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Name: Maxine

Any Advice for Restoring Hair After Trichotillomania?Question: I have had hair problems for over 10 years. I have have a disorder called Trichotillomania. I have been pull free for 18 months but my hair is still bald in the middle and my husband said he can see scarring. Is there any hope i will have hair again? If so what treatments are available to me? The places were my head is not bald my hair is still not growing and I’m getting split ends all the time, being afro caribbean i still try to grease me hair so why the split ends?

Answer: Hi, Maxine. It’s hard to say whether there is any hope of regrowing hair without seeing you in person, or at least seeing photos (you can upload these when completing our Online Consultation if you are unable to visit either of our Central London hair loss clinics for a free consultaiton).

If there has been scarring then there will not be regrowth in these areas as it means the hair follicle has died so there is nothing that hair loss treatment can stimulate. In some instances of scarring a hair transplant can be successful in restoring your hair, however, this is dealt with entirely on a case-by-case basis and is something you would need to speak to a hair restoration surgeon about.

If there are affected areas without scarring, the most likely medication to grow hair back is high strength minoxidil so it could be worth trying this. Provided you are suitable for the medication, you could try following a personalised treatment course featuring this topical cream for a period of about six months to see if any hair grows back. A hair loss specialist would be able to tell you more about the likelihood of seeing regrowth and whether treatment was likely to work so it is worth making an appointment or filling out our online form to discuss your trichotillomania. They will also be able to advise you on dealing with the condition of your hair and split ends which may have a number of causes, ranging from styling damage to nutritional deficiencies.


The Belgravia CentreThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


Name:  Mary 

Question:  I am a black-African 30 year old woman. My hairline, (near my forehead), started to recede about 8 years ago, and has continued to do so ever since. The hair loss seems to have stabilised at the moment. I believe my condition to be hereditary, as I have relatives and very close family members who have the same condition. Is there anything I can do about this?

Answer:  There are a number of reasons that could be causing this hair loss.  Of course it could be a genetic condition, especially if other family members have experienced the same type of hair loss – but most women with female pattern hair loss (genetic) usually see thinning spread evenly over the top of the head, not the hairline.  Another reason could be the way in which you tie your hair – if you tie your hair tightly back, this could cause tension at the temple areas and pull on the hair at the front which in time can be the cause of hair loss.

For both of these conditions, high strength minoxidil and use of low-level laser therapy (LLLT) could be effective treatments.

HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

stress-hair-loss-womenQuestion:  I am a 40 year old female who has been experiencing hair loss problems for the past 2 years. I was diagnosed with Alopecia Nervousa and began treatment with a trichologist using La Biosthetique treatments, this worked initially and my hair growth percentage went from 8% to 69%. However after a year it began to fall out again and after analysis my growth had went down to 59%. I then began using Nourkrin, and initially this also worked, but my hair is still falling out. I am currently still using Nourkrin as I am now unsure about what to do next. Any advice would be appreciated. Thank you.

Answer:  Alopecia Nervosa is an uncommon term but by this I assume you refer to hair loss caused by stress i.e. Diffuse Hair Loss or Telogen Effluvium.

The treatment that we find most beneficial for certain forms of women’s hair loss is a topical solution known as high strength minoxidil which can be used alone or in conjunction with additional hair growth supporting products. Minoxidil is the only product to be MHRA licensed and FDA approved for pattern hair loss, meaning there have been vigorous clinical trials carried out to prove its effectiveness and efficacy beyond doubt, but it has also been seen to be beneficial when treating other types of shedding.

When it comes to hair loss caused by stress, it is also important to try to solve the underlying problem for general health reasons as well as preventing your hair loss.

La Biosthetique products seem to be natural cosmetic products so I am quite surprised that any regrowth at all was experienced.

If you have not already tried minoxidil as part of a I would definitely advise it,  I would however advise a personal hair loss consultation with a specialist for a definitive, professional diagnosis. From there, tailored treatments may be recommended too, as appropriate.


circ - womens hair loss treatment belgravia centre hair vitalics hair growth supplements for womenThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.


 Question:  Is genetic hair loss related to the amount of testosterone in the body?

 Answer: No, people with a high amount of testosterone will not necessarily experience genetic hair loss.  Hair loss is caused by dihydrotestosterne (DHT) which is produced when testosterone is combined with an enzyme in the body called 5-alpha reductase.  Some people produce more DHT than others but this is not directly related to the amount of testosterone in the body.

Name:  Edwin 

Question:  A small bald patch has come up on my beard in like the last day!  Do you have any idea what it could be?  What can be done?

Answer:  This sounds like Alopecia Barbae – Alopecia Areata of the beard.  Alopecia Areata is a condition that causes patchy hair loss and in very few cases spreads to the whole head or body – the patches of hair loss can be found anywhere on the body but are most common on the scalp.  More information on Alopecia Areata.

Question:  Hi.  I want to shave my head but my hair dresser told me that some of the thin hairs won’t grow back.  What is your opinion on this?

Answer:  Shaving your head will not prevent thin hairs from growing.  If your hair is thinning then the hairs may stop growing on their own at some point if you are not using treatment, but shaving your head should have no effect on this.

Name:  Lisa 

Question:  I started to have thin hair around the age of puberty. I would continually pick my dandruff, eventually the thinning spread from my crown to overall thinning of the hair. I’ve had thin hair now for 7 years, do you think the picking of the dandruff caused to widespread thinning? I have lost hope in fixing my problem as i have had it from such an early age. My belief is that the hairs have come out of the root. Is this possible? My grandma also had this problem, what are the chances that i could be cured with Belgravia.

Answer:  It’s a possibility that continually picking an area of dandruff could cause hair loss in that area but unlikely that this would cause hair loss spread over the head.  As the hair loss came about at puberty it is likely that this is a genetic condition or something related to hormones – if it is restricted to the area at the top of the head then it is most likely genetic, if it’s all over the top as well as the sides and back there’s probably another cause.  We would advise an examination – there are treatments available for each of these conditions but you would initially require a diagnosis.

Question:  Can you offer any hope of hair recovery from scarring alopecia?

Answer:  Non-surgical hair replacement is the most effective solution for this, where a non-detectable hair replacement system (hairpiece) which is matched to your hair colour can be attached to the area of scarring with a skin base to cover the area up.  More information on HAIR REPLACEMENT.

We also hear of certain surgeons experimenting with hair transplantation on areas of scarring but this is not a widely recognised technique – I would advise you to search around and speak to hair transplant doctors about this and make sure you take advice from a reputable surgeon.

HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Not supplied

cornrows traction alopecia hair loss tight hairstyles extensions braidsQuestion: I am an afro-caribbean 26 year old woman and have had my hair in a cornrow style since I was about 12 years old. Where the hair has been pulling there are areas of hair loss that are getting wider and wider. How can I stop this?

Answer: Hi there. The type of hair loss you describe is a common issue where tight hairstyles have been worn repeatedly. It is also frequently seen in women of colour due to Afro textured hair being naturally brittle and popular protective hairstyles within the Black community, such as cornrows, contributing to this condition.

It is called Traction Alopecia and it is the result of excessive strain placed on the hair follicles, with hair loss and breakage often concentrated around the sites where styles are fixed, as well as at the hairline and temples, which may start to recede.

The first, and most obvious step to stop hair loss in this instance is to remove the source of the issue – your cornrows. This should prevent the balding areas from expanding. Try to give your follicles a break by wearing your hair naturally without any additional tension from other problematic hairstyles or weight – for example, from hair extensions.

Although in many cases Traction Alopecia can be prevented, when it does occur whether hair regrowth is possible or not depends on the extent of the damage to the follicles.

A consultation with a hair loss specialist should be enough to determine whether your follicles are likely to respond to a course of Traction Alopecia Treatment, though a quick way to tell in many cases is by the appearance of the scalp in the affected areas. If the scalp is smooth and shiny – truly bald – in places, this indicates the follicles are no longer functioning and hair growth is unlikely. Where there is thinning or damaged hair, however, there is still hope that regrowth may be possible with the right approach, as it is a sign that the follicles are capable of producing hair.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.


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Question:  When i started to have thin hair around the age of Eight years old i was not extremely self conscious but i was aware of it. I had acne on my head and grew into a habit of picking at it. I don’t think that my condition has gotten worse over the years but if it has do you think picking at it may have caused it? Also have you ever had a patient who started the thinning of their hair at such an early age as myself? Has the treatment worked for them and is it abnormal for my condition to have started from such an early age?
Thank you

Answer:  I have never heard of anybody beginning to lose their hair at such an early age unless it is related to alopecia areata (patchy hair loss that can lead to complete hair loss).  I have also never heard of a person experiencing acne at such an early age – this is usually a condition that begins at puberty.  There could be a number of reasons for the hair loss – alopecia areata (as explained above), traumatic alopecia caused from the scarring of whatever skin disorder you were experiencing or as a result of pulling on the hair.  I would advise that you either visit the centre for a tricho-check or complete an on-line diagnostic form in order for a Belgravia trichologist to have more information in order to work out the reasons for your hair loss and recommend a suitable course of treatment if applicable.