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

Name: Drew

Question: Do you still get seasonal shedding on hair loss treatment? I’m using fin + minox for MPB and wanted to know if the hair fall I’m noticing at the moment is normal or if it means my treatment isn’t working.

Answer: Hi, Drew. Yes, you can still experience seasonal shedding if you’re using hair loss treatment.

It still happens even when using minoxidil as it is a normal part of the hair growth cycle.

seasonal hair loss extra shedding autumn fall male pattern baldness

For Belgravia patients who’ve been with us for many years, we can often see its effects at the same time every year. However, the seasonal shedding may present differently in each person.

Although many people notice shedding in autumn, others may find they experience this hair fall in a different season. It is just a normal function of the hair growth cycle and nothing to be concerned about.

Once a year we might have a slightly higher percentage of hair follicles being in the telogen phase than usual, which then leads to slightly more hair loss than the usual daily amount.

It is an interesting area of study and certainly does seem to have some seasonality to it, as confirmed by research into Google search trends from 2004 to 2016. Analysis of this data was carried out by a team at John Hopkins Medicine in the USA and published in the British Journal of Dermatology in 2017.

The researchers concluded: “Maximal proportions of telogen hair have been found to occur in the summer, whereas lowest rates of telogen hairs occur in the winter. Additionally, a recent study demonstrated that maximal hair shedding occurs in August and September, and that the percentage of hairs in the anagen phase peaks at the beginning of spring.

Further studies evaluating the seasonality and hair loss relationship, as well as exploring the effect of other potential mediating factors, are needed.

Additionally, according to previous research findings from February 1991, which touched on body hair as well and was also published in the British Journal of Dermatology, “Various parameters of hair growth were determined every 28 days for 18 months in 14 healthy Caucasian men aged 18–39 with indoor occupations in Sheffield, U. K. (latitude 53.4°N). In the scalp the proportion of follicles in anagen reached a single peak of over 90% in March, and fell steadily to a trough in September.

Hair Growth Cycle Diagram

The number of shed hairs reached a peak around August/September, when least follicles were in anagen. At this time the average loss of hairs was about 60 per day, more than double that during the preceding winter.

The rate of growth of the beard was lowest in January and February and increased steadily from March to July to reach a peak about 60% above the winter level. The rate of growth of thigh hair showed a similar pattern though with less pronounced differences. No seasonal fluctuations in finger ‐ or toenail growth were detected.”

As you can see, this is a regular occurrence and nothing to be startled by, but if you have noticed increased hair fall over a period of more than one month, or if you have developed sudden hair loss, especially if it is leaving behind bald spots, it is best to consult a professional.

A dedicated hair loss specialist will be able to tell the difference between temporary seasonal shedding and different hair loss conditions, and can also provide you with personalised advice and recommendations for appropriate hair loss solutions and hair growth supporting products, where relevant.


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: Robin

Question: I am currently using hair loss treatment and I want to know how long should I leave between doses when using minoxidil twice a day?

Minoxidil Dropper

Answer: Hi, Robin. If you are applying minoxidil twice daily, Belgravia hair loss specialists advise our clients to leave a significant gap between both applications.

There is no official time period, however, the gap between applications should ideally be somewhere between 8 and 12 hours, depending on your lifestyle, convenience or daily routine; this is to ensure your consistency of use.

The reason for a gap of no less than 8 hours between high strength minoxidil applications is to help avoid irritations, side effects, overdosing and to ensure a more regular stimulation of the follicles.

You should have been advised of this when purchasing your hair loss solution so it may be worthwhile consulting your provider or the manufacturer to find out why this crucial information was not included with your treatment.

If there’s a chance you purchased your hair loss treatment from an unreliable source – such as an unregistered online pharmacy – we would recommend taking it back, or disposing of the product safely, and purchasing a replacement from a licensed pharmacy or dedicated hair loss clinic.

You can find out more about the dangers of using out-of-date, improperly stored or counterfeit hair loss medications, here, or on the MHRA website.


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: Stephen

Question: What is it that causes thinning of hair strands and diffuse hairloss from every part of body not just head… shedding numbers of hair are high…. if take section of hair and tug telogen effluvium style numbers wise shed..its quite significant everytime hair touched. 80 percent volume on head lost…..but all body hair affected same…what can do this?

Answer: Hi, Stephen. Telogen Effluvium is a disturbance in the hair growth cycle where a high percentage of your strong, growing (anagen) hair is prematurely pushed into its resting (telogen) phase, causing hair fall. It can affect any hair on your scalp or body, as can its chronic form, Diffuse Thinning.

This is a temporary hair loss condition and was most likely triggered three months prior to the shedding becoming noticeable. It is worthwhile looking back to see what may have triggered this blip in the hair cycle to ensure the underlying cause – usually stress-related – has been resolved.

Hair loss on legs body hairloss

Alopecia Areata can also cause hair loss all over the body and scalp. This is an autoimmune condition with very unpredictable nature. It has various iterations, from patchy hairloss on the scalp only in its mildest phenotype, to complete baldness of the head and/or body in its most severe forms, Alopecia Totalis and Alopecia Universalis.

Whilst hair loss from the scalp-only Alopecia Areata phenotype generally clears up of its own accord within 12 months, this does not apply to those forms which affect the body as well.

There are also some rare types of scarring hair loss – known collectively as Cicatricial Alopecia – that can leave permanent patches of baldness on the scalp and body.

There can be numerous reasons for all of these and it is important to discuss this thoroughly with your doctor. Some medical conditions, medications and severe dietary deficiencies can trigger such thinning hair and your doctor may wish to arrange a blood test for you to investigate further.

At Belgravia we do not treat hair loss on the body, so we advise you to speak with your doctor or dermatologist. With regards to shedding from the scalp, we may be able to offer hair loss treatment but this will be limited to the scalp hair only.

Additionally, we would first need to asses your medical history and the severity of the hair loss on your scalp to ascertain the best approach and whether pharmaceutical treatment is most suited to your overall situation. This is why a consultation with a hair loss specialist, dermatologist or doctor is vital.


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: Anita

Question: My mum told me she read that there are essential oils that can reduce DHT. Is this true and if it is which oils are they and how should I use them? Will they help to prevent hair loss (it runs in my family)? I want to find a way to make my slightly thinning hair return to its previous thickness and would prefer to use natural hair loss treatments.

Answer: Hi, Anita. There are a few essential oils which are often reported as having DHT inhibiting properties.

In short, none have enough reliable scientific research behind them to show that they are safe and effective for use in treating hair loss. Essential oils can also cause skin irritation and may be dangerous when used improperly. However, here is some information on the key contenders, in alphabetical order…

essential oils that reduce DHT hair loss thinning hair

Lavender oil

A 2016 study (doi: 10.5487/TR.2016.32.2.103) showed that mice grew hair faster and thicker when lavender oil was applied to their coats. This suggests it may extend the active growth phase – the anagen stage – of the hair growth cycle. However, no human trials have been conducted to find out whether this is the case in men and women.

Peppermint oil

This anti-inflammatory oil is known to be a vasodilator – meaning it can stimulate localised blood flow. Given this is the primary action of high strength minoxidil, the only MHRA-licensed and FDA-approved topical hair loss treatment for Male Pattern Baldness and Female Pattern Hair Loss, some may assume that peppermint oil, applied to the scalp, can have the same effects. Whilst this theory has not been proven, a single, small-scale 2016 study found peppermint oil may be beneficial in cases of the temporary hair loss conditions, Telogen Effluvium and Diffuse Thinning.

Pumpkin seed oil

A 2014 clinical trial explored the links between topical pumpkin seed oil and hair regrowth in men with moderate Male Pattern Hair Loss. It found that 28% of the men taking a placebo had lost more hair at the end of the trial than when they started, and 64% had neither grown nor lost any hair. Researchers noted that 8% experienced “slight or moderate regrowth”. Not exactly a ringing endorsement for what some people believe to be a ‘natural hair loss treatment’, and from what was already a small-scale trial.

Rosemary oil

Although it is used in many traditional hair care products, there is little evidence to show that rosemary oil can promote hair growth. It can, however, irritate the skin and is not suitable for use by a number of groups, including pregnant women, people with bleeding disorders, epilepsy or high blood pressure. For those who are suitable, whilst the oil form is preferably used topically rather than orally, to minimise the risk of side effects, it is unlikely to produce any meaningful regrowth results.

Saw palmetto oil:

Saw palmetto, also called serenoa repens (SR), serenoa serrulata or sabal serrulata, is perhaps the best-known herbal remedy for hair loss.

It is generally taken orally as a food supplement, but can also come in topical oil form. Saw palmetto is thought to slow down hair loss and stimulate new hair growth in cases of androgenetic alopecia, particularly in men. This is because saw palmetto is thought to inhibit the 5-alpha-reductase (5AR) enzyme which causes testosterone in the body to convert to DHT.

According to a 2009 review published in the Journal of Cutaneous and Aesthetic Surgery, “Very few studies exist to support the claims of its efficacy. In a small study of 10 males with AGA (23-64 years) on oral SR, improvement was seen in 60%. In a study of 34 men and 28 women (18-48 years) topically applied SR extract in lotion and shampoo base for three months led to 35% increase in hair density and 67% increase in sebum reduction assessed by sebometry, pH metry, hydration studies and phototrichogram (study presented at the fourth intercontinental meeting of hair research societies, June 17-19, 2004). Addition of extract of 0.5% SR to ketaconazole shampoo was shown to give better results compared to ketaconazole alone (presented at the 13th Annual meeting of the European Hair Research Society, Genoa, Italy).”

It is worth noting that none of these test results apply to saw palmetto oil.

Whilst saw palmetto is understood to have hair benefits, to date, the only clinically proven 5AR and DHT inhibitor that has been both MHRA-licensed and FDA-approved any type of hair loss to date, is finasteride 1mg. This is a once-a-day oral tablet which can only be taken by medically suitable men aged 18 or over, with a clinical diagnosis of Male Pattern Baldness.

Please be aware that essential oils can be extremely harmful if applied directly to the hair or skin. They must be diluted with a carrier oil – coconut or jojoba oil, for example – before use and in accordance with the product’s instructions in order to minimise any potential side effects. Essential oils do not mix with water and therefore water will not dilute them.

According to the Tisserand Institute safety guidelines, essential oils tend to be 50 to 100 times more concentrated than the element is when found in its natural plant form. This makes it a potent product which may be dangerous when used inappropriately, or by those for whom essential oils are not suitable – for example where they are contraindicated with certain medications or health issues.

Whilst natural hair loss remedies may be more appealing, those which are chemical-based are more tightly regulated. This means they have been rigorously tested for safety, efficacy and tolerability, and have to meet a number of regulatory criteria before authorisations, such as MHRA licenses and FDA approvals, can be granted and the medications can be made available.

In cases of female pattern baldness, Belgravia clients often follow a personalised female hair loss treatment course that includes appropriate high strength minoxidil formulations and additional, drug-free hair growth supporting products.

These include the LaserBand which is worn three times a week for up to five minutes per session, to stimulate the follicles into active regrowth. It employs medical-grade lasers embedded in an ergonomic headband-style device for a hands-free thinning hair solution, which Belgravia patients often use alongside their minoxidil.

The nutritional supplement Hair Vitalics for Women is also a patient favourite, with its exclusive blend of key vitamins, minerals, amino acids and botanical extracts designed to support the maintenance of healthy hair growth and the normal functioning of the hair growth cycle. It comprises a bespoke blend, developed by Belgravia’s hair experts, which features biotin, zinc, selenium, grape seed extract, soy isoflavones, copper and many more hair-friendly ingredients.

Whilst essential oil products may also be used, as long as you are medically suitable and they are properly prepared and administered, there is little reliable scientific evidence available that shows they would have any significant impact on treating hair loss on their own.


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: George

Question: I get hypertrichosis all over my body from taking oral minoxidil for MPB. The tiny hairs get longer and darker and I want to know if it is reversible? Do I have to stop treatment for it to stop happening? Or should I switch to topical minoxidil. I don’t want to stop treatment if possible.

Answer: Hi, George. Hypertrichosis – excessive hair growth – is a possible side effect from minoxidil. It may sometimes present on the face, or, rarely, on the body.

man shaving

Oral minoxidil is more likely to cause hypertrichosis than topical applications of high strength minoxidil. However, in both cases, the hypertrichosis should reverse once this treatment is stopped.

Hypertrichosis generally presents as thickened vellus hairs, stimulated by minoxidil, which, therefore appear more visible.

You may wish to switch from oral minoxidil – which is not currently MHRA-licensed nor FDA-approved as a hair loss treatment for Male Pattern Baldness – to a topical formulation. This should be done in consultation with your current doctor, dermatologist or hair loss specialist, who can help to find the best option for your needs.

When using the topical hair loss solution, rather than taking minoxidil in tablet form, certain steps can be taken to help reduce the severity of this side effect. For example:

  • Wash your hands after application
  • Don’t let the solution drip on the face; tilt the head slightly backwards when applying minoxidil avoid it dripping forward
  • If it does drip onto the face, wash the area immediately
  • The evening dose may be applied at least one hour before bed to prevent any residue on the pillow (and hence, being transferred to the face)
  • The same applies for head scarves or other scalp coverings – ensure there is no medication on the fabric and wash these, and pillowcases, regularly to ensure there is no build-up of minoxidil residue
  • If none of this helps, the formulation’s strength can be reduced, and/or the dose frequency. Again, this should be advised upon by an appropriate professional.

If you do choose to switch to topical minoxidil and none of the above recommendations help and the hypertrichosis is severe, we would advise stopping treatment. Alternatively, hair removal treatments may be used.

hairloss male pattern baldness hair loss treatments hair regrowth products

Once the treatment is stopped, this hair growth is not permanent. Vellus hairs don’t have big, strong follicles so once they stop being stimulated, the hair returns to its original thickness – this is naturally quite fine and short.

It is important to know that certain medical conditions can also contribute to hypertrichosis. In women, this could be PCOS, for example, but in men potential causes of hypertrichosis include hormone imbalances, conditions such as hyperthyroidism or anorexia, cancer and side effects of certain medications, besides minoxidil. These include acetazolamide, cyclosporine, phenytoin and diazoxide.

Should the hypertrichosis be solely related to minoxidil use, it should wear off once you discontinue use. Permanent side effects from minoxidil have not been reported.

If you decide to stop using minoxidil, there are alternative male hair loss treatment options you could consider. These include finasteride 1mg, an oral DHT inhibitor, and hair growth supporting products such as the FDA-cleared LaserBand, which uses medical grade lasers to stimulate accelerated hair growth.


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: John

Question: I started finasteride a month ago but don’t see any difference yet. I’m still seeing the same miniaturised hairs as before. I know it can take around three months to see improvement of the hairline but what I want to know is does it take three months for hair loss to slow down, eg it takes three months to start working, or do the results of the hair loss slowing down become noticeable after three months – so it’s working but it takes three months for the difference to be properly visible?

Answer: Hi, John. Finasteride 1mg is taken once a day to treat Male Pattern Hair Loss and must be taken consistently for optimal results.

When using finasteride in this way it should start to work fairly quickly by reducing the production of dihydrotestosterone (DHT). However, it can take 3 to 6 months before any noticeable results occur.

In terms of its effects on hair loss, shedding normally stabilises at around month 3, although it is normal to lose some small amounts of hair daily as part of the natural hair growth cycle. Then new regrowth is seen between months 3 and 6, gradually increasing up to approximately month 12; on-going treatment is then recommended for maintenance.

As you probably know, this MHRA-licensed and FDA-approved tablet is a DHT-blocker. Its job, in relation to Male Pattern Baldness is to inhibit the formation of dihydrotestosterone (DHT), to stop it from binding to receptors in the susceptible follicles, along the vertex, from hairline to crown, in men with a predisposition to this hereditary condition.

It has a half-life of approximately 5 to 6 hours, which means it becomes half as effective after this time, which is why consistent use, exactly as instructed in the patient information leaflet, is so important.

In removing, or significantly reducing, this cause of genetically thinning hair, normal hair growth should resume in due course. As a result, noticeable changes – from stabilisation of hair fall to increased hair density – should then start to become visible.

As you specifically mention a receding hairline, it is worth noting that Belgravia hair loss specialists have seen finasteride’s benefits for treating a receding hairline when used in combination with topical applications of high strength minoxidil – to encourage accelerated hair growth – many times over the clinic’s 25 year + history. Some of these examples can be viewed in the dedicated Receding Hairline Treatment Success Stories gallery.

There are a number of factors involved in how long it can take for hair loss treatment to take effect. As such, the above information is simply an overview and for specific advice relating to your level and pattern of hair loss, we recommend having a consultation with a specialist.


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: Mary

Question: Hello, I’m having alopecia androgenetica. I’m female and my dermatologist asked me to use minoxidil 5% and to use it 3 times a week at least 4 hours before shampoo. Is it really effective if I use minoxidil this way? And I wanted to use rosemary oil for the rest of other day. Is it gonna be more effective for my hair growth like this way?

rosemary oil for hair loss

Answer: Hi, Mary.

The only medically proven treatment for androgenic alopecia in women – often better known as Female Pattern Hair Loss – is topical applications of minoxidil.

The dose and frequency of administration is often based on the patient’s medical history. Many female Belgravia patients who use minoxidil 5% formulations apply it twice daily, however, we do have exceptions and may ask the patient to apply this differently in some circumstances.

It is important that you discuss this with your dermatologist who can explain the reasons for this recommendation, as well as the expected prognosis from this MHRA-licensed and FDA-approved treatment with high strength minoxidil.

There is not enough clinical evidence on the efficacy of rosemary oil as a genetic hair loss treatment and, therefore, this is not something that we recommend.

If you see any benefit using it, it is usually safe to use. However, please bear in mind that there are a few medical contraindications with it (such as pregnancy, bleeding disorders, salicylate allergy, seizures) and, again, it is best to discuss with your dermatologist whether this is a suitable treatment for your hair loss.

Additionally, rosemary oil may occasionally irritate the skin and you should be careful when using it alongside topical medication, including your current minoxidil hair loss solution.


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.

Related Stories


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

Name: Daryush

Question: I wanted to know if you can treat traction alopecia hair loss in men. I heard you can use minoxidil to regrow hair around the hairline and I was wondering about the duration of use since traction alopecia is not a hereditary condition, does this mean that men who use minoxidil and discontinue use once the results they want have been obtain can keep their results? Or do they have continue using minoxidil forever?

Answer: Hi Daryush. There is no MHRA-licensed and FDA-approved treatment for Traction Alopecia hair loss. However, as you say, high strength minoxidil – which does have these authorisations for the treatment of Male Pattern Baldness (and Female Pattern Hair Loss) – can be helpful for many patients with this condition.

It does, however, depend upon the severity of hair loss experienced; As long as there are still active follicles that are capable of growing hair, minoxidil can be used to encourage them to grow stronger and thicker hair.

When using this topical hairloss solution, the first results tend to become visible between 3 and 6 months into the treatment. Maximum hair regrowth is then usually visible after approximately 12 months of on-going treatment.

Depending on the severity of this hair loss condition, some people can stop treatment once regrowth has been achieved. Others, meanwhile, may have to continue using minoxidil in order to continuously maintain the hair follicles in optimal health.

If the traction hair loss is very mild, you may decide to use minoxidil to encourage quicker regrowth of strong hair. You may stop the treatment once you are happy with the achieved results. But it is important to ensure you avoid further traction in the area both during and, ideally, after treatment. This means skipping tight hairstyles such as braids, cornrows and man buns, and wearing the hair naturally so the follicles are not weighed down and the hair is not pulled too tautly.

You can monitor the area and, of course, if you notice any further weakening of the hair, you can re-start treatment.

In addition to Traction Alopecia, these types of hairstyles can also cause hair breakage, where strands snap in two along the shaft. This can give the appearance of thin, weak and frizzy hair, though can often be dealt with by getting a trim.

With more severe cases of Traction Alopecia, there may be some atrophy to the hair follicles. This means that, once Traction Alopecia treatment is stopped, you may notice some deterioration in the results. As long as you are happy with the results at this point and you avoid placing further strain on the hair and follicles, you do not have to continue treatment though – it is entirely your decision.

If you wish to continuously stimulate the hair to grow to its optimal thickness, you may decide to continue using treatment. This should be done in consultation with your hair loss specialist so it can be professionally monitored.

In cases where the hair follicles have been completely destroyed, surgical intervention may be necessary so a hair transplant may be a better option. Suitability for this type of hair restoration procedure depends on the extent of the bald areas, any scarring and the amount of good quality donor hair available.

As you can see, the results and duration of treatment will mostly depend on the severity of hair loss. It can also depend on whether Traction Alopecia is the only form of shedding you are experiencing.

For instance, if you have both Male Pattern Baldness and Traction Alopecia, both can be treated simultaneously. But, as Male Pattern Hair Loss is a permanent and progressive condition, hair loss treatment would need to be on-going even after seeing regrowth results to the areas affected by Traction Alopecia.

The best thing we can advise you do as a first step is to have a no-obligation consultation, either in-person or online, so a hair expert can diagnose your condition, level and pattern of shedding. From there they can make informed recommendations as to the types of treatments and hair growth supporting products best-suited to your situation and medical profile.

Once you have all the information, you can then decide what you feel most comfortable with and go from there.


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: Lowri

Question: I was diagnosed with lichen planopilaris and I would like to know what is usually a duration of LPP (the active period of LPP) and can it occur again later like after a few years. Can the patches get bigger months or years later? And I would also like to ask how much time you usually eat antimalarials, if they are prescribed.

Answer: Hi, Lowri. Lichen Planopilaris is an autoimmune condition and its triggers are still not well understood.

Examples of hair loss from Lichen Planopilaris - cicatricial alopecia

It can be quite unpredictable and, therefore, I cannot give you the typical duration of the condition, although what is known is that once it damages the hair follicles, it leaves permanent scarring.

There are patients who suddenly notice a tiny patch on the scalp which never worsens and remains stable. There are also patients who struggle with LPP for years as it gradually spreads across the scalp.

It is possible for Lichen planopilaris to recur. Sometimes LPP burns itself out or it is stabilised with treatment and, for many patients, it may never worsen. However, it should still be monitored because this does not prevent it from recurring at any point in the future. It’s different with every patient so, again, unfortunately I cannot provide you with a definitive answer as to whether you will experience a relapse or not.

When the condition is still active, the patches can get bigger later down the line. Your LPP should, therefore, be monitored with regular photos taken of the patches so that you can compare the hair loss and condition of the affected and surrounding areas. This will ensure that any signs of activity can be noticed early and appropriate treatment can be started. As mentioned previously, for some patients the patches never change.

There are various treatment approaches a dermatologist may recommend to Lichen planopilaris patients, depending upon the patient’s severity of hair loss, symptoms and medical history.

With regards to the antimalarial drug Hydroxychloroquine, The British Association of Dermatologists recommends a minimum trial of 4-to-6 months to see whether this is effective.

If it is found to be helpful, the patient may be advised to continue this treatment for longer, until the condition goes into remission. However, such an approach should be thoroughly discussed with the patient’s doctor – ideally dermatologist.

We cannot treat Lichen Planopilaris at Belgravia but we hope this information is helpful and answers your queries fully.


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: Lou

I Need Help with Thin Hair from Hair Breakage

Question: Hello, for the past 10 months my hair has become dry, frizzy, breaking off and noticeably thinning. I saw a trichologist and she has said I have Telogen Effluvium. However, I am querying this diagnosis as I do not and have not experienced excessive hair shedding. Can you still get Telogen Effluvium without having excess hair shedding? Does this condition cause the hair to become dry, brittle, frizzy and unable to hold moisture? She has also recommended a 6 month course of supplements to treat this condition. Will supplements reverse Telogen Effluvium???

Answer: Hi, Lou. Telogen Effluvium (TE) is a disturbance in the hair growth cycle which makes many strong, actively-growing hairs – known as ‘anagen hairs’ – prematurely enter the resting – ‘telogen’ – phase and fall out.

The main feature of this hair loss condition is diffuse hair shedding from all over the scalp, with telogen bulbs.

It is not typical in cases of TE for there to be hair breakage – where the hair snaps along the shaft – without hair loss from the root. This may happen due to poor hair quality or over-processing, however, and may explain the concerns you have regarding dry hair, brittleness and frizzy hair; damaged hair where there is breakage can often present with these qualities. Additionally, some rare hair shaft disorders can also cause breakage to occur.

Whilst not intended to replace a balanced diet, targeted food supplements, such as Hair Vitalics, or ones which address any specific nutrients you are lacking, may be useful.

If you are unsure whether or not you have any nutritional deficiencies, you can check this by arranging a blood test via your GP.

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

There are certain vitamins and minerals which are understood to have hair-friendly properties. These include selenium, zinc and biotin, all of which are known to help maintain normal healthy hair quality. This is why Belgravia specialists included them, alongside additional nutrients, amino acids and botanical extracts, in the proprietary blend of ingredients each one-a-day tablet contains.

If your trichologist diagnosed you with Telogen Effluvium, we would assume they saw a number of telogen hairs during your scalp examination. It is possible to have both TE and hair breakage at the same time, though it is unlikely for TE to present without any noticeable hair fall.

If you are not certain about the diagnosis, or if you would simply like some reassurance or clarity on this, I advise you to discuss it again with your trichologist before starting any treatment – whether this is pharmaceutical hair loss treatment or using non-medicinal hair growth supporting products.

When addressing these kinds of issues it is important to find a reputable professional you feel comfortable dealing with. If you feel uncomfortable speaking to your trichologist about her diagnosis, or if you would like a second opinion, I recommend having a consultation with another 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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