Trichological Visit

Trichological Visit: What is it?

A trichological examination is a diagnostic test performed by a trichologist to evaluate the presence of any scalp and hair disorders. Hair-related disorders include:

Androgenic alopecia
alopecia areata
Psoriasis
Folliculitis
Seborrheic dermatitis.

After the trichological examination, the trichologist formulates a diagnosis and provides the patient with advice and therapies to treat the identified problem.
This visit can be particularly useful to understand the cause of the hair loss.

What does a trichological visit consist of?

At the beginning of the trichological visit, the trichologist collects personal and family information relating to the patient's medical history, as well as information regarding their eating habits and lifestyle.

The trichologist then proceeds to an objective examination of the patient's scalp and hair. Through a visual inspection performed with the aid of a magnifying dermatological lamp (dermatoscope), the trichologist makes an initial assessment of any skin abnormalities.

The trichologist performs some manual tests if the problem involves hair loss (pull test and wash test). If necessary, he or she performs an instrumental analysis using trichoscopy (magnified view of the skin and hair).

When should you see a trichologist?

A trichological visit is recommended for people who suspect they may be suffering from hair and scalp diseases following the onset of symptoms such as:

Abnormal hair loss.
Baldness.
Brittle hair.
Dry or greasy skin or hair
dandruff.

What is trichoscopy?

Trichoscopy is a painless and non-invasive diagnostic procedure performed using a videodermatoscope, which allows for the taking of images of the scalp and measurements useful to the dermatologist (e.g., number of follicles per area, hair density, etc.). Trichoscopy is different from a trichogram, which involves the microscopic analysis of a few hairs removed by plucking.

When is trichoscopy indicated?

Trichoscopy is a second-level examination performed following a trichological examination.

It is therefore recommended by the dermatologist if he deems it necessary to store clinical and microscopic images and then compare them over time.

Is any preparation needed?

No specific preparation is required for a trichological examination or trichoscopy. It's a good idea to bring along clinical and photographic documentation from previous visits or your most recent blood tests.