels of expertise and qualifications. Here are some common types:

• Certified Trichologist: A certified trichologist has completed a formal trichology training program and has obtained certification from a recognized trichology organization or association. They have comprehensive knowledge of hair and scalp conditions and can provide evaluations, recommendations, and non-medical treatments.
• Medical Trichologist: A medical trichologist is a healthcare professional, typically a dermatologist or a general practitioner, who has received additional training in trichology. They have a medical background and can diagnose and treat hair and scalp disorders from a medical perspective, including prescribing medications or performing procedures.
• Holistic Trichologist: Holistic trichologists approach hair and scalp health from a holistic perspective, considering the physical, emotional, and lifestyle factors that may contribute to hair loss or scalp conditions. They often emphasize natural and alternative treatments, such as nutritional counseling, herbal remedies, and stress management techniques.
• Trichology Consultant: Trichology consultants provide guidance, advice, and support to individuals seeking solutions for their hair and scalp concerns. While they may not have a medical or scientific background, they have acquired knowledge and experience in trichology and can provide non-medical recommendations and support.

What is the workplace of a Trichologist like?

The workplace of a trichologist can vary depending on their specific practice and work setup. Here are some common workplaces where trichologists may be found:

Private Trichology Clinic: Many trichologists operate their own private clinics or practices. These clinics may be small, independent offices or larger facilities that focus on hair and scalp health. Private trichology clinics often have specialized equipment and tools for diagnosing and treating hair and scalp conditions. Trichologists working in private clinics have more control over their schedules and can provide personalized care to their patients.

Dermatology Clinics: Trichologists may also work in collaboration with dermatologists in dermatology clinics. In such settings, they may specialize in diagnosing and treating hair and scalp disorders alongside other dermatological conditions. Dermatology clinics are typically well-equipped with medical facilities, diagnostic tools, and access to a wider range of medical treatments for hair loss and scalp conditions.

Hair Restoration Centers: Trichologists with expertise in hair transplantation and restoration may work in hair restoration centers or clinics. These centers often have surgical facilities for performing hair transplant procedures, and trichologists may collaborate with hair transplant surgeons in evaluating patients, designing treatment plans, and providing pre- and post-operative care.

Research Institutions: Some trichologists work in research institutions, universities, or medical schools, where they contribute to scientific research, clinical trials, and advancements in the field of trichology. They may be involved in studying new treatments, investigating the causes of hair loss, or developing innovative techniques for hair and scalp health.

Educational Institutions: Trichologists may work as educators in trichology schools or training programs. They teach aspiring trichologists about hair and scalp disorders, diagnosis techniques, and treatment modalities. They may also conduct workshops, seminars, or continuing education courses for other healthcare professionals.

Online Consultations: With the advancement of telemedicine and online platforms, some trichologists offer virtual consultations, where they can evaluate and provide recommendations to patients remotely. This allows them to reach a broader audience and provide access to their expertise regardless of geographical location.