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

Name: Beatriz

Question: I started to get small bald patches on the left side of my head in 2015. After visiting a dermatologist in 2016 I was diagnosed with pseudopelade de brocq. I was prescribed a liquid steroid solution which I applied once per day. I visited the dermatologist a few months later and they felt the condition was no longer active, and said that it doesn’t generally return?

This has remained the case until a month ago when I felt that I was losing hair again and the areas appeared larger. My hairdresser noticed that around my lower hairline, and at the front of my hair above my forehead was thinner but queried if this was more hormonal hair loss as my hair appears drier at the moment.

What is the timescale of pseudopelade and can it return again once it has cleared up? Also, when I went for a second opinion they told me I had lichen planopilaris – are these conditions similar and are the treatments and outcomes the same?

pseudopelade scarring alopecia
An Example of Pseudopelade

Answer: Hi, Beatriz. Pseudopelade can indeed recur and the duration, or how long it takes before it goes into remission, cannot be predicted.

It tends to present in a way that can resemble footprints in the snow and affects three times as many women as it does men, though little is known about its causes, comings and goings.

Pseudopelade is a form of scarring hair loss, which can destroy the hair follicles, leaving permanent baldness in the affected areas. It is part of a group of conditions collectively known as Cicatricial Alopecia or Alopecia Cicatrisata.

Lichen planopilaris also belongs to this group, and both lichen planopilaris and psedopelade are autoimmune disorders with similar symptoms. Most of those affected by lichen planopilaris – an estimated 60 to 90 per cent of cases – are women.

Examples of hair loss from Lichen Planopilaris - cicatricial alopecia

It is a skin disorder, lichen planus, but is known as lichen planopilaris when it affects hair-bearing areas. Symptoms of the condition include erythema – a redness of the skin around sites of inflammation, scaling and hyperkeratotic plugs (thickened outer layers of the skin).

Although sometimes said to be related to stress, this is largely thought to be more due to stress being detrimental to our general well-being and the body’s healing process, including how it responds to autoimmune disorder medications, than stress being any kind of trigger, unlike in other autoimmune diseases, such as Alopecia Areata.

According to the US Department of Health and Human Services’ Genetic and Rare Disease Information Centre, there “exists some controversy as to whether [pseudopelade de Brocq] is a distinct condition or the common final stage or variant of several different forms of scarring alopecias such as discoid lupus erythematosus (DLE) or lichen planopilaris (LPP). Some have suggested abandoning the use of the term pseudopelade of Brocq while others think that the term should be strictly used to describe patients that follow the pattern of hair loss described by Brocq et al.(i.e., multiple, small, discrete, asymmetrical, smooth, soft, flesh-colored or white patches of hair loss with little, if any, inflammation).”

Often, where there is confusion over the diagnosis, a scalp biopsy is recommended in order to to tell these hair loss conditions apart. As such, you may wish to discuss this option with your dermatologist.

At Belgravia we cannot treat either of these conditions but those who can often do so using medications, such as corticosteroid lotions or scalp injections, to address the underlying condition, rather than providing any type of hairloss solution.

Once the condition has been stable for three years, some surgeons may consider carrying out a hair transplant or even scalp reduction surgery, though this is decided very much on a case-by-case basis. These are both highly-skilled procedures and require specialist experience and training so, if you were to explore either of these options, we would recommend speaking to a respected and qualified expert in this particular surgical field first.

It is worth noting that, even once the condition has been stable for the requisite amount of time, and if you are judged suitable for surgical hair restoration, the procedure still may not be a success.

As before, we recommend discussing your options with one of the dermatologists you mentioned seeing, as they should be able to provide you with further advice on getting a confirmed diagnosis and suitable therapies based on these findings.


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

Name: Nathan

Question: What is the best shampoo and conditioner to use to improve hair growth for men in their 30s? Something that doesn’t cause as much damage to the hair. Is hemp oil the best oil for the hair before using shampoo? Also, what are some of the best foods items to eat to improve hair growth?

Answer: Hi, Nathan. We’re not entirely clear on whether you just want to improve your hair growth or whether you are looking for advice on how to treat hair loss. As such, I have included a few additional responses in addition to your queries regarding the best hair care products for hair growth, and dietary tips.

If you are concerned that you have thinning hair, I advise you to have a consultation with a hair loss specialist who can examine your scalp and hair then discuss suitable, personalised treatment recommendations, where appropriate.

Hair loss from Male Pattern Baldness, a common condition among men in their 30s, is generally treated with medication, specifically either one or both of the only MHRA-licensed and FDA-cleared, hair loss treatments.

These clinically-proven drugs are the oral DHT-blocking tablet, finasteride 1mg and topically-applied solutions of high strength minoxidil. Although they are pharmaceuticals, they can be used alongside non-medicinal hair growth supporting products.

One of these which may interest you, whether you are concerned about hair loss or hair growth is the HairMax LaserBand, an FDA-cleared device that is worn three times per week for between 90 seconds and 3 minutes per session, depending on the model.

This gadget has patented teeth embedded into its curve, alongside medical-grade red lasers. The teeth part the hair, allowing the light therapy to get straight to the scalp. There, it penetrates into the skin, stimulating natural ATP production and, as a result, hair growth.

It is a popular hair loss product, generally used alongside pharmaceutical treatments, which manufacturers claim not only helps to treat thinning hair and prevent baldness, but also strengthens the hair and promotes healthy growth.

There are a number of misleading claims when it comes to shampoo and conditioner ranges targeting those worried about hair thinning, but it’s important to note that these types of hair care products do not treat hair loss.

However, a good quality shampoo is still important for its role in the maintenance of scalp and hair health. I cannot recommend any specific shampoo without examining you because everyone’s scalp is different.

As some general advice, the type of shampoo you should use will depend on the condition of your scalp. For example, if you have a very dry scalp, you should be using moisturising shampoos; if you have a skin issue that affects your scalp, for example dandruff or seborrhoeic dermatitis, you may find medicated shampoos that contain ingredients such as coal tar, zinc pyrithione, or ketoconazole, beneficial.

Belgravia Centre Professional Shampoo and Conditioner Hair Care Range

It is also important to keep the hair in good condition, especially if you are trying to grow your hair, or want to maximise the hair you already have. If you worry that your hair tends to be dry or tangled, you can try including conditioner into your routine.

After shampooing, this is applied often just to the lengths and ends of the hair. You can also apply it to the roots though not everyone likes to do this as applying conditioner to the roots of the hair can make it appear lank or greasy – especially if the hair is thin on top – and make any signs of hair loss look worse.

We offer a range of professional Belgravia shampoos and conditioners which you may want to consider. These are highly concentrated so that patients can thoroughly wash their hair and scalp to remove any medication residue.

The frequency we recommend for how often people should wash their hair is based on the patient’s hair type and scalp condition. As a guide, those with an oily scalp and people with finer hair may benefit from shampooing frequently – daily or every other day. This is because finer hair gets oily quicker and loses its volume. We often see this with the finer Caucasian or Asian hair types.

On the other hand, those with a dry scalp, thicker hair or tightly curled hair may need to shampoo less frequently. For example, many people with Afro textured hair shampoo once weekly.

Those who use minoxidil may need to shampoo more frequently to keep the scalp healthy and remove any medication residue.

However, in all cases I would not advise leaving the scalp unwashed for more than a week as this increases your chances of irritations, or developing a flaky and itchy scalp.

With regards using hemp oil before shampooing to promote hair growth, there is no significant scientific evidence to support the use of any hair oil for this purpose, nor to prevent or treat hair loss, regardless of when in your regimen you apply it.

If you are concerned about damaged hair or hair breakage, use good quality hair care products that do not contain large amounts of harsh chemicals, avoid or limit your use of heated hairstyling tools – which includes hair dryers – and get your hair trimmed regularly so that any split ends are dealt with.

The answer to your food-related question is also very similar, in that a good diet for one person may not be suitable for another.

Having a well-balanced healthy diet will contribute to healthy hair and skin, too. Dietary deficiencies, on the other hand, can trigger disturbances in the hair growth cycle and lead to increased shedding or the worsening of pre-existing hair loss conditions.

Some people may have to avoid certain foods for health reasons, therefore it is difficult to generalise the meaning of a ‘suitable diet for healthy hair’ as this should ideally be considered alongside the individual’s medical profile information.

Belgravia Centre hair supplement Hair Vitalics for Men food supplement nutrition vitamin tablet

There are a number of nutrients associated with the maintenance of healthy hair growth. These include biotin, selenium and zinc, all of which are included in the highly-targeted formulation for the Belgravia food supplement, Hair Vitalics for Men, alongside amino acids and botanicals, such as saw palmetto.

My overarching advice to you on this is to make sure you have a balanced, healthy diet, which means ensuring you receive the optimal amounts of vitamins and minerals recommended for men your age from your food. This should then give you the best chance of avoiding dietary deficiencies and preventing hair loss from these types of issues. You can find further details on this from the NHS website, your GP or a qualified nutritionist.

To check if you have any dietary deficiencies, you can speak to your GP about having a blood test. Additionally, if you have any medical conditions or follow specialised diets, I advise you to consult with them for guidance as to suitable foods.

You may also find our previous articles on the Best and Worst Foods for Hair Loss, Foods that Help to Prevent Hair Loss and Foods Which Can Lead to Hair Loss, helpful.

If you do not have hair loss or scalp problems and simply want to keep your hair in good condition, my advice, in summary, is to shampoo and condition your hair regularly and limit the use of heated hairstyling tools. Plus keep yourself healthy via your diet and exercise, avoid or learn to manage any stress, stay hydrated, get plenty of sleep on a regular basis and don’t smoke, as the state of your health is often reflected in the hair’s condition.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe 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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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Erick

Question: I am a 17 years old male and my hair extremely thinned in only a few days. I am not sure but the reason might be overdosing myself with my multivitamins that I bought recently. I stopped using it now, and my question is, will my hair grow back to how it was before? I had kind of a thick hair. If I need any tests to find out more, which ones would I need?

Answer: Hi, Erick. If you’ve noticed increased shedding over a short period of time, this may be a condition called Telogen Effluvium (TE).

This is a disturbance in the hair growth cycle where many actively growing hair follicles – up to 30-40 per cent – are being pushed from the anagen (growing) phase into the telogen (resting phase). The result is hair loss from all over the scalp, and reduced hair density.

vitamins minerals diet nutrition supplements tablets healthy hair growth

TE can be triggered for many reasons, including recent stress, changes in your health or diet. Overdosing on medication may also spark this off.

Overdosing on food supplements can lead to other side effects and complications, so I advise you contact your GP or regular doctor as soon as possible. They may arrange a blood test to see if you require any treatment or whether the fact you have stopped taking the supplements is enough.

However, whatever the cause, if you have Telogen Effluvium the shedding is temporary and the hair usually grows back shortly after the initiating factor has been eliminated; it tends to take roughly three months for the hair regrowth to become noticeable.

If you wish to be on the safe side and your doctor does not already suggest one, it may be worthwhile asking for a blood test where a number of factors can be checked out.

The blood tests we would normally recommend to adults worried about hair loss include getting a full blood count, iron, ferritin, vitamin D, vitamin B12, folate, zinc, and thyroid function screening.

These are investigated because anaemia – iron-deficiency anaemia or pernicious anaemia, dietary deficiencies or thyroid problems are all known to be associated with diffuse hairloss.

As, in your case, you mentioned you have been overdosing on multi-vitamins, I recommend you showing the multivitamin ingredients list to your doctor. They can then determine the best course of action, particularly as they will have knowledge of any relevant information from your general medical profile. If they decide it is worthwhile, they can arrange tests including a blood test to check your liver function as well as vitamin levels, depending on which vitamins you were taking, in case they are above their normal range.

It is so important to always ensure you follow the intake and usage directions to the letter, whether it is nutritional supplements such as multi-vitamins, or medication that you are taking.

Although many people assume it is safe to take lots of ‘natural supplements’ or vitamins, this is not the case and dosage information is provided with good reason. For example, vitamin A is just one nutrient which, when taken regularly in excessive quantities can build up in a person’s system and hair loss may occur as a side effect of this.

Therefore, if you do decide to start taking food supplements again, it may be worthwhile discussing this when you speak to your doctor and, if you do go ahead, ensure you stick to the recommended dose per day.


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

Name: Brittany

Question: I’m 30 years old. I received an injury in November which led me into depression for a month but I recovered by the end of December. Before then, also in December I experienced severe, unexpected trauma due to a death in the family.

By late February-March I noticed I was shedding everywhere and my parting became more visible. My scalp had severe flaking. It’s now October and although this flaking has gone and I’ve seen small improvements to my shedding, I’m concerned about my hairline which doesn’t seem to be regrowing as well.

Types of Womens Hair Loss - Areas of Scalp Affected by Temporary and Permanent HairLoss Conditions

The back of my hair seems to be thickening up and I’m getting back some density, but my fringe and front hairline were hit hard. I also have some thinning in my temples. Could this be Telogen Effluvium? Also my mum has the same hair as me and she is 50 with a lot of hair, the same as her mother.

Answer: Hi, Brittany. It sounds like you have had a lot to deal with over the past 12 months and this could certainly have resulted in hair loss.

It is likely you did indeed experience Telogen Effluvium (TE) earlier this year when you were shedding hair diffusely from all over your scalp. This temporary hair loss condition can be triggered by emotional or physical stress and the associated hair fall tends to present around three months it is set in motion.

Given the stressful issues you experienced occurred initially approximately 2-3 months before you started experiencing diffuse thinning, it seems to fit with this diagnosis.

TE is the result of a disturbance to the hair growth cycle, which causes many of the actively growing (anagen) hairs – up to 30-40 per cent – being prematurely pushed into resting (telogen) phase. This results in excess shedding.

Whilst Telogen Effluvium treatment courses are available, normal hair regrowth should spontaneously resume shortly after the trigger factor has been removed. This will involve the shedding slowing down and short regrowing hairs becoming noticeable all over your scalp, with your hair density also improving.

You mentioned that you are now seeing some improvements to your hair and there is thicker hair at the back of your head, but that it has remained thinner towards the front, around your hairline and temples.

It is common to inherit genetic hair loss – more commonly known in women as Female Pattern Hair Losss – and the traits involved in this hereditary condition can come from the male side of your family as well as the female side.

This condition causes thinning hair in the region along the top of your scalp from the crown to the hairline and temples. This is known as the vertex; the rest of the scalp – the back and sides of the head – are not affected so the hair will feel thicker there.

Common signs of female pattern hairloss include your parting getting wider and your hair having less density than usual. This is often most noticeable when trying to put your hair into a ponytail as it will feel much thinner than usual.

Genetic hair loss can start at any age following puberty and tends to come on gradually, as it is a permanent, progressive condition. It can also be exacerbated or even prematurely triggered in women with an underlying genetic predisposition, by various additional factors. These include stress, some medical conditions and dietary deficiencies.

If you did notice any signs of Female Pattern Hair Loss prior to your eye operation or the sudden death of your family member, it could be that you have the necessary genetic make-up and the stress these incidents caused, which led to the Telogen Effluvium, also sparked off this hereditary shedding.

Of course, whilst this is the most likely conclusion based on the small amount of information you have provided here, we advise you to have a professional consultation, online or in-person at a dedicated hair loss clinic, in order to receive a confirmed diagnosis.

From there, a personalised course of women’s hair loss treatment products can be recommended to you, based on your condition, medical profile, age and any lifestyle requirements.

This is likely to involve appropriate formulations of the clinically-proven hair loss solution high strength minoxidil, as well as supporting non-pharmaceutical elements such as the use of an FDA-cleared LaserBand low level laser therapy device to stimulate the follicles, and Hair Vitalics for Women one-a-day nutritional supplements.

It may also be beneficial to find ways to help manage your stress; grieving is often an on-going process over many years after the bereavement, so getting support with this may help too.


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

Name: Kiran

Question: My friend told me he’s using red ginseng ethanol tincture to treat his hair loss. I just want to know if this really can regrow hair for Male Pattern Baldness, how much should you use and if it is safe?

Answer: Hi, Kiran. Red ginseng – also known as panax ginseng – is believed to inhibit DKK-1, a gene found to be highly upregulated – made more prevalent – in the dermal papilla of hair follicles affected by androgenic alopecia, which is perhaps better known as Male Pattern Baldness.

panax ginseng - red ginseng

A 2007 study from Kyungpook National University in Daegu, Korea, found that DKK-1 mRNA is upregulated only 3-6 hours after dihydrotestosterone (DHT) treatment; DKK-1 is then secreted from dermal papilla cells in response to DHT.

This was seen to inhibit the growth of cells in the outer root sheath and trigger cell death. These findings would, therefore, explain the gradual follicluar miniaturisation process and eventual baldness that occurs in cases of androgenic alopecia.

Researchers from the study concluded that “…DHT-inducible DKK-1 is involved in DHT-driven balding” adding that, to reverse the effects of DHT in the dermal papilla, a DKK-1-neutralising antibody should be used.

A further hair loss study was carried out in 2017 at Dankook Medical College in the Republic of Korea, using panax ginseng extract to inhibit the effects of DKK-1 in the hair follicle. This was successfully achieved on ex vivo human hair organ culture.

Published results show the panax ginseng extract managed to regulate apoptosis-related gene expression in the hair follicle. This essentially means the genes responsible for cell death in the hair follicles were better regulated with the help of the panax ginseng extract, leading to a reduction in the rate of cell death in the follicles.

Although only ex vivo trials were conducted, I believe this has good potential for further research and we may well see it being used in genetic hair loss treatments in the future.

Panax ginseng has anti-inflammatory and antioxidant properties, both of which are important for healthy hair follicles. Several studies over the years have also found it to be helpful in promoting hair growth as it stimulates cell proliferation. Now we also know that it inhibits cell death in outer root sheath keratinocytes in the hair follicle.

Most studies I reviewed used panax ginseng extract in ethanol which is also known as a panax ginseng tincture, ‘tincture’ referring to the common pharmacology practice of dissolving a medication or drug in alcohol. Many minoxidil preparations are also dissolved in alcohol.

Usually when a medication is used, the administered dose is strictly regulated, for example the only clinically-proven oral male hair loss treatment – the DHT-blocking tablet finasteride – is taken in a 1mg dose each day. Also, when applying minoxidil, usually only 1ml of the formula is used in total during each application (usually once or twice per day depending on the instructions provided). This is a very small amount and is unlikely to cause skin irritations, unless there is a pre-existing skin condition or sensitivity to one of the ingredients.

Regarding absorption or efficacy of red ginseng extract or tincture, it is difficult to comment as we need more research. Red ginseng extract is already used orally, and occasionally topically, with various effects, however, as with most herbal preparations, there is no particular dose that is widely or strictly recommended – nor is this regulated – for use relating to hair regrowth.

There is no reliable evidence determining precisely what percentage of ginseng tincture is absorbed topically into the hair follicles if it is applied to the scalp.

Whilst one study I am aware of used 20ppm (parts per million) root of panax ginseng extract in 70% ethyl alcohol, this was in a lab setting and not tested on human patients. The few human trials I have seen involved red ginseng taken orally while the participants were also using other hair loss medications, such as corticosteroids for Alopecia Areata.

Overall, it seems clear more research is needed in this area to establish not just its proper safety, efficacy and tolerability, but also the optimal dosing and delivery methods.

There are warnings regarding possible side effects for oral red ginseng, which include sleep disturbance, blood pressure changes, breast pain, mood changes and rashes developing. Topical use is likely to be safer but this has not yet been properly established. I consulted my colleague, Superintendent Pharmacist Prescriber, Christina Chikaher, on this who advised it is unlikely the tincture element would cause any harm, but agreed that the likelihood of adverse events related to the red ginseng was yet to be properly established.

Again, I believe we need more research on the efficacy and safety of topical red ginseng when used specifically as a hair loss treatment, as well as its long-term profile, given pattern hairloss requires on-going use.

Given this, for now at least, there is not enough concrete scientific evidence to support our recommending it without further research but if you wish to give it a go, we advise you to do so under the supervision of your GP. However, if you wish to explore authorised treatment options, a consultation with a dedicated specialist can provide you with a diagnosis and, if appropriate, tailored recommendations for suitable hair loss solutions and hair growth supporting products.


The 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.

Related Stories


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

Name: Re

Question: I have a question regarding stress-induced hair loss. I have Male Pattern Baldness and two months after an emotionally stressful event, noticed intense shedding. The shedding lasted for about 2-3 months and now my hair loss is stable but I notice a diffuse thinning all over my scalp. I am using minoxidil hair loss treatment and want to know if the shed hair that I lost from what I presume is Telogen Effluvium, grow back?

Answer: Hi, Re. It does sound like you experienced acute Telogen Effluvium (TE) which is a temporary condition often associated with physical or emotional stress.

It causes a disturbance to the hair growth cycle which leads to many hairs that were in the anagen (actively growing) stage being prematurely pushed into their telogen (resting) phase.

This results in those hairs shedding from all over the scalp, which can seem intense due to up to around one third of the scalp hairs being affected at once. However, normal hair regrowth tends to resume shortly after in the majority of cases.

In most people hair regrowth is seen within 3-6 months after signs of hair loss from Telogen Effluvium become obvious, whether they are using hair loss treatment or not.

It is a very good sign that your hair loss has stopped now and it is completely normal for it to feel like you have lost hair density, from all over the scalp, for a short period after a bout of TE. New hair growth should start to come in soon so you should look out for signs of short hairs all over your scalp.

Those with stubborn hairloss are sometimes offered a dedicated Telogen Effluvium treatment course featuring appropriate formulations of high strength minoxidil. Although this topical medication is MHRA-licensed and FDA-approved for the treatment of genetic hairloss in men and women, it is known to have additional ‘off-label’ applications for other hair loss conditions, one of which is TE.

Given you are already using minoxidil to treat your Male Pattern Baldness, a permanent genetic problem which can be exacerbated by this temporary hair loss condition, additional treatment is not recommended.

As you do not appear to be a Belgravia client, we recommend checking in with your treatment provider but, for now, advise that you continue using your medication as usual to ensure you keep stimulating your hair growth.

Also, another reason it is wise to continue your normal regimen is because a break in treatment could result in your shedding from male hair loss resuming once again.

As Male Pattern Hair Loss is an on-going concern, treatment needs to be on-going too – at least until a cure is found! Stopping treatment can result in you losing any regrowth gains and your hair thinning continuing as it did before you started using minoxidil.

If you are considering additional hair growth support, you may find products such as the LaserBand useful for stimulating the follicles and nutritional supplements convenient for the maintenance of normal healthy hair. Belgravia offers its highly-targeted Hair Vitalics for Men one-a-day tablets to non-clients as well, and they can be purchased from either of our London hair loss clinics in person, or online from hairvitalics.com. These should not, however, replace a balanced diet and healthy lifestyle.

If you would like a second opinion or scalp assessment from a professional hair loss specialist, you may find a consultation helpful, either in-person or online. Alternatively, you may wish to simply see how you get on over the next three months, then reconsider should there be any significant hair loss increases, or a lack of regrowth after this period.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe 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.

Related Stories


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

Name: Sarah

Question: I am considering starting hair loss treatment with minoxidil but I have a cat and have heard minoxidil is harmful to cats. Please can you advise me if this is true and if there is any way to use it without risking my cat’s health?

Answer: Hi, Sarah. We’ve had several queries regarding high strength minoxidil use and cats over the years.

is minoxidil harmful to cats hair loss treatment advice belgravia centre clinic london

Given it would be unethical to test human hair loss treatment on cats, there is very little reliable scientific research published in medical journals about this.

However, an article from the Journal of Vetinary Emergency and Critical Care, which was published in 2004, reports on the death of two cats following their exposure to topical minoxidil liquid.

The abstract states: “Two cats with dermal exposure to topical minoxidil solution were identified from the ASPCA Animal Poison Control Center (APCC) files. Both cats were presented with lethargy and dyspnea within 36 hours of exposure. The cats were hypothermic, and had pulmonary edema and pleural effusion present on thoracic radiography. Both cats died despite supportive care. Necropsy of both cats confirmed pleural effusion and pulmonary edema and indicated cardiac compromise.”

What this does not tell us is how much minoxidil the cats came into contact with and what strength the hair loss solution was.

At Belgravia we always advise patients, with or without pets, to apply minoxidil at least one hour before they go to bed and to wash their hands their hands thoroughly after each application. This applies to all minoxidil formulations and, by doing so, allows sufficient time for the medication to be absorbed into the scalp with minimal residue.

This is important because any residue on the pillow means that, not only is some of the medication wasted as it is absorbed into the pillowcase rather than the scalp, but, when there is minoxidil residue on the pillow it may come into contact with the patient’s face, increasing the chances of skin irritation or the development of facial hair.

In cases where the patient is a cat owner, we would advise the same – apply at least an hour before going to bed to avoid residue on the pillow. You can also take the extra precaution of changing your pillowcase frequently, even daily, if you wish.

Symptoms of possible minoxidil toxicity in cats which you should be aware of include lethargy, weakness, a rapid respiratory rate, difficulty breathing, a lack of appetite and coughing.

It goes without saying that obviously you should not apply minoxidil to your cat or let it come into contact with your medication. But, should your cat accidentally touch minoxidil, I would advise washing the paw or fur immediately to remove any residue and take them straight to the vet as soon as possible.  

As you no doubt know, cats are very curious and can easily climb onto furniture, getting into even the smallest of spaces, so I would highly recommend storing your hair loss treatment safely, perhaps in a locked cupboard.

You can find further information on this subject, here, and, if you would like further details on women’s hair loss treatment, you may find an online or in-person consultation useful, where can discuss both your shedding concerns and any further queries regarding storage and application of your meds with a dedicated hair loss specialist.


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

Name: Vik

Question: I am writing on behalf of my girlfriend. Over the last 2-3 weeks she has noticed loss of eyebrow hair and has also felt itchiness. Whilst she has been to a GP and has been prescribed with an anti-fungal cream to use, this has worsened the redness and itchiness and the hair loss continues. She has been asked to try hydrocortisone next but is worried about the rate of hair loss and I am writing to find out if there are any suggestions and if it would be worth having her arrange a consultation to discuss this further as she is getting quite concerned at how quickly the rate of hair loss is increasing.

Answer: Hi, Vik. We specialise in hair loss that affects the scalp only so unfortunately will not be able to prescribe any treatment for the face.

An example of seborrhoeic dermatitis in the eyebrow
An example of seborrhoeic dermatitis in the eyebrow (red patches which are often accompanied by flaking skin in and around the brow)

However, I do recommend your girlfriend sees a dermatologist who can examine her eyebrows thoroughly. If her GP suspects there is a fungal infection, there are tests that can be arranged to confirm this diagnosis.

Itchy and flaky eyebrows may also present with seborrhoeic dermatitis which is a type of eczema that often affects the areas rich in sebum.

This dermatological condition does not cause hair loss, however, excessive scratching of the area may cause hair breakage or temporary hairloss.

Anti-fungal products often help with seborrhoeic dermatitis, so this may be one of the reasons your GP prescribed such a cream. On the other hand, if the cream made the condition worse, it is important your partner reports this to her GP so that other treatment options can be explored.

Loss of eyebrow hair can happen for various other reasons and it is important for the area to be examined thoroughly so your partner can receive the correct treatment.

For example, Alopecia Areata (AA) can affect any hairs on the body, including the eyebrows, although it is more common on the scalp. It is an autoimmune disorder which tends to present as sudden-onset patchy hair loss.

Possible triggers may include stress, recent infections, dietary deficiencies, other autoimmune problems and, sometimes, a genetic predisposition.

Alopecia Areata should not irritate the skin, though occasionally excessive hair shedding may feel tingling or itchy. The prognosis of AA is very unpredictable but in most cases the hair grows back.

Example of Frontal Fibrosing Alopecia
An Example of Frontal Fibrosing Alopecia

Some types of cicatricial alopecia, also known as ‘scarring alopecia’, such as Frontal Fibrosing Alopecia (FFA), can also affect the eyebrows. This is also an autoimmune condition, but it is poorly understood and the triggers are as yet unknown.

This hair loss condition causes inflammation in the hair follicles which persists for a while before destroying the follicles, leaving permanent band of baldness, where the skin is often smooth and paler, around the frontal hairline area.

FFA is a rare form of hairloss and looks very different to Alopecia Areata and hair breakage, so an experienced dermatologist should be able to confirm the diagnosis following examination.

It is difficult to advise you on treatments or diagnosis without examining the affected area. However, as Belgravia does not offer any hair loss solutions for the face or body, I advise your girlfriend to consult with her GP and/or dermatologist.


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

Name: Roary

Question: My mum has just been diagnosed with female hair loss at 47. I’m pretty sure it’s hereditary so want to know if she has pattern hair loss does it mean I’ll get male pattern baldness? My dad isn’t around so I don’t know what his hair’s like. I’m 20 and think I have a good head of hair and a decent hairline but am worried about losing my hair in the future.

Answer: Hi, Roary. You are right in thinking that pattern hair loss is a hereditary condition; androgenetic alopecia, to give it its medical name, is the result of a number of genes which can be passed on by either your mother, your father, or both.

Therefore, if your mum has Female Pattern Hair Loss, this is a sign that the condition does, indeed, run in your family, regardless or whether your dad has Male Pattern Baldness or not.

Areas of the scalp that can be affected by genetic hair loss male female pattern baldness men women
Areas of the scalp that can be affected by genetic hair loss in men and women

Although this permanent condition – which causes a genetic sensitivity to the androgen hormone DHT which attaches to hair follicles located around the top of the scalp from the hairline to the crown any time following puberty, leading to gradually weakened, thinning hair and receding in these areas – runs in families, it has been known to skip a generation.

When this happens, it means the relevant genetic traits may have been passed on but instead of being active, they may simply be dormant. This means that there may be no outward signs of hair loss but they can still be passed on to any children.

In terms of age, typically men with the relevant predisposition tend to start developing obvious symptoms of pattern hairloss in their 30s, though it is certainly not uncommon among young men in their 20s, either. These include a general decrease in hair density – how thick your hair feels, thinning on top, receding at the temples and/or a thinning crown.

Regardless of your mother’s diagnosis, losing your hair is nothing to worry about. Firstly, although it is – unfortunately – likely, it is not certain it will happen to you.

Secondly, if it does happen, it may not be for a number of years yet, and even when it does start, the rate of shedding may be slow. The speed at which hair thins and sheds varies from person to person so it cannot be predicted but the process of going bald is definitely not a sudden one in cases of androgenetic alopecia.

Lastly, if the worst does happen and you start to lose your hair soon, there are clinically-proven Male Pattern Hair Loss treatments which can be used from the moment a diagnosis of this condition being actively present is made.

Both MHRA-licensed and FDA-approved, there are oral and topical hair loss solutions available which can be used individually or – as is usually recommended by Belgravia specialists – in combination.

These help with inhibiting DHT, promoting accelerated hair growth and, with on-going use (Male Pattern Baldness is, after all, a permanent condition for which there is not yet a cure), preventing baldness.

Additional non-pharmaceutical hair growth supporting products can also be used to help encourage stronger hair regrowth and maintain normal healthy hair growth. These range from food supplements to follicle-stimulating, FDA-cleared low-level laser devices which can be used at home.

Right now, however, it does not appear you have any hair loss concerns so whilst it may be worth keeping an eye on your hairline and overall volume, there is no immediate action you should take.

Should this change, the first step would be to consult a hair loss specialist who can assess your scalp and diagnose any issues, as well as recommending a tailored treatment course where appropriate.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe 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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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Ryan

Question: I was playing football 2 months ago and I got hit by an elbow in my head very badly and a bump appeared after weeks the bump went down and no hair grew at the spot after, now I am wondering if I am experiencing permanent hair loss which I am worrying about because I am very young. Can my hair grow back?

Answer: Hi, Ryan. I am sorry to hear about your accident. I know it is easy to say but do try not to worry about this, especially as it is likely to be a temporary issue.

Next time you watch a Premier League football match, take a look at the players’ hair – you’ll often notice the odd professional footballer sporting a similar bald spot so you’re in good company!

Normal Hair Growth Cycle versus Hair Growth in Alopecia Areata

As you injured the scalp, I advise you to book a consultation with a dermatologist or hair loss specialist who can examine your scalp and discuss whether or not you would require any treatment.

It is possible the accident has caused temporary hair loss due to the injury in the area. The hair may have been pulled somehow, or, if the wound developed a crust during recovery, this may have led to the area losing hair temporarily. If this is the case, new regrowth is usually seen shortly after the skin recovers.

If you have developed Alopecia Areata (AA), characterised by a singular bald spot or multiple rounded, oval patches of hair loss to the scalp, this is slightly more complicated. Again though, the hair is still likely to regrow in most cases, with this occurring naturally within 12 months. There are also Alopecia Areata treatment courses which may help to promote accelerated hair growth, depending on how old you are.

Alopecia Areata is an autoimmune disorder which causes white blood cells to attack the hair follicles, disrupting the hair growth cycle and making them lose their hair. This results in sudden-onset hairloss.

The exact cause of AA is unknown, but it is known to be autoimmune in nature and, therefore, it may not be related to your injury. Common triggers include recent mental and physical stress, dietary deficiencies, infections, and occasionally genetic predisposition.

If the football injury you experienced caused a significant, sudden shock this could be a reason for AA, but as you have found a newly developed bald-looking patch on your scalp, it is worth checking with a dermatologist or, again – depending on your age – a hair loss specialist to get a confirmed diagnosis.

The prognosis of Alopecia Areata is very unpredictable – in some people the patchy hair loss will grow back, whilst in others it may not, or it may grow back then recur at a later date, or it may spread to other areas of the scalp, head or body. However, as I mentioned previously, good hair regrowth is seen in most cases.

Occasionally this new hair may appear white or pale when it first starts growing back, but this is nothing to worry about and generally its normal pigmentation will return later on.

Depending on the severity of the injury, it is worth noting that there is a chance the hair loss may be permanent, too. If there is deep damage of the skin impacting the hair follicles and forming scar tissue, this would mean follicles would no longer be active and would, therefore, be incapable of producing hairs. This is known as scarring alopecia or cicatricial alopecia and causes permanent hair loss due to this destruction of the hair follicles.

This is why it is important to have a consultation with a hair specialist or dermatologist who can examine the area thoroughly and advise you further as to the precise problem and recommend appropriate treatments for the condition based on their findings, your age and medical profile.


The 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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