Hair medicine & trichology

What it is and when it makes sense

Hair medicine is the branch of aesthetic medicine that addresses scalp health and the hair cycle. It is not a transplant or a hairpiece: it is the medical groundwork that decides whether a treatment makes sense, which one to choose and when.

It makes sense when you notice your hair thinning, shedding more than usual, the parting looking wider or your overall volume changing over the last few months. The earlier it is addressed, the more room there is to work on live follicles — because a closed follicle grows nothing.

It does not make sense as an automatic response to the first hairs on the brush. Physiological and seasonal shedding both exist. The first step is always a proper diagnosis — not a treatment.

My approach

Before proposing anything I carry out a trichoscopic study: I examine the scalp under magnification to assess density, follicular miniaturisation, the cycle phase and any signs of inflammation. That is the objective picture on which we decide.

From there I build a protocol that may combine hair mesotherapy, PRP (platelet-rich plasma), exosomes or inducers based on what the diagnosis shows. I do not apply identical protocols to everyone: the follicular response is individual, and so should the plan be.

What the consultation looks like

The first visit is diagnostic. We discuss your history — when it began, what you have tried, what runs in your family — and I perform the trichoscopic examination. From there I explain what is happening and which options make sense for your case.

If we decide to move forward, most treatments are performed as sessions spread over time. Topical anaesthesia is applied when appropriate; sessions are outpatient and do not interrupt normal routine. Follow-up trichoscopy lets me see the real response and adjust.

What to expect and how long results last

Hair is slow tissue. The first objective signs — shaft thickness, growth-phase density — appear from the third or fourth month; the clinical result consolidates between six and nine. We work with that calendar in mind, not with a week-by-week expectation.

Treatments are not a vaccine: regaining density does not mean you can stop looking after it. Most protocols include an initial intensive phase and periodic maintenance. Consistency is the single factor with most weight on the final outcome.

When I do not recommend these treatments

I do not propose treatment when trichoscopy shows that most follicles are already closed: at that point, no inducer will bring back what is no longer there, and the honest option is to consider a hair transplant assessed by a surgeon. Insisting on inducers at that stage only delays the decision.

Nor when active medical contraindications are present — autoimmune disease flares, ongoing oncological treatment, uncontrolled thyroid issues — or when hair loss may have a systemic cause that needs investigation first. In those cases I refer to the relevant specialist and we wait.

Frequently asked questions